Valiani Mahboubeh, Haghighatdana Zohreh, Ehsanpour Soheila
Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2014 Nov;19(6):653-8.
The World Health Organization announced the acceptable level of cesarean section (CS) as 10-15%. In recent years, the rate of CS has been increasing irregularly. Lack of appropriate knowledge and attitude among couples plays a major role in this regard. This study tried to compare the effects of a childbirth training workshop on knowledge, attitude, and delivery method.
The present study is a randomized clinical trial conducted in four stages on 180 subjects referring to Isfahan health care centers in three groups of mothers (alone), couples (mothers and their respective partners), and control. After sampling, a pre-test and intervention in the form of an educational workshop were conducted. Then, post-test was conducted immediately after, 1 month later, and in puerperium in all three groups. Data were analyzed by SPSS version 15.
The analysis showed that the knowledge mean was statically significant in mothers (P < 0.0001), couples (P < 0.0001), and control group (P < 0.0001) before and after intervention. Also, the attitude mean was statically significant in mothers (P < 0.0001), couples (P < 0.0001), and control groups (P < 0.0001) before and after intervention. Analysis of delivery method showed that in mothers, couples, and control groups, normal vaginal delivery was the most preferred method in that order, w hich was significant (P = 0.017).
Workshop education of pregnant women and their spouses was effective on encouraging them to natural delivery. Therefore, designing educational and counseling programs through collaborative methods for mothers and their spouses is suggested to reduce the rate of cesarean deliveries.
世界卫生组织宣布剖宫产(CS)的可接受水平为10 - 15%。近年来,剖宫产率一直在不规则上升。夫妻双方缺乏适当的知识和态度在这方面起主要作用。本研究试图比较分娩培训工作坊对知识、态度和分娩方式的影响。
本研究是一项随机临床试验,分四个阶段对180名前往伊斯法罕医疗保健中心的受试者进行,分为三组:母亲组(单独)、夫妻组(母亲及其配偶)和对照组。抽样后,以教育工作坊的形式进行了预测试和干预。然后,在所有三组中,干预后立即、1个月后以及产褥期进行了后测试。数据采用SPSS 15版进行分析。
分析表明,干预前后母亲组(P < 0.0001)、夫妻组(P < 0.0001)和对照组(P < 0.0001)的知识均值在统计学上有显著差异。此外,干预前后母亲组(P < 0.0001)、夫妻组(P < 0.0001)和对照组(P < 0.0001)的态度均值在统计学上有显著差异。分娩方式分析表明,在母亲组、夫妻组和对照组中,正常阴道分娩是最优先选择的方式,顺序依次如此,具有显著性(P = 0.017)。
对孕妇及其配偶进行工作坊教育对鼓励他们自然分娩有效。因此,建议通过合作方式为母亲及其配偶设计教育和咨询项目,以降低剖宫产率。