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| Impact of the health education of knowledge, belief and practice based on WeChat platform for pregnant women on their pregnancy outcomes |
| Xianju County People's Hospital(Southeast Branch of Zhejiang Provincial People's Hospital), Affiliated Xianjn's Hospital, Hangzhou Medical College, Zhejiang Province, 317300 |
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Abstract To observe the impact of knowledge, belief and practice health education based on WeChat platform on the pregnancy outcomes of pregnant women from outpatient department. Methods: 80 pregnant women who underwent prenatal examination in hospital were collected and divided into two groups using random number table method from March 2023 to September 2023. 40 women in the control group received routine outpatient health education, while 40 women in the research group received knowledge, information and behavior health education based on WeChat platform. The delivery self-efficacy, the delivery method, the depressive state, the anxiety state, the breastfeeding rate, the pregnancy outcomes and the neonatal Apgar score were compared between the two groups. Results: The score by simplified version of the CBSEI-C32 delivery self-efficacy scale(CBSEI-C32) of the women in both groups after intervention had increased significantly, which(256.93±19.92 points) of the women in the study group was significantly higher than that(187.15±24.55 points) of the women in the control group. The rate of vaginal delivery(62.5%) of the women in the study group was significantly higher than that(20.0%) of the women in the control group. The rates of vaginal midwife delivery(17.5%) and cesarean section(20.0%) of the women in the study group were significantly lower than those(37.5% and 42.5%) of the women in the control group. The scores of Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) of the women in the two groups after intervention had decreased significantly, and which(8.69±1.63 points and 11.16±2.03 points) of the women in the study group were significantly lower than those(14.58±1.82 points and 14.45±2.92 points) of the women in the control group. The breastfeeding rates of the women in the study group in 1 week, 4 weeks, 8 weeks and 16 weeks after delivery were significantly higher than those of the women in the control group. The total incidences of maternal adverse outcomes(7.5%) and neonatal adverse outcomes(7.5%) of the women in the study group were significantly lower than those(25.0% and 27.5%) in the control group(all P<0.05). There was no significant difference in the neonatal Apgar score at 1min after birth between the two groups(P>0.05). Conclusion: Knowledge, belief, and practice health education based on WeChat platform for the pregnant women from outpatient department can improve their delivery self-efficacy, increase their rates of breastfeeding and natural delivery, improve their pregnancy outcomes, and alleviate their depression and anxiety.
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