目的 探讨健康教育对孕妇分娩方式认知及选择的影响。方法 采用“孕妇分娩知识调查表”,抽取2016-12至2017-08医院建卡的孕妇457名,随机分为两组,干预组237名,对照组220名,两组均接受基本孕期知识指导,干预组另进行分娩方式相关知识的系统宣教,比较两组孕妇对分娩方式的认知、态度和分娩方式的选择。结果 干预组对分娩相关知识的知晓度高于对照组,干预组孕妇对分娩镇痛的知晓率为94.5%,对照组的孕妇的知晓率为81.0%,明显低于干预组,差异具有统计学意义(均P<0.05);干预组产前选择自然分娩率(97.9%)高于对照组(91.0%),差异均具有统计学意义(P<0.05)。结论 向孕妇进行分娩方式健康教育能明显降低剖宫产率,减少非医学指征的剖宫产现象。

Objective To investigate the effect of health education during pregnancy on women’s choice of delivery manner.Methods A total of 457 pregnant women who received counseling in our hospital were randomly divided into two groups: the intervention group (n=237) and control group (n=220). Both groups received conventional health education. The intervention group additionally received systematic health education on delivery. Levels of knowledge of delivery, attitude and modes of delivery were compared between the two groups.Results There was significant difference between the two groups in their levels of pregnancy-related knowledge. The rate of literacy of labor analgesia in the intervention group was 94.5%, higher than 81.0% of the control group, and the difference was statistically significant (P<0.05). 97.9% of the women in the intervention group opted for natural delivery, compared to 91.0% in the control group, and the difference was statistically significant (P<0.05).Conclusions Health education during pregnancy can reduce the rate or incidence of cesarean section.