Handfield B, Bell R
Birth. 1995 Sep;22(3):153-60. doi: 10.1111/j.1523-536x.1995.tb00692.x.
This study investigated the role of childbirth education for women attending the Royal Women's Hospital Family Birth Center, Melbourne, Australia, in relation to making decisions about breastfeeding, pain medication, and length of hospital stay. Fifty-nine primiparous women completed a questionnaire after delivery about the influence of childbirth education classes on their decisions during pregnancy, birth, and the postnatal period. The results indicated that although the women enjoyed childbirth education classes, the information they received had minimal effect on their decision to breastfeed and the appropriateness of a 24-hour stay. Information gained about the use of pain medication in labor was clearly helpful when women made decisions about pain relief. Educational strategies have failed to address the tendency of nulliparous women to postpone making decisions about the postnatal period such as early discharge, and further investigation on this aspect of a childbirth education program is suggested.
本研究调查了澳大利亚墨尔本皇家妇女医院家庭分娩中心的分娩教育对产妇在母乳喂养、止痛药物使用及住院时长决策方面所起的作用。59名初产妇在产后填写了一份问卷,内容涉及分娩教育课程对她们孕期、分娩期及产后决策的影响。结果表明,尽管产妇们喜欢分娩教育课程,但她们所获得的信息对其母乳喂养决策及24小时住院的合理性影响甚微。当产妇们就分娩时止痛措施做出决策时,所获得的有关分娩时使用止痛药物的信息显然很有帮助。教育策略未能解决初产妇推迟做出诸如提前出院等产后决策的倾向,建议对分娩教育项目的这一方面做进一步调查。