Redman S, Oak S, Booth P, Jensen J, Saxton A
Faculty of Medicine, University of Newcastle, New South Wales.
Aust N Z J Obstet Gynaecol. 1991 Nov;31(4):310-6. doi: 10.1111/j.1479-828x.1991.tb02809.x.
The evaluation of the efficiency and effectiveness of antenatal education programmes has been identified as a priority in improving maternity services in Australia. Two hundred and ninety four primiparas completed a brief questionnaire in the 3 days following delivery; 82% of the women surveyed attended antenatal education classes. Women were less likely to attend if they were single, younger than 26 years, had lower levels of education, received care during pregnancy from the antenatal clinic and did not have private health insurance. Attenders at antenatal education were also more likely to plan on breast feeding, to be nonsmokers and to know of a greater number of community organizations to help new mothers. However, logistic regression analyses indicated that, with the exception of number of community organizations known, these differences were attributable to demographic differences between attenders and nonattenders. One hundred and forty two women and their partners attending the major provider of antenatal education classes in Newcastle were surveyed prior to and following classes. Significant increases in knowledge were evident following the programme among both women and their partners. Satisfaction with the programme was high as indicated by a large proportion of respondents attending all 4 classes, most programme components being reported as useful or very useful and only a small proportion of respondents experiencing problems with the programme.
产前教育项目的效率和效果评估已被确定为澳大利亚改善孕产妇服务的一项优先任务。294名初产妇在分娩后的3天内填写了一份简短问卷;82%的受访女性参加了产前教育课程。单身、年龄小于26岁、教育程度较低、在孕期接受产前诊所护理且没有私人医疗保险的女性参加课程的可能性较小。参加产前教育的女性也更有可能计划进行母乳喂养、不吸烟并且知道更多帮助新妈妈的社区组织。然而,逻辑回归分析表明,除了已知的社区组织数量外,这些差异可归因于参加者和未参加者之间的人口统计学差异。对纽卡斯尔主要产前教育课程提供者的142名女性及其伴侣在课程前后进行了调查。课程结束后,女性及其伴侣的知识水平均有显著提高。大部分受访者参加了所有4节课,表明对该项目的满意度很高,大多数项目内容被报告为有用或非常有用,只有一小部分受访者在项目中遇到问题。