NGHIÊN CỨU KIẾN THỨC, THÁI ĐỘ VỀ MỔ LẤY THAI VÀ HIỆU QUẢ GIÁO DỤC SỨC KHỎE Ở THAI PHỤ TẠI THÀNH PHỐ ĐỒNG XOÀI TỈNH BÌNH PHƯỚC NĂM 2024 - 2025

Abstract

Background: Caesarean is a common method of delivery worldwide, performed when vaginal delivery is unsafe or poses a high risk to the mother and baby. According to the World Health Organization, caesarean rate should be below 10%. A caesarean rate of 20% or more is considered high. In Vietnam, the caesarean section rate ranges from 30% to more than 50% in some provincial hospitals, far exceeding the WHO recommendation of 10-15%. Objectives: 1). To determine the proportion of correct knowledge and attitudes about cesarean among pregnant women in the first 3 months of pregnancy; 2). To evaluate the results of interventions to improve knowledge and correct attitudes about cesarean among pregnant women in Dong Xoai City, Binh Phuoc Province in 2024-2025. Materials and methods: The study was conducted on 425 pregnant women in the first trimester of pregnancy in 4 communes/wards of Dong Xoai city, Binh Phuoc province from June 2024 to March 2025. Intervention by direct counseling during regular prenatal check-ups and distributing documents on cesarean section to 310 pregnant women with incorrect general knowledge. The intervention results were evaluated after 3 months. Results: The Proportion of correct knowledge was 16.2% and correct attitude was 57.4%. The effectiveness index of intervention for correct general knowledge reached 46.4% and correct general attitude reached 31.7%. Conclusion: It is necessary to strengthen communication to improve pregnant women's understanding of cesarean to contribute to reducing the cesarean rate.