Yin Jinzhu, Chen Yun, Zhao Xinyan, Cao Zhongyan, Li Yao, Jiang Ziyan, Zhang Yanan, Pan Yangjun, Shen Jian, Huang Meiling
The Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, Guangzhou, China.
Department of Nursing, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
BMC Pregnancy Childbirth. 2025 Mar 31;25(1):376. doi: 10.1186/s12884-025-07495-2.
In obstetrics, perineal trauma is regarded as a serious public health issue. Perineal massage is advised for pregnant women in the later stages of pregnancy to help prevent perineal injuries during labor. This study aims to assess the knowledge, attitudes, and practices (KAP) of Chinese midwives concerning perineal massage for pregnant women in the latter stages of pregnancy.
This cross-sectional study was conducted in China from July 2024 to September 2024, aiming to investigate the knowledge, attitudes, and practices of midwives regarding perineal massage for pregnant women in the latter stages of pregnancy. The research employed a questionnaire survey covering demographic data as well as dimensions related to knowledge, attitudes, and practices. Data were analyzed using SPSS 27.0. Descriptive statistics summarized participant characteristics, while inferential analyses included independent t-tests, one-way ANOVA, Pearson correlation (to evaluate interrelationships among knowledge, attitude, and practice scores), and multivariable logistic regression (to determine predictors of practice scores), with statistical significance set at α = 0.05.
A total of 446 valid questionnaires were gathered. Of these, 441 (98.88%) were female and 5 (1.12%) were male; 376 (84.30%) were from tertiary hospitals and 70 (15.70%) were from secondary hospitals. 89.01% of the sample had worked in the delivery room for more than five years. Regarding perineal massage for pregnant women in the latter stages of pregnancy, midwives received scores of 69.28 ± 12.90, 42.20 ± 4.31, and 45.25 ± 10.05 in the knowledge, attitude, and practice aspects, respectively. Multivariate logistic regression analysis outcomes indicated that practice dimension scores were influenced by knowledge (OR = 1.257, 95% CI [1.64-1.357], P < 0.001) and attitude (OR = 1.152, 95% CI [1.113-1.193], P < 0.001) scores.
There is an average level of midwives' knowledge, attitudes, and practices (KAP) on perineal massage for pregnant women in the later stages of pregnancy. This study recommends strengthening the knowledge and attitude dimensions of midwives in order to improve their comprehension of giving pregnant women a perineal massage in the latter stages of pregnancy. Improving these elements will also boost midwives' practical abilities, which will improve the quality of perineal massage for expectant mothers in the latter stages of pregnancy.
在产科领域，会阴创伤被视为一个严重的公共卫生问题。建议孕妇在妊娠后期进行会阴按摩，以帮助预防分娩时的会阴损伤。本研究旨在评估中国助产士对妊娠后期孕妇会阴按摩的知识、态度和实践（KAP）情况。
本横断面研究于2024年7月至2024年9月在中国进行，旨在调查助产士对妊娠后期孕妇会阴按摩的知识、态度和实践情况。该研究采用问卷调查，涵盖人口统计学数据以及与知识、态度和实践相关的维度。数据使用SPSS 27.0进行分析。描述性统计总结了参与者的特征，而推断性分析包括独立t检验、单因素方差分析、Pearson相关性分析（以评估知识、态度和实践得分之间的相互关系）以及多变量逻辑回归分析（以确定实践得分的预测因素），设定统计学显著性水平为α = 0.05。
共收集到446份有效问卷。其中，女性441人（98.88%），男性5人（1.12%）；376人（84.30%）来自三级医院，70人（15.70%）来自二级医院。89.01%的样本在产房工作超过五年。关于妊娠后期孕妇会阴按摩，助产士在知识、态度和实践方面的得分分别为69.28 ± 12.90、42.20 ± 4.31和45.25 ± 10.05。多变量逻辑回归分析结果表明，实践维度得分受知识（OR = 1.257，95%CI[1.64 - 1.357]，P < 0.001）和态度（OR = 1.152，95%CI[1.113 - 1.193]，P < 0.001）得分的影响。
助产士对妊娠后期孕妇会阴按摩的知识、态度和实践（KAP）处于中等水平。本研究建议加强助产士的知识和态度维度，以提高他们对妊娠后期为孕妇进行会阴按摩的理解。改善这些方面也将提高助产士的实践能力，从而提高妊娠后期为孕妇进行会阴按摩的质量。
