“孕妇学校+微信公众号”模式对初产妇分娩恐惧及分娩方式的影响

Influence of“pregnant school+WeChat official account”on fear of childbirth and delivery mode of primipara

目的探讨“孕妇学校+微信公众号”模式对初产妇分娩恐惧及分娩方式的影响。方法从2019年1月-6月在河北北方学院附属第一医院产检的初产妇中抽取200例作为研究对象,采用随机数字表法分为对照组和观察组,每组100例,所有初产妇均接受相关孕产期保健知识。对照组采用常规的门诊宣传教育,研究组则进行建档,采用“孕妇学校+微信公众号”的模式展开全面系统的孕产期健康教育。比较两组分娩方式和产程时间;采用焦虑自评量表(SAS)对两组的焦虑情绪进行评价;采用问卷调查的方法对两组初产妇对相关知识的掌握进行分析总结。结果观察组自然分娩率高于对照组,差异有统计学意义(P<0.05)。观察组自然分娩的初产妇的各个产程时间均短于对照组,差异有统计学意义(P<0.05)。观察组自然分娩的初产妇助产率低于对照组自然分娩的初产妇,差异有统计学意义(P<0.05)。观察组剖宫产率低于对照组,差异有统计学意义(P<0.05)。观察组SAS评分低于对照组,观察组孕产妇的焦虑症的发生率低于对照组,差异有统计学意义(P<0.05)。观察组孕产妇对于孕期、分娩期、产褥期及新生儿护理等方面的知识掌握程度均高于对照组,差异有统计学意义(P<0.05)。结论“孕妇学校+微信公众号”模式能够很好地提高初产妇的自然分娩率,降低剖宫产率。因此“孕妇学校+微信公众号”模式值得在临床借鉴,具备临床推广价值。

Objective To explore the effect of“pregnant school+WeChat official account”on the fear of childbirth and delivery mode in primipara.Methods From January 2019 to June 2019,200 primiparas in the First Affiliated Hospital of Hebei North University were selected as the research objects,and they were divided into control group and observation group by digital random method,100 cases in each group,all primiparas received relevant knowledge of pregnancy and childbirth health care.The control group was given routine outpatient education,while the observation group was filing with the system of“pregnant school+WeChat official account”to carry out a comprehensive and systematic health education in pregnancy.The methods of delivery and the time of delivery were compared between the two groups;the anxiety of the two groups were evaluated by anxiety self-rating scale(SAS);the knowledge of the two groups were analyzed and summarized by questionnaire.Results The natural delivery rate of the observation group was higher than that of the control group(P<0.05).The time of each birth process of primipara in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).The midwifery rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The cesarean section rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The SAS score of the observation group was lower than that of the control group,and the incidence of anxiety in the observation group was lower than that of the control group,with statistical significance(P<0.05).In the observation group,the knowledge of pregnancy,childbirth,puerperium and neonatal nursing were higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The mode of“pregnant school+WeChat official account”can improve the natural childbirth rate of primiparas and reduce the rate of cesarean section.Therefore,the model of pregnant school+WeChat official account is worthy of clinical reference and has the value of clinical promotion.