Zax M, Sameroff A J, Farnum J E
Am J Obstet Gynecol. 1975 Sep 15;123(2):185-90. doi: 10.1016/0002-9378(75)90525-6.
The purpose of this study was to evaluate the effects of a childbirth education program (patterned after the Lamaze procedure) on maternal attitudes and the delivery process. Dependent variables included axniety as measured by the anxiety scale of the IPAT, scores on the Maternal Attitudes to Pregnancy Inventory (MAPI), the duration of labor, and the amounts of premedication and anesthesia administered during delivery. Three groups of pregnant women were used as subjects: 70 primiparous and 48 multiparous women taking a 6 week childbirth education course and 41 multiparous women delivery at the same hospitals but not taking the course. In addition the data on labor duration and amount of medication administered to 1,400 multiparous and 1,015 primiparous patients delivery at one of the same hospitals as the other three groups were examined for comparison purposes. No differences were found between groups on the anxiety measure or on duration of labor. Some differences favoring women who had the childbirth education course were found on the MAPI and the medication and anesthesia measures. It was concluded that the childbirth education course had some beneficial effects.
本研究的目的是评估一项分娩教育计划（仿照拉玛泽分娩法）对产妇态度和分娩过程的影响。因变量包括通过IPAT焦虑量表测得的焦虑程度、《孕妇对妊娠的态度量表》（MAPI）得分、分娩时长以及分娩期间使用的术前用药量和麻醉量。三组孕妇作为研究对象：70名初产妇和48名经产妇参加为期6周的分娩教育课程，41名经产妇在同一家医院分娩但未参加该课程。此外，为了进行比较，还检查了在与其他三组相同的一家医院分娩的1400名经产妇和1015名初产妇的分娩时长和用药量数据。在焦虑测量或分娩时长方面，各组之间未发现差异。在MAPI以及用药和麻醉测量方面，发现了一些有利于参加过分娩教育课程的女性的差异。研究得出结论，分娩教育课程有一些有益效果。
