多元化授课模式下的孕妇学校对促进自然分娩的作用  

The Role of Pregnant Women′s Educational School in Promoting Natural Delivery by Diversified Teaching Modes

作　　者：谢婉莹[1] 邱晓媛[1] 姚俊雪 崔洪艳[1] XIE Wan-ying;QIU Xiao-yuan;YAO Jun-xue;CUI Hong-yan(Department of Obstetrics,Tianjin Central Hospital of Gynecology Obstetrics,Tianjin 300100,China)

机构地区：[1]天津市中心妇产科医院产科,300100

出　　处：《国际妇产科学杂志》2024年第1期37-41,共5页Journal of International Obstetrics and Gynecology

基　　金：天津市科技计划项目(22KPHDRC00310)。

摘　　要：目的:探讨多元化的孕妇学校授课模式对促进自然分娩的效果。方法:回顾性选取于2023年6—8月在天津市中心妇产科医院产科门诊建档产检并住院分娩的初产妇。根据是否参加过孕妇学校课程,分为研究组(309例)和对照组(300例)。入院待产时进行问卷调查,比较2组产妇对促进自然分娩相关知识的知晓率和自然分娩意愿,对2组产妇的剖宫产率、社会因素剖宫产率、妊娠期合并症发生率、分娩镇痛应用率、巨大儿发生率及产后出血率进行分析比较;对研究组不同授课模式进行满意度调查,统计并比较孕妇学校不同授课模式的学习人次。结果:研究组各项自然分娩知识正确率和顺产意愿高于对照组,差异均有统计学意义(均P<0.05)。2组产妇剖宫产率比较差异无统计学意义(P=0.051),但研究组社会因素剖宫产率、妊娠期合并症比例、巨大儿发生率和产后出血率均低于对照组,分娩镇痛应用率高于对照组,差异均有统计学意义(均P<0.05)。研究组5种不同授课模式的平均学习人次比较,差异有统计学意义(χ^(2)=83.455,P<0.0001),录播课学习人次最高,平均每节课约596人次,其次为微信视频号直播体验课,平均每节课约280人次。参加过孕妇学校课程的产妇对不同授课模式的满意度比较差异有统计学意义(χ^(2)=104.708,P<0.0001),其中微信视频号直播体验课满意度达100%。结论:多元化授课模式的孕妇学校能吸引孕产妇的关注,提升其孕产期保健意识,起到降低妊娠期合并症、促进自然分娩的作用,微信视频号直播体验课具备满意度高、受众广的特点,值得推广。Objective:To explore the effectiveness of diversified teaching modes in Pregnant Women′s Educational School in promoting natural delivery.Methods:A retrospective study was conducted on primiparous pregnant women who were registered for prenatal examination and hospitalized for delivery at Tianjin Central Hospital of Gynecology Obstetrics from June to August 2023.Based on whether they had participated in the courses of Pregnant Women′s Educational School,the participants were divided into experimental group(309 women)and control group(300 women).A questionnaire survey was conducted upon admission to compare the awareness of natural delivery knowledge and the willingness to undergo natural delivery between two groups.Analyze and compare the cesarean section rate,social factors cesarean section rate,incidence of pregnancy complications,application rate of labor analgesia,incidence rate of macrosomia and proportion of postpartum hemorrhage between two groups.Conduct a satisfaction survey on different teaching modes in the experimental group.Compare the number of learners attending each teaching modes in Pregnant Women′s Educational School.Results:The awareness of natural delivery knowledge and the willingness to undergo natural delivery in the experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in cesarean section rates between the two groups(P=0.051).However,compared to the control group,the experimental group had a lower rates of social factors cesarean section,lower incidence of pregnancy complications,macrosomia and postpartum hemorrhage,as well as a higher application rate of labor analgesia.The differences between two groups were statistically significant(all P<0.05).There was a statistically significant difference in the average number of learners among the five different teaching modes in the experimental group(χ^(2)=83.455,P<0.0001).There were 596 students in each Recorded Course on average,higher tha

关 键 词：孕妇 产前教育 教育技术 自然分娩 妊娠并发症 病人满意度 对比研究 多元化授课模式 

分 类 号：R715.3[医药卫生—妇产科学]