Department of Woman and Child Health, Retsius väg 13, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
Midwifery. 2011 Dec;27(6):e195-200. doi: 10.1016/j.midw.2010.07.005. Epub 2010 Sep 21.
To study women's and men's satisfaction with two models of antenatal education: natural childbirth preparation with psychoprophylaxis, and standard antenatal education including preparation for childbirth and parenthood but no psychoprophylaxis.
Randomised controlled multicentre trial.
15 Antenatal clinics in Sweden between January 2006 and May 2007.
1087 Nulliparous women and 1064 of their partners.
Both models had four two-hour sessions during pregnancy and one session post partum. The natural model was manual-based and focused on childbirth preparation, including psychoprophylaxis. In the standard care model, the group leader was free to choose her teaching approach, with an equal amount of time allocated to preparation for childbirth and for parenthood.
Women's and men's evaluation of antenatal education at three months post partum. The proportion of women and men in each model that expressed satisfaction with the education were compared using χ(2) test.
More women and men in the natural groups were satisfied with the education compared with the standard care groups: women 76% versus 68% (p = 0.03) and men 73% versus 65% (p = 0.03). The figures were similar for satisfaction with the childbirth preparation component: 78% and 62% in women (p < 0.001), and 79% and 67% in men (p < 0.001) in the natural and standard care groups, respectively. Fewer participants were satisfied with the parenthood preparation component, but the proportions were higher in the standard care groups: women 37% versus 32% (p < 0.001) and men 23% versus 20% (p < 0.001).
A structured manual-based model of antenatal education which focuses on childbirth preparation with psychoprophylaxis may better meet expectant parents' expectations than standard antenatal education in Sweden.
研究两种产前教育模式（自然分娩准备与心理预防和标准产前教育，包括分娩和育儿准备但不包括心理预防）中女性和男性的满意度。
随机对照多中心试验。
2006 年 1 月至 2007 年 5 月瑞典的 15 家产前诊所。
1087 名初产妇及其 1064 名伴侣。
两种模式均在怀孕期间进行四次两小时的课程和一次产后课程。自然模型基于手册，侧重于分娩准备，包括心理预防。在标准护理模式中，组长可以自由选择她的教学方法，分娩准备和育儿准备的时间相等。
产后三个月时女性和男性对产前教育的评价。使用 χ(2)检验比较两种模式中对教育表示满意的女性和男性的比例。
与标准护理组相比，自然组中有更多的女性和男性对教育感到满意：女性 76%对 68%（p=0.03），男性 73%对 65%（p=0.03）。对于分娩准备部分的满意度也类似：自然组中的女性为 78%，标准护理组为 62%（p<0.001），男性为 79%，标准护理组为 67%（p<0.001）。对于育儿准备部分，满意的参与者较少，但标准护理组的比例较高：女性 37%对 32%（p<0.001），男性 23%对 20%（p<0.001）。
在瑞典，一种以手册为基础的结构化产前教育模式，侧重于心理预防的分娩准备，可能比标准产前教育更好地满足准父母的期望。
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