孕期教育及产前培训对分娩过程的影响

The technical report on the effect of prenatal education and prepared childbirth training in the course of labor

目的:探讨孕期教育和产前培训对初孕妇分娩过程的影响。方法:对365例健康初孕妇随机分为观察组(123例)与对照组(242例)。对照组仅单纯进行定期产前检查,而观察组孕妇则从孕15周起接受系统的孕期教育和产前技术培训,并定期孕期检查。最后对比观察两组的临床状态、分娩方式、产程时间及产后出血量。结果:观察组孕产妇自然临产和分娩率明显高于对照组(P<0.05);手术产(剖宫产和胎头吸引产)率明显低于对照组(分别为P<0.001和P<0.05);各产程时间均短于对照组,第一、第二及总产程有明显差异性(分别为P<0.01、P<0.05和P<0.05);产后出血发生率也低于对照组(P<0.05)。结论:系统的孕期教育及产前技术培训可提高产科质量,降低围生期并发症,值得临床推广应用。

Objective： To study the effect of prenatal education and prepared childbirth training on primigravida mental state and the course of labor. Methods： 365 primigravida which had a periodic antenatal check until - labor in our hospital were divided into study group and control group. In control group, 242 primigravida had a periodic antenatal check only; In study group, 123 primigravida accepted systematic prenatal education and prepared childbirth training except period antenatal check. So the clinical situation , way of labor , time of birth process and the amount of postpartum hemorrhage can be observed and compared. Results： Compared with control group, the study group has higher normal labor rate （ P 〈 0. 05 ） ; Apparently shorter operating delivery rate （ cesarean section and application of vacuum extractor） （ P 〈0. 001 and P 〈 0. 05 ） ; Shorter labor time and lower rate of postpartum hemorrhage （ P 〈 0. 05 ） . Conclusion： Gravida who accepted prenatal education and prepared childbirth training has short complication and how rate of operating delivery apparently in intrapartum. So this can guarantee the health of maternity and children, It is worthy to be used widely.