Triunfo Stefania, Perossini Silvia, Burdin Esther, De Angeli Elena Claudia, Francesi Maria, Garolfi Alessandra, Moretti Jessica, Paruscio Ilenia, Tassielli Miriam, Tremolada Marta, Gemelli Simona, Pedrina Deborah, Marconi Anna Maria
Department of Obstetrics and Gynecology, ASST Santi Paolo e Carlo, S. Paolo University Hospital, Università degli Studi di Milano, 20122 Milan, Italy.
Children (Basel). 2023 Aug 28;10(9):1466. doi: 10.3390/children10091466.
Childbirth education classes represent an antenatal tool for supporting pregnant women and couples in increasing knowledge on pregnancy, delivery, breastfeeding, and newborn care. The aim of this study was to investigate the impact of an additional lesson during the prenatal course regarding the advantage of vaccination to mitigation of maternal anxiety. An observational study was designed that included participants in childbirth education classes and compared courses enhanced by the extra lesson on vaccination during pregnancy versus those who did not receive it. Assessment of the impact of prenatal educational on vaccination was measured by using validated questionnaires (State-Trait Anxiety Inventory, STAI; Perceived Stress Scale, PSS; World Health Organization- Five Well-Being Index, WHO-5). A total of 145 pregnant women participated to the investigation by answering to the online survey. Of them, 33 patients (22.8%) belonged to the course without a lesson on vaccine, while 112 (77.2%) participated to online prenatal education that included an additional meeting on the usefulness of getting vaccinated during pregnancy. No statistical differences were found between study groups in terms of demographics and perinatal outcomes. Participants in the enriched course reported lower basal anxiety levels than those without the vaccine lesson (STAI-State, normal score < 40, 30 vs. 19%, -value 0.041; STAI-State, mild score 40-50, 78 vs. 67%, -value 0.037). With reference to the prior two weeks, maternal wellbeing level was improved by the added class (score > 13 as measurement of wellbeing: 62% vs. 80%, -value < 0.05). Moderate perceived stress assessed by PSS was found in those pregnant women without prenatal education on vaccination (64 vs. 50%, -value 0.042). The introduction of a lesson regarding vaccination during pregnancy in the program of prenatal education courses improved maternal anxiety levels and wellbeing, in addition to reducing perceived stress.
分娩教育课程是一种产前工具，用于帮助孕妇及其伴侣增加有关怀孕、分娩、母乳喂养和新生儿护理的知识。本研究的目的是调查产前课程中关于疫苗接种对减轻产妇焦虑的益处的额外一课的影响。设计了一项观察性研究，纳入了分娩教育课程的参与者，并比较了在孕期增加了疫苗接种额外课程的课程与未接受该课程的课程。通过使用经过验证的问卷（状态-特质焦虑量表，STAI；感知压力量表，PSS；世界卫生组织-五福指数，WHO-5）来评估产前教育对疫苗接种的影响。共有145名孕妇通过回答在线调查参与了该研究。其中，33名患者（22.8%）属于没有疫苗接种课程的组，而112名（77.2%）参与了包括孕期接种疫苗有用性额外会议的在线产前教育。研究组在人口统计学和围产期结局方面未发现统计学差异。强化课程的参与者报告的基础焦虑水平低于没有疫苗接种课程的参与者（STAI-状态，正常分数<40，分别为30%对19%，P值0.041；STAI-状态，轻度分数40-50，分别为78%对67%，P值0.037）。关于前两周，增加的课程改善了产妇的幸福感水平（幸福感得分>13作为衡量标准：分别为62%对80%，P值<0.05）。在没有接受产前疫苗接种教育的孕妇中发现了由PSS评估的中度感知压力（分别为64%对50%，P值0.042）。在产前教育课程计划中引入孕期疫苗接种课程，除了减轻感知压力外，还改善了产妇的焦虑水平和幸福感。
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