助产士主导的群组孕期母婴健康教育对初产妇心理状态、分娩镇痛及妊娠结局的影响

Influences of midwife-led group maternal and infant health education during pregnancy of primiparas on their psychological status, labor analgesia, and pregnancy outcomes

目的:探讨助产士主导的群组孕期母婴健康教育对初产妇心理状态、分娩镇痛效果以及妊娠结局的影响。方法:选择2021年1月-2022年10月本院产前检查并分娩的120例初产妇,随机数字法分为干预组和对照组各60例,干预组接受助产士主导的群组孕期母婴健康教育,对照组接受常规孕期母婴健康教育。比较两组产后焦虑自测量表(SAS)与抑郁自测量表(SDS)得分、分娩镇痛满意度以及妊娠结局。结果:干预组产后SAS(34.63±6.83分)和SDS(39.56±7.86分)均低于对照组(38.75±7.11分、43.49±6.97分),分娩镇痛满意度评分(4.13±0.56分)高于对照组(3.23±0.74分),剖宫产率(11.7%)、产后出血量(261.3±66.1ml)以及新生儿出生体质量(3.27±0.48kg)均低于对照组(26.7%、297.3±60.7ml、3.49±0.53kg),新生儿Apgar评分(9.5±0.6分)和纯母乳喂养率(85.0%)高于对照组(9.0±0.7分、60.0%)(均P<0.05)。结论:基于助产士主导的群组孕期母婴健康教育能有效减轻初产妇产后不良情绪,提高分娩镇痛满意度,改善妊娠结局。

Objective:To explore the influences of midwife-led group maternal and infant health education during preg-nancy of primiparas on their psychological status,labor analgesia,and pregnancy outcomes.Methods:A total of 120 primiparas who underwent prenatal examination and delivery in hospital were selected as the study subjects and were randomly divided into two groups(60 cases in each group)from January 2021 to October 2022.The primiparas in the study group rceived midwife-led group maternal and infant health education,while the primiparas in the control group received routine maternal and infant health education.The scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the satisfaction for delivery analgesia,and the pregnancy outcomes of the primiparas were compared between two groups.Results:The scores of postpartum SAS(34.63±6.83 points)and SDS(39.56±7.86 points)of the primiparas in the study group were significantly lower than those(38.75±7.11 points and 43.49±6.97 points)of the primiparas in the control group.The satisfaction score of labor analgesia(4.13±0.56 points)of the pri-miparas in the study group was significantly higher than that(3.23±0.74 points)of the primiparas in the control group.The cesarean section rate(11.7%),the postpartum blood loss(261.3±66.1ml),and the birth weight(3.27±0.48kg)of the primiparas in the study group were signifiantly lower than those(26.7%,297.3±60.7ml,and 3.49±0.53kg)of the primiparas in the control group.The Apgar score(9.5±0.6 points)and the exclusive breasteeding rate(85.0%)of the neonates in the study group were significantly higher than those(9.0±0.7 and 60.0%)of the neonates in the control group(all P<0.05).Conclusion:Midwife led group maternal and infant health education during preg-nancy of the primiparas can efectively alleviate their postpartum depression and anxiety,increase their satisfaction for labor analgesia.and improve pregnancy outcomes.