Evaluation Of Application Effect Of Prenata Heath Education Based On Experiential Teaching Concept In Perinatal Period Of Primipara

ObjectiveThis study is based on the experience type teaching theory to develop the prenatal health education courses,and applied to clinical,experiential teaching of prenatal health education curriculum of primipara self-efficacy,childbirth fear childbirth,breastfeeding success rate and birth outcomes and the effect of prenatal health education for future innovation teaching methods,improving the quality of antenatal care provide reference basis.MethodsIn this study,212 primiparas who signed the informed consent voluntarily and met the inclusion and exclusion criteria were selected.They were divided into control group and intervention group according to their willingness.The control group was routine prenatal health education,and the intervention group was prenatal health education with experiential teaching based on the control group.The simplified Chinese version of the Childbirth Self-efficacy Scale(CBSEIC-32),the Childbirth Attitude Questioning(CAQ)and the Breastfeeding Tool(BAT)were used to evaluate the self-delivery efficacy,childbirth fear and the success rate of breastfeeding of primiparas before and after the intervention.The effects of delivery mode,labor duration,postpartum blood loss at 2h,neonatal birth weight and Apgar score at 1min and 5min after birth were analyzed.Results1.In the end,105 patients in the intervention group and 104 primiparas in the control group completed the study,There was no statistically significant difference in the number of lost visits between the two groups(P>0.05).79.8% of primiparas wanted natural delivery,2.4% of primiparas wanted cesarean delivery,and 19.6% of primiparas thought both methods were acceptable.The proportion of primiparas who knew the knowledge of pregnancy and childbirth was 63.6%,and the proportion who did not know the knowledge was 36.4%.The average score of CBSEI-32,EE-16 and OE-16 were(224.97±36.44),(115.44±19.79),and(109.54±18.09),respectively.The self-efficacy expectation of primary parturas was higher than the outcome expectation.The average CAQ score of primiparas was(33.63±8.10),belonging to the level of mild fear of childbirth.Among them,52 primiparas(25%)had no fear of childbirth,124 primiparas(59%)had mild fear of childbirth,23 primiparas(11%)had moderate fear of childbirth,and 10 primiparas(4%)had severe fear of childbirth.2.There was no statistically significant difference in baseline CBSEI-C32 scores between the two groups before intervention(P>0.05),after intervention,the CBSEI-C32 score of the intervention group(274.41±26.39)was higher than that of the control group(240.61±31.37),and the difference was statistically significant(P<0.01).The CBSEI-C32 score after intervention was higher than that before intervention in both the control group and the intervention group,and the difference was statistically significant(P<0.01).3.There was no statistically significant difference in baseline CAQ scores between the two groups before intervention(P>0.05),after intervention,CAQ score of the intervention group(25.11±3.83)was lower than that of the control group(29.55±5.32),and the difference was statistically significant(P<0.01).CAQ scores of both the intervention group and the control group before intervention were higher than those after intervention,and the difference was statistically significant(P<0.01).4.After the intervention of prenatal health education with experiential teaching,the BAT score of the intervention group(6.87±2.02)was higher than that of the control group(4.73±1.79),and the difference was statistically significant(P<0.01).5.The rate of natural delivery of primiparas in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05),the perineal lateral resection rate of primiparas in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).6.The differences in the first stage of labor,second stage of labor,total stage of labor and postpartum blood loss between the two groups were statistically significant(P<0.05),there was no statistically significant difference in the time of the third stage of labor(P>0.05).7.There was no significant difference in Apgar scores at 1 min and 5 min between the two groups(P>0.05),there was no significant difference in birth weight between the two groups(P>0.05).ConclusionsAt the time of enrollment,the attitude of the two groups of primiparas to childbirth was mainly mild fear of childbirth,and the self-delivery efficacy outcome was lower than the self-efficacy expectation.After receiving prenatal health education,the fear of primiparas to childbirth can be effectively reduced,and the self-efficacy of childbirth can be improved,which is conducive to primiparas to go through the period of childbirth.However,compared with the general prenatal health education,the effect of experiential teaching prenatal health education is more significant.Experience teaching prenatal health education can improve the success rate of breastfeeding,reduce the rate of cesarean section and perineal lateral section,shorten the first stage of labor,the second stage of labor,the total stage of labor,and reduce the amount of postpartum blood loss.