Effects Of Family-centered Delivery Training Education Model On The Birth Outcomes Of Primipara Delivery

[objective]To discuss the impact of family-centered delivery training education model on the birth outcomes as labor style,labor processes,fear of childbirth,childbirth experience,rate of breastfeeding,family social support and degree of satisfaction.Provide new health education models for prenatal care.[Methods]The study was carried out from July 2020 to December 2020 in Haikou Maternal and Child Health Hospital of Hainan Province.The 90 primipara meet the enrollment criterions were selected as subjects.Randomized divided into experimental group of45 cases and Control group of 45 cases.Received a signed informed consent form from the subject before the study.Use the General Maternity Questionnaire and Wijma-Delivery Expectancy Questionnaire part A(W-DEQ-A)to assess their basic information and expected delivery outcomes.Esthetical approve was signed by the hospital committees.After group,the control group received regular health education program offered by hospital,with family members voluntarily or no participation;The experimental group received family-centered labor training education program,in the family unit with family members participated in the whole process.After the training,researchers uniformly distributed the Birth Training Satisfaction Survey for two groups of subjects.Researchers collect puerperant childbirth outcome indicators,Wijma-Delivery Expectancy Questionnaire part B(W-DEQ-B),Childbirth Experience Questionnaire 2.0(CEQ2.0),Perceived Social Support Scale(PSSS)within 24 hours,and return visit to breastfeeding during hospitalization of the two groups primipara.SPSS22.0 to explore the effect of the family-centered delivery training education model on primary and maternal delivery compared with regular health education.[Results]1.Samples shed and baseline data: Duringthe implementation,the experimental group shed 1 case,the actual completion 44 cases,the control group 2 cases,the actual completion 43 cases.Baseline of final completion cases between the two groups was not significant(χ2=0.345,P=0.557),and were comparable.2.Birth outcomes: The virginal birth rate in the experimental group was 88.64%,in the control group was 69.77%,was significantly higher than that of the control group(χ2=4.719,P=0.030);The labor process time was(6.85±2.16)in the experimental group,the control group was(9.16±3.46),was significantly shorter than thant in control group(t=-2.597,P=0.009).The perineal resection rate was 15.38% in the experimental group,43.33% in the control group,was significantly lower than that of the control group(χ2=8.159,P=0.017).The time of third stage of labor(t=-0.962,P=0.336),individual factor rate of uterine-incision delivery(Fisher’s=0.196,P=0.167),rate of neonatal asphyxia(Fisher’s=0.360,P=0.295)and the amount of 2 hours postpartum hemorrhage(t=1.059,P=0.293)between the two groups were no significant difference.3.Fear of childbirth: There was no significant difference between the two groups(68.95±14.29)h、(67.91±14.08)h before training(t=0.344,P=0.730).After the training program,there was a significant difference between the two groups.In experimental group(47.59±16.40)lower than that in controlled gorup(62.44±15.38)(t=-4.355,P=0.000).4.Delivery experience and social support degree:The total score of labor experience in the experimental group was(82.64±9.29),in the control group was(74.53±8.18),there was significant difference between the two groups(t=4.313,P=0.000).The total score of social support in the experimental group(61.07 ± 5.99),and in the control group(56.33±8.66),there was a significant difference(t=2.965,P=0.004).5.Breast-feeding status: The exclusive breastfeeding rate in the experimental group was 86.36%,and that in the control group was 62.79%.There was a significant difference in breastfeeding(χ2=6.518,P=0.038).6.Satisfaction of delivery training: The overall satisfaction rate of delivery training in the experimental group was 93.18%,the overall satisfaction rate of delivery training in the control group was 86.04%,there was a significant difference(Z=-2.743,P=0.006).[Conclusions]1.Family-centered Delivery Training Education Model can improve the natural delivery rate,reduce the occurrence rate of cesarean section,and effectively shorten the labor process time,reduce the incidence of perineal incision,and improve the good delivery outcome.2.Family-centered Delivery Training Education Model can relieve the tension and anxiety during childbirth,effectively reduce the fear degree of childbirth,and promote the positive delivery experience;Primipara to obtain higher family and social support.3.Family-centered Delivery Training Education Model can help primary mothers and families to establish breastfeeding confidence.It is improve the pure breastfeeding rate during hospitalization and satisfactory effect of delivery training.