| Objective: to study the Health Quotient in antenatal health education in the application of the effect of prenatal education for clinical practice to provide relevant data, so as to provide the clinical practice education antenatal data for pertinently, adopt corresponding measures to reduce cesarean section rate provided scientific basis.Methods: In this study, the research design for the two groups randomized controlled trial of the type of research methods. The choice in the First,third or forth people hospital in the Changde City antenatal clinic, in line with the inclusion criteria, voluntary survey of pregnant women and 120 cases of training, no indications for cesarean section, without serious complications, no previous mental illness . Pregnant women to collect socio-demographic data, divided into random training providers to receive health or the experimental group did not receive the training of health providers the control group, two groups of pregnant women's age, gestational age, maternal time, education, occupational structure, economic conditions, marital status, medical expenses paid, in the hope that mode of delivery, there was no significant difference (P> 0.05), comparable data. Health Quotient training before the experimental group and control group health quotient, health knowledge, and natural production of self-efficacy, anxiety, etc. investigation. Experimental group at 28, 30, 32, 34, 36, 37, 38 weeks accept 7 times by adding prenatal health education to pre-training. 38 weeks for health knowledge and natural production self-efficacy, anxiety, etc. investigation. Two groups of pregnant women before delivery cognitive situation, survey the number of antenatal, delivery, after delivery to the actual situation investigation.Results: 1. The general information of the pregnant women results show that: the general situation and basic equilibrium and progesterone gestational age, educational level, profession, composition, economic status, marital status, medical treatment charge pays way, hope delivery mode, the difference was not statistically significant (P > 0.05). Training health providers before the control group and experimental group of pregnant women to the level of health, health knowledge, the natural production of self-efficacy scores were not significant the differences (P> 0.05). Two women, baseline data are comparable.2.Effect factors of women health knowledge for payment, educational level, economic status and hope delivery. Influence factors of self-efficacy pregnant childbirth, mainly for hope, cultural level.3.Health Quotient training, experimental group of pregnant women'shealth knowledge, self-efficacy score was significantly higher than that(P=0. 000). After training the experimental group of pregnant women'shealth knowledge, self-efficacy score was significantly higher than thatbefore training ( P=0.000 ) , no change in the control group ( P=0. 404 ). Group of health knowledge after training pregnant, self-efficacy score was obviously higher than before (P=0. 000) , and no change in training (P=0. 419).4.Health Quotient training, the experimental group was significantly lower than the level of maternal anxiety control group (P=0. 000). After training the experimental group of pregnant women in state anxiety levels were significantly lower in the control group post-training level of state anxiety was significantly increased (P=0. 001).5.The two groups of pregnant women before delivery cognitive situation, the number of prenatal examinations, the experimental group was significantly higher than that (P=0. 003).6.Two maternal practical means of delivery, cesarean section rate in the experimental group was significantly lower than the control group (P=0.000).Conclusion: 1. the influence factors of women health knowledge for payment, educational level, economic status and hope delivery mode. Influence factors of self-efficacy pregnant childbirth, mainly for hope, cultural level.2. the system, plan, targeted rehabilitation training to improve the business of health knowledge level, pregnant women naturally production self-efficacy.3. Health Quotient training reduced anxiety level, make conscious pregnant women increased the frequency of prenatal examinations, to reduce the cesarean section rate.4. Prenatal health education to include Health Quotient training, increased awareness of pregnant women in antenatal, delivery cognition, promoting health behavior change in pregnant women, increased the rate of natural childbirth, there are certain value of clinical applications. |