妊娠晚期妇女对分娩方式认知情况的调查分析

摘要

Objective To investigate the third trimester pregnant women' s choices of delivery way and the effect of the prenatal education on pregnant women.Methods Questionnaire surveys were undertaken on 420 pregnant women attended the prenatal examination.Their pregnancies were followed up.Results Among the 420 pregnant women, 274 cases received the prenatal education chosen spontaneous labor (67.89 ％) and the other 146 cases not received the prenatal education made the same choice (52.05％).The difference in bearing the labor pain between the group who received the prenatal education and the group without prenatal education was significant (P＜0.01 ).Following their pregnancies, 214 cases accepted spontaneous labor (50.95％), and the other 206 cases accepted cesarean section (49.5％).Comparing with their choices before delivery, the difference is significant (P＜0.01).Conclusion The effect of the prenatal education on the recognition of pregnant women's choices of delivery way is great.Prenatal drumbeating and education should be promoted and analgesia during the labor should be applied so that the natural labor rate can be ineressed.%目的 了解妊娠晚期妇女对分娩方式的选择取向,以及产前教育对妊娠妇女的影响.方法 选择在产科门诊产前检查孕妇420例进行问卷调查,并追踪分娩结局.结果 274例接受产前教育的孕妇选择自然分娩占67.89%,146例未接受产前教育的孕妇选择自然分娩占52.05%;对分娩时疼痛耐受的认知受教育组与未接受教育组比较,差异有非常显著意义(P＜0.01);追踪分娩结局,自然分娩214例,占50.95%,剖宫产206例占49.05%,与产前选择分娩方式比较,差异有显著性(P＜0.01).结论 产前教育对分娩方式认知选择有较大的影响,应推广产前教育宣传,开展分娩镇痛技术,提高自然分娩率.