对孕妇硬膜外自控分娩镇痛相关知识知晓程度的调查

Investigation on knowledge of patient-controlled epidural analgesia in pregnant women

目的：调查广州市孕妇对硬膜外自控分娩镇痛相关知识的知晓程度。方法2014年6月在孕妇学校对148名孕妇进行问卷调查,包括孕妇自述知晓程度、实施方法以及对孕妇/新生儿有无影响等问题。结果对分娩镇痛清楚了解的孕妇占8.1%,一般了解和听过的比例共为89.9%；39.9%的孕妇不了解分娩镇痛的实施时机,17.6%的孕妇认为分娩镇痛会延长产程,49.2%的孕妇认为会造成产后容易腰痛,约50%的孕妇认为对新生儿没有影响。结论加强分娩镇痛的产前宣传教育非常必要,同时需要对孕妇较为担心的重点问题进行宣传,进而不断推广硬膜外自控分娩镇痛。

Objective To investigate the knowledge of patient-controlled epidural analgesia （ PCEA） in pregnant women. Methods Totals of 148 pregnant women in pregnant school were surveyed in June 2014, the contents included whether know PCEA or not, the opportunity of using PCEA and influence on pregnant or infant. Results Totals of 8. 1% of pregnant women understood PCEA clearly, 39. 9% of pregnant women did not know the opportunity of using PCEA, about 17. 6% thought PCEA could prolong the stage of labor; there were 49. 2% pregnant women thought PCEA would cause back pain or headache after labor, meanwhile about half of investigation objects suspected it could cause adverse health effects on infants. Conclusions It is necessary to prompt propaganda and education on the knowledge about PCEA, meanwhile the pertinency of population selection and content should be improved.