产前多媒体健康教育对剖宫产率、产程及分娩结局的影响

为了探讨产前多媒体健康教育对剖宫产率、产程及分娩结局的影响,本研究选取健康实施产前常规检查的妊娠妇女200例,其中100例接受常规产前指导(对照组)、100例妊娠妇女定期接受产前多媒体健康教育指导(研究组),随访至分娩结局,观察两组妊娠妇女的产程、分娩方式、分娩结局差异。研究结果表明,研究组有1例妇女出现流产、对照组有2例妇女出现自然流产;研究组的第一产程潜伏期、活跃期、第一产程、第二产程显著的低于对照组(p<0.05),研究组的第三产程时间与对照组差异不具有统计学意义(p>0.05);研究组的剖宫产率14.14%显著低于对照组的27.55%(p<0.05);研究组与对照组的新生儿1 min、5 min Apgar评分差异不具有统计学意义(p>0.05);研究组分娩相关并发症率3.03%低于对照组的11.22%(p<0.05)。本研究初步表明:产前多媒体健康教育有利于降低剖宫产率、缩短产程时间、减少分娩并发症。

Effect of Multimedia Health Education on Cesarean Section Rate,Delivery Process and Delivery Outcome

In order to explore the effect pre-natal multimedia health education on cesarean delivery rate, delivery process and delivery outcome, in this study we selected 200 cases of pregnant women received by prenatal routine examination, among them 100 cases who underwent routine prenatal guidance(control group) and 100 cases of pregnant women received with multimedia instruction of prenatal health education based on a regular basis(Observation group),and the follow-up visits were carried out until the delivery end. We observed the differences of pregnant women’s delivery process, delivery mode, delivery outcome in two groups. The results showed that 1 case of spontaneous abortion occurred in the observation group and 2 cases in the control group. The phases of latency and activity as well as the first and second stages of delivery process in the observation group were significantly lower than those in the control group(p<0.05), and the difference between the third stage of delivery process in the observation group and the control group was not statistically significant(p>0.05);while the cesarean section rate of 14.14%in the observation group was significantly lower than that of 27.55% in the control group(p<0.05). Apgar score at1 min and 5 min between the two groups was not statistically significant(p>0.05);whereas the complication rate of childbirth related in the complication group was 3.03% lower than that in the control group(11.22%, p<0.05). Our preliminary study showed that multimedia health education should be beneficial to reduce the rate of cesarean section, shorten the delivery process and reduce the complications of delivery.