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目的探讨孕妇学校利用情况及与剖宫产率的关系。方法对接受产后保健的无妊娠合并症及并发症的1 126名城乡初产妇进行产后42 d的问卷调查。结果收到有效问卷1 123份,观察组(参加孕妇学校讲座者)共604例(53.78%),其中,175例(28.97%)参加过“分娩相关知识”的培训;对照组(未参加孕妇学校讲座者)共519例(46.22%)。观察组中选择阴道分娩的孕妇占82.45%(498例),而对照组中74.95%(389例)的孕妇选择阴道分娩,两组差异有统计学意义(χ~2=9.456,P=0.002);观察组262例剖宫产中社会因素剖宫产占107例(40.84%),对照组233例剖宫产中社会因素占117例(50.21%)。两组差异有统计学意义(χ~2=4.375,P=0.036)。结论对孕妇及家属实施健康教育,可有效降低社会因素剖宫产率。
Objective To explore the utilization of pregnant women and its relationship with cesarean section rate. Methods A total of 1 126 primiparous women in urban and rural areas receiving postpartum health care without complications and complications of pregnancy were surveyed 42 days postpartum. Results A total of 1 123 valid questionnaires were received and 604 (53.78%) were observed in the observation group (53.78%). Among them, 175 (28.97%) participated in the training of “knowledge about childbirth” Participate in pregnant women school lectures) a total of 519 cases (46.22%). In the observation group, 82.45% (498 cases) chose vaginal delivery, while 74.95% (389 cases) in the control group chose vaginal delivery. The difference was statistically significant (χ ~ 2 = 9.456, P = 0.002) ; 262 cases of cesarean section in the observation group, 107 cases (40.84%) were social factors of cesarean section, and 233 cases (50.21%) of social factors in 233 cases of control group. The difference between the two groups was statistically significant (χ ~ 2 = 4.375, P = 0.036). Conclusion The implementation of health education for pregnant women and their families can effectively reduce the cesarean section rate of social factors.