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| Analysis of the demand of the health education and the health care for multiparas during pregnancy |
| The First People's Hospital of Linping District, Hangzhou, Zhejiang Province, 311100 |
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Abstract To analyze the health care demand for multiparas during pregnancy. Methods: The survey subjects were selected from the multiparas who underwent routine antenatal examination in the hospital from January 2023 to December 2023. The questionnaire was used to analyze the health care demand and its quantitative scores of the multiparas and the primiparas during pregnancy. The differences of the demand of the pregnancy health knowledge of the multiparas with different demographic characteristics were explored. Results: A total of 1068 questionnaires were distributed, 1051of which were valid, with an effective rate of 98.4%. Among 1051 questionnaires, there were 499 questionnaires answered by the primiparas (in group A) and 552 questionnaires answered by the multiparas (in group B). The demand rates of the knowledge about the birth defect prevention (76.3%) and the pregnancy complications and complications prevention (69.6%) of the women in group A were significantly higher than those (61.1% and 53.5%) of the women in group B. The demand rates of the knowledge about delivery knowledge and neonatal care of the women in group A were significantly lower than those of the women in group B (all P<0.001). There were no significant differences in the demand rates of the knowledge about nutritional health care and mental health care of the women between the two groups (P>0.05). In group A, there was significant difference in the demand of the health care during pregnancy among the multiparas with the different age and among the multiparas with the different education levels. The health care demand of the multiparas during pregnancy had increased with the increase of their age and the education level (all P<0.05). The scores of the health care demand during pregnancy of the multiparas with unplanned pregnancy or with the childbearing interval >5 years (10.66±3.68 points and 10.57±4.43 points) was significantly higher than that (8.36±2.55 points or 7.80±2.73 points) of the multiparas with planned pregnancy or with the childbearing interval ≤5 years (all P<0.05). Conclusion: The demand of the knowledge about the birth defect prevention, the pregnancy complications and the complication preventions of the multiparas during pregnancy is more intense. The targeted health education should be given to the multiparas with different characteristics, so as to meet the demands of the multiparas with different pregnancy experiences in the clinical practice.
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