Abstract:

Objective: To explore the effectiveness of diversified teaching modes in Pregnant Women's Educational School in promoting natural delivery. Methods: A retrospective study was conducted on primiparous pregnant women who were registered for prenatal examination and hospitalized for delivery at Tianjin Central Hospital of Gynecology Obstetrics from June to August 2023. Based on whether they had participated in the courses of Pregnant Women's Educational School, the participants were divided into experimental group (309 women) and control group (300 women). A questionnaire survey was conducted upon admission to compare the awareness of natural delivery knowledge and the willingness to undergo natural delivery between two groups. Analyze and compare the cesarean section rate, social factors cesarean section rate, incidence of pregnancy complications, application rate of labor analgesia, incidence rate of macrosomia and proportion of postpartum hemorrhage between two groups. Conduct a satisfaction survey on different teaching modes in the experimental group. Compare the number of learners attending each teaching modes in Pregnant Women's Educational School. Results: The awareness of natural delivery knowledge and the willingness to undergo natural delivery in the experimental group were higher than those in the control group, the differences were statistically significant (P<0.05). There was no significant difference in cesarean section rates between the two groups (P=0.051). However, compared to the control group, the experimental group had a lower rates of social factors cesarean section, lower incidence of pregnancy complications, macrosomia and postpartum hemorrhage, as well as a higher application rate of labor analgesia. The differences between two groups were statistically significant (all P<0.05). There was a statistically significant difference in the average number of learners among the five different teaching modes in the experimental group ( χ²=83.455, P<0.000 1). There were 596 students in each Recorded Course on average, higher than other teaching modes, followed by WeChat Video Account Live Course, 280 students in each course on average. There was a statistically significant difference in patient satisfaction of different teaching modes among the pregnant women who had participated in the courses of Pregnant Women's Educational School ( χ²=104.708, P<0.000 1), with 100% satisfaction of the WeChat Video Account Live Courses. Conclusions: The diversified teaching modes at Pregnant Women's Educational School can attract the attention of pregnant women, enhance their awareness of prenatal health care, reduce pregnancy complications and promote natural delivery. The WeChat Video Account Live Course has the characteristics of high satisfaction and wide audience, which is worth promoting.

Key words: Pregnant women, Prenatal education, Educational technology, Natural childbirth, Pregnancy complications, Patient satisfaction, Comparative study, Diversified teaching modes