上海市促进自然分娩活动干预效果评价  

Assessment of the effectiveness of "natural labor" promoting activities in Shanghai

作　　者：朱丽萍[1] 花静[1] 秦敏[1] 董海燕[1] 宋晶晶[1] 肖丽萍[1,2] 杨莉敏[1,3] 陈琦[1,4] 陈清[1,5] 

机构地区：[1]上海市妇女保健所,同济大学附属第一妇婴保健院,200000 [2]闵行区妇幼保健院 [3]闸北区妇幼保健所 [4]杨浦区妇幼保健所 [5]虹口区妇幼保健所

出　　处：《中国妇幼保健》2014年第3期336-338,共3页Maternal and Child Health Care of China

基　　金：上海市市级医院适宜技术项目〔SHDC12012231〕;上海市公共卫生三年行动计划〔2011-2013〕;上海市卫生与计划生育委员会科技重点项目〔20114010〕

摘　　要：目的：评价上海市“促进自然分娩，健康教育接力”，活动对于孕产妇分娩方式认知和意愿的影响效果，为优化健康教育模式提供依据。方法：选取2013年5～6月份参加上海市“促进自然分娩接力活动”的孕妇，活动前后共400份问卷纳入研究。采用单因素分析方法比较活动前后分娩方式知晓情况和意愿。结果：促进自然分娩活动后的知晓率和自然分娩意愿率均较活动前升高（P〈0．05）。干预活动后更多孕妇（52．1％）愿意选用导乐陪伴服务（P〈0．05）。结论：上海市促进自然分娩全市接力活动对提高孕妇对自然分娩的认知和意愿具有一定的效果，是促进自然分娩健康教育的有效方式。Objective： To assess the effectiveness of ＂ natural labor＂ promoting activities so as to provide basis for improving health education. Methods： The pregnant women were selected in the ＂natural labor＂ promoting activites from May to June, 2013. Four hundred questionnaires were collected before and after the activities and their knowledge and willingness of natural labor were compared using univariable analysis. Results： The knowledge （ 15.0% - 99. 0% ） and willingness （97. 0% ） of natural labor after the health education activities were higher than those before the education activites （2. 5% -88.0%, 87.5% ） with statistical difference （P 〈0. 05） . There were more pregnant women who were willing to have Doula accompany delivery after the education activities （52. 1% ） than before （ P 〈 0.05 ） . Conclusion： Health education activities on ＂natural labor＂ is benificial to improve the knowledge and willingness of natural labor among the pregnant women, which is effective way of promoting natural labor.

关 键 词：自然分娩 干预措施 效果 

分 类 号：R714.3[医药卫生—妇产科学]