Masoumi Seyedeh Zahra, Kazemi Farideh, Oshvandi Khodayar, Jalali Mozhgan, Esmaeili-Vardanjani Ali, Rafiei Hossein
Department of Midwifery, Mother & Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Midwifery & Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Family Reprod Health. 2016 Sep;10(3):115-121.
To examine effect of an educational program on pregnant women's fear of normal vaginal delivery. Fear of natural childbirth during pregnancy may increase the risk of caesarean section. Educational programs may be effective in reducing women fear of natural childbirth. This randomized controlled trial conducted from September 2012 to January 2013 in Hamadan, Iran. One hundred fifty eligible women were randomly assigned to group "A" (Intervention group, n = 75) or group "B" (Control group, n = 75). Women in group A, participated in an antenatal educations program for physiologic childbirth in 8 two-hour sessions. A self-designed questionnaire was used to examine women's fear of natural childbirth. Data were analyzed with SPSS.16 software. Baseline characteristics of women were similar in both groups. After intervention the mean fear score in group A compared to group B was significantly reduced (51.7 ± 22.4 vs. 58.7 ± 21.7) (p = 0.007). Physiologic delivery was the first choice of type of child birth after training in pregnant women in group A (58.7%). But delivery in physiologic form had lowest rate in group A (8%). Results of present study showed that educational program could be serving as an important tool in reducing women fear from natural childbirth and in choosing of physiologic birth. And for delivery as a physiological, education and counseling of pregnant women, doctors and midwives are required.
为研究一项教育项目对孕妇正常阴道分娩恐惧的影响。孕期对自然分娩的恐惧可能会增加剖宫产的风险。教育项目可能有助于减轻女性对自然分娩的恐惧。这项随机对照试验于2012年9月至2013年1月在伊朗哈马丹进行。150名符合条件的女性被随机分为“A组”（干预组，n = 75）或“B组”（对照组，n = 75）。A组女性参加了为期8次、每次两小时的生理性分娩产前教育项目。使用自行设计的问卷来调查女性对自然分娩的恐惧。数据用SPSS 16软件进行分析。两组女性的基线特征相似。干预后，A组的平均恐惧得分与B组相比显著降低（51.7±22.4 vs. 58.7±21.7）（p = 0.007）。A组孕妇接受培训后，生理性分娩是首选的分娩方式（58.7%）。但A组以生理性方式分娩的比例最低（8%）。本研究结果表明，教育项目可作为减轻女性对自然分娩恐惧以及选择生理性分娩的重要工具。而对于生理性分娩，需要对孕妇、医生和助产士进行教育和咨询。
