Li Wei, Ren TaiFang, Xu GuiHong, Wang YongShu
College of Nursing, SanQuan college of XinXiang Medical University, Xinxiang City, Henan Province, China.
College of Nursing and Allied Health Sciences, St. Paul University Philippines, Manila, Philippines.
BMC Pregnancy Childbirth. 2025 Jan 22;25(1):56. doi: 10.1186/s12884-025-07152-8.
Perinatal education programs play a crucial role in enhancing maternal knowledge and practices related to childbirth, particularly among rural populations. This study aims to assess the impact of a holistic perinatal education program on birth preparedness, mental health, and birth outcomes among rural primiparous women.
A retrospective cohort design was employed, utilizing patient records from Third Affiliated Hospital of Xinxiang Medical University between January 2021 and December 2022. A total of 149 rural primiparous women, aged 18-49 years with a rural household registration, were identified and categorized into two groups: the Intervention Group (n = 77), exposed to the perinatal education program, and the Control Group (n = 72), not exposed. The program encompassed physical workshops, a digital learning platform, and personalized counseling sessions. Outcome measures included Birth Preparedness and Complication Readiness (BPCR) scores, mental health metrics (BDI-II for depression and STAI-S for anxiety), and birth outcomes.
The Intervention Group demonstrated significant improvements in BPCR knowledge scores (P < 0.001) and practice scores (P = 0.047) post-intervention. A reduction in depressive (P = 0.021) and anxiety symptoms (P = 0.017) was also observed in the Intervention Group over time. There were significant differences in the mode of delivery and reasons for cesarean deliveries between the groups, with a higher rate of vaginal births (P = 0.035) and fewer maternal indications for cesareans (P = 0.021) in the Intervention Group compared to the Control Group.
The holistic perinatal education program shows a positive impact on birth preparedness, mental health, and birth outcomes among rural primiparous women. Such programs could be crucial in empowering women in rural settings, enhancing their preparedness for childbirth, and improving maternal mental health.
围产期教育项目在增强与分娩相关的产妇知识和实践方面发挥着关键作用，尤其是在农村人口中。本研究旨在评估一项全面的围产期教育项目对农村初产妇的分娩准备、心理健康和分娩结局的影响。
采用回顾性队列设计，利用新乡医学院第三附属医院2021年1月至2022年12月的患者记录。共确定了149名年龄在18 - 49岁、具有农村户籍的农村初产妇，并将其分为两组：干预组（n = 77），接受围产期教育项目；对照组（n = 72），未接受。该项目包括实体工作坊、数字学习平台和个性化咨询课程。结局指标包括分娩准备和并发症应对（BPCR）得分、心理健康指标（用于评估抑郁的BDI-II和用于评估焦虑的STAI-S）以及分娩结局。
干预组在干预后BPCR知识得分（P < 0.001）和实践得分（P = 0.047）有显著提高。随着时间的推移，干预组的抑郁症状（P = 0.021）和焦虑症状（P = 0.017）也有所减轻。两组之间在分娩方式和剖宫产原因方面存在显著差异，与对照组相比，干预组的阴道分娩率更高（P = 0.035），剖宫产的产妇指征更少（P = 0.021）。
全面的围产期教育项目对农村初产妇的分娩准备、心理健康和分娩结局显示出积极影响。此类项目对于增强农村地区妇女的能力、提高她们的分娩准备程度以及改善产妇心理健康可能至关重要。
