产前系统健康教育对分娩安全的效果评价

Evaluation of the effect of systematic prenatal health education on delivery safety

目的探讨产前系列健康教育对产科分娩安全的效果。方法选择西安市中心医院2011年7月至2013年6月收治并且在产科门诊产前检查≥6次的孕产妇,对研究组620例产妇进行系统产前健康教育,对照组580例产妇进行常规健康教育方法,比较两组分娩方式、产后出血、新生儿产伤等的发生率及患者的满意度。结果研究组阴道分娩率高于对照组,两组比较有显著性差异(x～2=70.38,P<0.05)。研究组产妇产后出血率为1.29%,显著低于对照组的4.66%,两组比较差异有统计学意义(x～2=4.61,P<0.05)。研究组新生儿窒息率、产伤发生率、围产儿死亡率均低于对照组(x～2值分别为7.74、3.87、5.35,均P<0.05)。研究组患者满意度为98.23%,显著高于对照组的88.79%(x～2=5701.37,P<0.01)。结论产前系统健康教育对减少产后出血、降低围产儿死亡率有积极的作用,可以促进分娩安全。

Objective To discuss the effect of systematic prenatal health education on obstetric delivery safety .Methods Pregnant women who visited the outpatient clinic of obstetrics for more than six times for antenatal examination from July 2011 to June 2013 were chosen . There were 620 cases in study group with systematic health education , while the control group included 580 cases of pregnant women using conventional health education methods .Delivery modes, incidence of postpartum hemorrhage , incidence rate of neonatal birth trauma and patient satisfaction were compared between two groups .Results Compared with the control group , the rate of normal vaginal delivery was significantly higher in the study group （χ^2 =70.38,P〈0.05）.The rate of postpartum hemorrhage was 1.29%in the study group, and it was significantly lower than the control group （4.66%） （χ^2 =4.61, P〈0.05）.The incidence of neonatal asphyxia , birth trauma and perinatal mortality rate were lower in the study group than in the control group （χ^2 value was 7.74, 3.87 and 5.35, respectively, all P〈0.05）.The degree of patient satisfaction was 98.23%, which was significantly higher than that of the control group （88.79%） （χ^2 =5 701.37,P〈0.01）.Conclusion Prenatal systematic health education has positive effect in reducing postpartum hemorrhage and perinatal mortality, and it can promote delivery safety .