Yohai David, Alharar Debi, Cohen Ruthi, Kaltian Zohar, Aricha-Tamir Barak, Ben Aion Saviona, Yohai Zehava, Weintraub Adi Y
Department of Obstetrics and Gynecology, Soroka University Medical center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
J Perinat Med. 2018 Jan 26;46(1):47-52. doi: 10.1515/jpm-2016-0345.
To evaluate the effect of attending a prenatal childbirth preparation course (CPC) on labor duration and outcomes.
A cross sectional study of 53 primiparous women who attended and 54 women who did not attend a CPC was conducted. The state-trait anxiety inventory (STAI) score was used to diagnose anxiety. Clinical and obstetrical data were collected from the perinatal database of our center. Through post-partum interviews, coping strategies were assessed, patients graded their childbirth experience and breastfeeding was evaluated. Data were analyzed using description analyses and a P-value <0.05 was considered statistically significant.
The STAI score was significantly lower in the study group compared with controls (P=0.025). The first stage and the entire duration of labor were significantly shorter (P=0.036 and P=0.026, respectively) in women who attended the CPC. No significant differences were found with regard to the mode of delivery, rate of episiotomy, use of analgesics and neonatal outcomes between the groups. Women in the study group rated their labor experience significantly higher (P=0.016) and exhibited significantly higher rates of breastfeeding (P<0.001) than controls.
The knowledge acquired in the CPC has positive effects on the course of labor and delivery outcomes as well as higher rates of breastfeeding.
评估参加产前分娩准备课程（CPC）对产程及分娩结局的影响。
对53名参加了CPC的初产妇和54名未参加该课程的产妇进行了横断面研究。使用状态-特质焦虑量表（STAI）评分来诊断焦虑。从我们中心的围产期数据库收集临床和产科数据。通过产后访谈评估应对策略，让患者对其分娩经历进行评分并评估母乳喂养情况。使用描述性分析对数据进行分析，P值<0.05被认为具有统计学意义。
与对照组相比，研究组的STAI评分显著更低（P = 0.025）。参加CPC的产妇第一产程及总产程显著更短（分别为P = 0.036和P = 0.026）。两组之间在分娩方式、会阴切开率、镇痛药使用及新生儿结局方面未发现显著差异。研究组产妇对其分娩经历的评分显著更高（P = 0.016），且母乳喂养率显著高于对照组（P<0.001）。
在CPC中获得的知识对产程及分娩结局以及更高的母乳喂养率具有积极影响。
