Rahimi Farzaneh, Goli Shadi, Eslami Fariba
Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2020 Sep 28;9:253. doi: 10.4103/jehp.jehp_54_20. eCollection 2020.
In the postpartum period, changes in sexual desire and marital satisfaction can be seen. Learning and giving enough information on changes in pregnancy and postpartum can help to increase marital satisfaction. The purpose of this study was to determine the effect of prenatal training on the level of postpartum marital satisfaction in nulliparous women.
This study is a semi-experimental two-group study in which 150 nulliparous women were divided into two groups: control and intervention groups. The samples into intervention group received routine prenatal care and eight sessions of prenatal education with a training package (educational pamphlet on sexual health and sexual issues and an educational CD on pregnancy and pelvic exercises), and the control group received only routine prenatal care along with a pregnancy education pamphlet. Marital satisfaction was measured before intervention during pregnancy and 3 months after delivery (after intervention) using the ENRICH Marital Satisfaction Scale. Data were analyzed using -test, paired -test, Mann-Whitney, and Chi-square test.
There was no significant difference in demographic and obstetric variables and pregnancy status between the two intervention and control groups ( > 0.05). There was no significant difference in marital satisfaction during pregnancy between the two groups (before intervention) ( > 0.05). However, there was a significant difference in the level of postpartum marital satisfaction in the intervention group ( < 0/05). So that, the average marital satisfaction is increased from 52.2 to 64.6.
The results of this study show that eight sessions of prenatal education class with a training package (educational pamphlet on sexual health and sexuality and training CD of prenatal and pelvic floor exercise) can improve postpartum marital satisfaction in women.
在产后阶段，可以观察到性欲和婚姻满意度的变化。了解并提供足够关于孕期和产后变化的信息有助于提高婚姻满意度。本研究的目的是确定产前培训对未生育女性产后婚姻满意度水平的影响。
本研究是一项半实验性两组研究，150名未生育女性被分为两组：对照组和干预组。干预组的样本接受常规产前护理以及八节带有培训包的产前教育课程（关于性健康和性问题的教育手册以及关于孕期和骨盆锻炼的教育光盘），对照组仅接受常规产前护理以及一份孕期教育手册。使用ENRICH婚姻满意度量表在孕期干预前以及分娩后3个月（干预后）测量婚姻满意度。数据使用t检验、配对t检验、曼-惠特尼检验和卡方检验进行分析。
两个干预组和对照组在人口统计学和产科变量以及妊娠状况方面没有显著差异（P>0.05）。两组在孕期（干预前）的婚姻满意度没有显著差异（P>0.05）。然而，干预组的产后婚姻满意度水平存在显著差异（P<0.05）。也就是说，平均婚姻满意度从52.2提高到了64.6。
本研究结果表明，八节带有培训包（关于性健康和性行为的教育手册以及产前和盆底锻炼培训光盘）的产前教育课程可以提高女性的产后婚姻满意度。
