Student Research Committee, Babol University of Medical Sciences, Babol, I.R. of Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. of Iran.
BMC Womens Health. 2024 Feb 26;24(1):146. doi: 10.1186/s12905-024-02984-6.
In the postpartum period, there are numerous changes in the physical and psychological dimensions of women, which reduce the quality of life of women. The aim of this study was to compare the health-promoting lifestyle of mothers with vaginal delivery and cesarean delivery in the postpartum period.
This cross-sectional study was conducted on 77 pregnant women who had delivered vaginal or by cesarean section at Shohadaye Behshahr Hospital and were selected based on inclusion criteria. If the women were willing to participate in the study, a demographic questionnaire was completed, and the telephone numbers of the subjects were recorded so that the Porsline health-promoting lifestyle questionnaire could be sent to them. Data were analyzed with SPSS 22 using the T test, chi-square test and Repeated Measure ANOVA.
There was no difference in the average score of health-promoting lifestyle and its dimensions between the two groups of vaginal delivery and cesarean section at two and six weeks after delivery. However, in both groups, the total score of health-promoting lifestyle decreased significantly over time (P < 0.001).
There was no difference in health-promoting lifestyle between mothers with vaginal and mothers with cesarean delivery at two weeks and six weeks after delivery. This requires more attention from policy makers to make vaginal childbirth more convenient, and by reducing complications after vaginal childbirth, they can improve women's healthy lifestyles and, in turn, families. Also, it seems that the other variables apart from the method of delivery should be considered, and it is necessary to distinguish these variables such as routine episiotomy in order to prevent the decrease in the level of health-promoting behaviors among women during puerperium period.
产后女性在身体和心理方面会发生诸多变化，这会降低女性的生活质量。本研究旨在比较阴道分娩和剖宫产产妇在产后的健康促进生活方式。
本横断面研究于 2020 年在 Shohadaye Behshahr 医院选取了 77 名阴道分娩或剖宫产的孕妇，这些孕妇符合纳入标准。如果女性愿意参与研究，就会填写一份人口统计学问卷，并记录下受试者的电话号码，以便向她们发送 Porsline 健康促进生活方式问卷。使用 SPSS 22 软件对 T 检验、卡方检验和重复测量方差分析进行数据分析。
在产后两周和六周时，阴道分娩组和剖宫产组在健康促进生活方式及其维度的平均得分方面没有差异。然而，在两组中，健康促进生活方式的总分都随着时间的推移显著下降（P<0.001）。
在产后两周和六周时，阴道分娩组和剖宫产组的健康促进生活方式没有差异。这需要政策制定者更加关注，使阴道分娩更加方便，并通过减少阴道分娩后的并发症，提高女性的健康生活方式，进而改善家庭。此外，除了分娩方式外，还应考虑其他变量，需要区分常规会阴切开术等变量，以防止产妇在产褥期健康促进行为水平下降。
