Objective To compare the effect of natural childbirth and cesarean section on the quality of life (QOL) of parturient, so as to provide some evidence for improving QOL.Methods A total of 124pregnant women, who gave birth in Maternal and Child Health Hospital of Hunan Province from January to December 2017, were selected as study subjects and included in natural childbirth group (n=115) and cesarean section group (n=9) according to different delivery mode.The QOL of parturient at 6weeks postpartum was statistically analyzed with the Chinese version of Short Form-36 (SF-36).Results Among the 8subscales of SF-36, the natural childbirth group had higher scores in physical functioning (68.87±23.56), role limitations due to physical problems (54.97±38.75), general health perception (65.84±16.37), and social functioning (45.45±27.35) than the caesarean section group (57.79±22.32, 32.83±36.43, 56.26±17.45, 39.43±23.23) (t value was 3.02, 6.82, 2.05and 2.04, respectively, all P＜0.05).The mean scores of vitality (68.23±24.45) and mental health (67.34±23.43) in the cesarean section group were higher than those in the natural childbirth group (67.48±19.23, 63.21±21.32).However, there was no statistical difference (both P＞0.05).Conclusion Although cesarean section could reduce labor pain and fetal anxiety, natural childbirth is a better way for the recovery of postpartum physical functioning and mental health of pregnant women.Natural childbirth should be more advocated in prenatal education.%目的比较自然分娩与剖宫产分娩对产妇生活质量的影响,为改善产妇的生活质量提供依据.方法选择2017年1至12月在湖南省妇幼保健院产科分娩的124例孕妇为研究对象.按照分娩方式的不同,将其分别纳入自然分娩组(n=115)与剖宫产组(n=9),采用健康状况量表SF-36中文版对产妇产后6周的生活质量进行统计学分析.结果在SF-36量表的8个维度中,自然分娩组在生理功能(68.87±23.56vs.57.79±22.32)、生理职能(54.97±38.75vs.32.83±36.43)、总体健康(65.84±16.37vs.56.26±17.45)和社会功能(45.45±27.35vs.39.43±23.23)4个维度上得分均数均明显高于剖宫产组(t值分别为3.02、6.82、2.05、2.04,均P＜0.05).剖宫产组在精力(68.23±24.45vs.67.48±19.23)和精神健康(67.34±23.43vs.63.21±21.32)维度得分较自然分娩组高,但差异均无统计学意义(均P＞0.05).结论虽然剖宫产可以减少分娩疼痛和对于胎儿安全的焦虑,但是自然分娩对于孕妇产后生理机能恢复和心理健康都是更好的分娩方式,在产前教育中应更多地提倡自然分娩.
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