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目的:该研究拟评价将英式教育运用于孕期教育,对降低剖宫产率及无指征剖宫产率的实用价值。方法:为2011年5月至10月在我院建卡的孕妇进行孕期教育的情况进行了登记,选取2012年1月～2012年6月在我院足月分娩、年龄在20-35岁之间、单胎头位的515例初产妇进行观察和统计,根据其参加的课程,分为参加一般孕教课程组和参加英式教课程组,另外,未参加课程的人员为未参加课程组,前瞻性追踪这三组人员2012年1-6月的分娩方式,将三组人员的剖宫产率及无指征剖宫产率进行比较。结果:参加英式教育课程组187人,剖宫产30人,占16.04%,其中,无指征剖宫产8人,占4.28%,无指征剖宫产占剖宫产比例为26.67%;参加一般教育课程组126人,剖宫产50人,占38.10%,其中无指征剖宫产22人,占17.46%,无指征剖宫产占剖宫产比例为44%;未参加教育课程组202人,剖宫产130人,占58.91%,其中无指征剖宫产79人,占39.11%,占剖宫产比例为60.77%。结论:英式教育课程能有效降低剖宫产率,尤其是无指征剖宫产。
PURPOSE: This study intended to evaluate the utility of English education in pregnancy education to reduce the rate of cesarean section and the rate of cesarean section without indications. Methods: Pregnancy for pregnant women in our hospital from May to October in 2011 was enrolled in this study. Full-term childbirth in our hospital from January 2012 to June 2012 was selected, aged 20-35 According to the courses they attended, they were divided into general pregnant education course group and English teaching course group, in addition, those who did not participate in the course were those who did not participate in the course group , Prospectively tracking these three groups of workers from January to June 2012 mode of delivery, cesarean section rate of three groups of people and no indication of cesarean section rate were compared. Results: 187 people participated in the British education curriculum group, cesarean section 30 people, accounting for 16.04%, of which 8 were not indicted cesarean section, accounting for 4.28%, cesarean section without indications accounted for 26.67% ; 126 people participated in the general education curriculum group, cesarean section 50 people, accounting for 38.10%, of which 22 were not indicted cesarean section, accounting for 17.46%, cesarean section accounted for no indication of the proportion of cesarean section was 44%; did not participate There were 202 courses in education and 130 cesarean sections, accounting for 58.91%. Among them, 79 were not indicated for cesarean section, accounting for 39.11%, accounting for 60.77% of the total. Conclusion: The British education program can effectively reduce the cesarean section rate, especially without indications of cesarean section.