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| Effects of the prenatal health education for pregnant women on their anxiety and delivery outcomes |
| The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, 325015 |
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Abstract To explore the effects of the prenatal health education for pregnant women on their delivery mode, delivery outcomes, psychological state and newborns. Methods: 160 pregnant women who wanted delivery in the hospital were included and were divided into control group (n=80) and observation group (n=80) according to random number table method from May 2022 to May 2023. The women in the two groups were given routine prenatal management, and the women in the observation group were given prenatal health education additionally. The delivery model, the psychological state before and after intervention evaluated by Edinburgh postnatal depression scale (EPDS), self-rating anxiety scale (SAS), the duration of labor, the blood loss in postpartum 2h, the neonatal Apgar score and the coping style for delivery before and after intervention of the women were compared between the two groups. Results: The natural delivery rate (86.3%) of the women in the observation group was significantly higher than that (61.3%) of the women in the control group. The EPDS and SAS scores of the women in the two groups had decreased significantly, but the scores of EPDS (4.33±1.24 points) and SAS (21.32±1.98 points) of the women in the observation group were significantly lower than those (8.62±1.39 points and 28.56±2.16 points) of the women in the control group. The blood loss of the women in the observation group during the first and the second stages of labor and in 2 hours after delivery were significantly lower than those of the women in the control group (all P<0.05). There was no significant difference in the neonatal Apgar scores at 1min and at 5min after born between the two groups (P>0.05). The score of the positive coping of the women in the two groups had increased significantly and the score of the negative coping of the women in the two groups had decreased significantly. The score of positive coping (25.19±3.78 points) of the women in the observation group was significantly higher than that (20.11±3.64 points) of the women in the control group, and the score of the negative coping (7.03±1.07 points) of the women in the observation group was
significantly lower than that (8.27±1.21 points) of the women in the control group (all P<0.05). Conclusion: The prenatal health education for the pregnant women can effectively increase the rate of their natural delivery, improve their mental state and coping style, and which can increase the delivery indicators of the women.
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