Department of Community Health Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Department of Gerontological Home Care and Long-Term Care Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Int J Environ Res Public Health. 2020 Dec 22;18(1):24. doi: 10.3390/ijerph18010024.
Injury prevention education for pregnant women may be beneficial for infants' safety. Currently, knowledge about the scope of an expectant mother's intent to prevent injury is limited. The objective of this study was to determine pregnant women's intentions to implement infant injury prevention strategies. From May to June 2017, a self-administered questionnaire based on the precaution adoption process model was distributed among pregnant women who participated in a parenting preparation class in a city, Tokyo. Pregnant women's intentions to implement the following eight kinds of safety practices were measured: three practices regarding suffocation, two regarding falls, one safety practice for burns, one for accidental ingestion, and one for traffic accidents. Among 132 respondents (response rate: 83.5%; mean age: 33.4 years; mean gestational age: 29 weeks), the most common unawareness issue was "Make sure that there is no space between the mattress and bed frame" (68.2%), followed by "Use a firm mattress or futon" (38.5%) and "Keep soft objects away from the baby's head in the baby's sleep area" (31.8%); 58% or more women reported having already "decided to implement" the other five practices. Safety practices that pregnant women were mostly unaware of were for preventing suffocation, despite this being a leading cause of death in terms of unintentional infant injury. In comparison, the safety practices for falls, burns, and accidental ingestion were more known to pregnant women. The pregnant women's intention to implement injury prevention for infants varied by safety practices. These findings could be used to improve the focus of antenatal education programs for the prevention of infant injury.
孕妇的伤害预防教育可能有益于婴儿的安全。目前，对于孕妇预防伤害的意向范围的了解有限。本研究旨在确定孕妇实施婴儿伤害预防策略的意向。
2017 年 5 月至 6 月，在东京的一个城市的育儿准备班中，基于预防采用过程模型向参与的孕妇发放了一份自我管理的问卷。测量了孕妇实施以下 8 种安全实践的意向：3 种关于窒息的实践，2 种关于跌落的实践，1 种防烧伤安全实践，1 种防意外摄入的实践和 1 种防交通事故的实践。
在 132 名回答者中（回应率：83.5％;平均年龄：33.4 岁;平均妊娠周数：29 周），最常见的未意识到的问题是“确保床垫和床架之间没有空间”（68.2％），其次是“使用坚固的床垫或蒲团”（38.5％）和“在婴儿睡眠区将柔软的物体远离婴儿头部”（31.8％）;超过 58％的女性报告已经“决定实施”其他五种做法。尽管窒息是婴儿意外受伤导致死亡的主要原因，但孕妇最不了解的安全做法是预防窒息。相比之下，孕妇对跌落、烧伤和意外摄入的安全措施更为了解。孕妇实施婴儿伤害预防的意向因安全措施而异。这些发现可用于改善产前教育计划预防婴儿伤害的重点。
