探讨围生期实施健康教育对初产妇分娩方式的影响。

选取2010年9月至2011年5月在本院定期接受产前检查，并计划分娩的孕龄为15～20孕周的初产妇289例为研究对象，随机纳入研究组(n＝116，于本院门诊孕妇学校接受系统全面的产前健康知识教育讲座，妊龄为28，30，32，34孕周时接受特色围生期健康教育及家庭待产病房一对一分娩期健康教育)和对照组(n＝173，于本院门诊孕妇学校接受系统全面的产前健康知识教育讲座及围生期常规产程观察和护理)。两组初产妇分娩时年龄、胎龄、胎先露、骨盆外侧量等情况比较，差异无统计学意义(P>0.05)(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准，得到该委员会批准，分组征得受试对象本人的知情同意，并与之签署临床研究知情同意书)。

研究组自然分娩率为(71.55%)明显高于对照组(49.13%)(P<0.01)，剖宫产率、阴道助产率分别为21.55%，6.90%，显著低于对照组(36.42%，14.45%)(P<0.05)。研究组产程明显短于对照组，两组比较，差异有统计学意义(P<0.01)。

实施围生期健康教育可降低剖宫产率、缩短产程，对促进自然分娩具有积极意义。

To investigate effect of perinatal stage health education on delivery modes of primiparae.

From September 2010 to May 2011, a total of 289 primiparae, at the pregnant age of 15-20, were included into this study. They were randomly divided into study group (n=116) and control group (n=173). Study group received antepartum and intrapartum training and control group only received Perinatal health education. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Second Affiliated Hospital of Qingdao University. Informed consent was obtained from each participate. There had no significant difference between two groups among age, parity, and so on (P>0.05).

There had significant difference on vaginal delivery rate between study group and control group (71.55% vs. 49.13%) (P<0.01). There also had significant difference on cesarean section, vaginal assistant labor between study group and control group (21.55% vs. 36.42%, 6.90% vs. 14.45%) (P<0.05).

Systemic perinatal stage health education can increase the rate of vaginal delivery, decrease the rate of cesarean section and assisted vaginal delivery, and shorten the time of birth process, which is of positive significance.