以家庭为中心的产前教育对产妇分娩方式及母乳喂养的影响

摘要

Objective To explore the effect of the family-centered prenatal maternal health education on delivery modes and breastfeeding.Methods Two hundred and thirty pregnant women who accepted prenatal maternal health education were divided into the observation group and the control group according to whether their families involved in the prenatal education.There were 108 cases in the observation group and 122 in the control group.The observation group was given prenatal health education involving the pregnant women and their caregivers or their husbands.The control group was given prenatal health education according to the previously-designed course without presence of their families.The two groups were compared in delivery mode,extent of pain during production and breast feeding.Results The rates of vaginal delivery and the breast feeding at discharge in the observation group were higher than the control group(P<0.05 for both).The rate of breast swelling in 72 hours was significantly lower than the control group(P<0.01). Conclusion Family-centered prenatal maternmal health education is good for the natural birth rate,improvement of breastfeeding rate and reduction the breast swelling.%　　目的探讨以家庭为中心的产前教育对产妇分娩方式及母乳喂养的影响。方法将230例定期产前检查并接受产前健康教育的孕妇根据有无家属参与产前教育分为观察组108例与对照组122例。观察组产妇采用以家庭为中心的产前健康教育，即孕妇及其丈夫和（或）围产期主要照顾者共同参与计划的制订与实施，对照组产妇按事先设定的课程进行产前健康教育，家属未参与。比较两组产妇分娩方式、产程中疼痛程度及母乳喂养情况。结果观察组产妇阴道分娩率、出院时母乳喂养率明显高于对照组，72 h 奶胀发生率明显低于对照组，两组比较，差异具有统计学意义（均 P＜0.05）。结论以家庭为中心的产前教育模式，可促进自然分娩，提高母乳喂养率及减少乳房肿胀发生率。