Sharifirad Gholamreza, Rezaeian Mohsen, Soltani Raheleh, Javaheri Somayeh, Mazaheri Maryam Amidi
Department of Health Education, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2013 Sep 30;2:50. doi: 10.4103/2277-9531.119036. eCollection 2013.
Nowadays, cesarean section rate is increasing in Iran and throughout the world. Cesarean section is one of the major surgical procedures, which carry serious and rarely fetal risk for mother and child. This study was conducted to determine the effects of health education on husbands of pregnant women in reducing elective cesarean section.
This study was a trial study, in which 88 pregnant women between 28-32 weeks of pregnancy, who referred to the private clinics in Isfahan, were randomly assigned into case and control groups. The husbands of the women within case group were educated about cesarean and vaginal delivery. At the beginning of study and 4 weeks after an educational intervention, the knowledge and attitude of 3 groups (cases, controls, and husbands of case group) were determined. The type of delivery was determined by phone call.
Educational intervention on husbands caused a significant increase in the knowledge and a positive attitude in mothers within case group towards vaginal delivery. Elective cesarean section in case group was significantly lower than that of the control group (29.5% vs. 50%, P < 0.05).
The results of the present study showed that husbands' education can effectively increase the knowledge and improve the attitude of their wives, and reduce the rate of elective cesarean section.
如今，伊朗乃至全世界的剖宫产率都在上升。剖宫产是主要的外科手术之一，对母婴均有严重且罕见的胎儿风险。本研究旨在确定健康教育对孕妇丈夫在降低选择性剖宫产方面的影响。
本研究为一项试验性研究，将88名怀孕28 - 32周、前往伊斯法罕私人诊所就诊的孕妇随机分为病例组和对照组。对病例组孕妇的丈夫进行剖宫产和阴道分娩相关知识的教育。在研究开始时以及教育干预4周后，测定三组（病例组、对照组和病例组孕妇的丈夫）的知识水平和态度。通过电话确定分娩方式。
对病例组孕妇丈夫的教育干预使病例组孕妇对阴道分娩的知识显著增加且态度积极。病例组的选择性剖宫产率显著低于对照组（29.5%对50%，P < 0.05）。
本研究结果表明，对丈夫进行教育能够有效增加其妻子的知识水平、改善其态度，并降低选择性剖宫产率。
