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Background <p>In obstetrics, perineal trauma is regarded as a serious public health issue. Perineal massage is advised for pregnant women in the later stages of pregnancy to help prevent perineal injuries during labor. This study aims to assess the knowledge, attitudes, and practices (KAP) of Chinese midwives concerning perineal massage for pregnant women in the latter stages of pregnancy.</p> Methods <p>This cross-sectional study was conducted in China from July 2024 to September 2024, aiming to investigate the knowledge, attitudes, and practices of midwives regarding perineal massage for pregnant women in the latter stages of pregnancy. The research employed a questionnaire survey covering demographic data as well as dimensions related to knowledge, attitudes, and practices. Data were analyzed using SPSS 27.0. Descriptive statistics summarized participant characteristics, while inferential analyses included independent t-tests, one-way ANOVA, Pearson correlation (to evaluate interrelationships among knowledge, attitude, and practice scores), and multivariable logistic regression (to determine predictors of practice scores), with statistical significance set at α = 0.05.</p> Results <p>A total of 446 valid questionnaires were gathered. Of these, 441 (98.88%) were female and 5 (1.12%) were male; 376 (84.30%) were from tertiary hospitals and 70 (15.70%) were from secondary hospitals. 89.01% of the sample had worked in the delivery room for more than five years. Regarding perineal massage for pregnant women in the latter stages of pregnancy, midwives received scores of 69.28 ± 12.90, 42.20 ± 4.31, and 45.25 ± 10.05 in the knowledge, attitude, and practice aspects, respectively. Multivariate logistic regression analysis outcomes indicated that practice dimension scores were influenced by knowledge (OR = 1.257, 95% CI [1.64–1.357], <i>P</i> &lt; 0.001) and attitude (OR = 1.152, 95% CI [1.113–1.193], <i>P</i> &lt; 0.001) scores.</p> Conclusions <p>There is an average level of midwives' knowledge, attitudes, and practices (KAP) on perineal massage for pregnant women in the later stages of pregnancy. This study recommends strengthening the knowledge and attitude dimensions of midwives in order to improve their comprehension of giving pregnant women a perineal massage in the latter stages of pregnancy. Improving these elements will also boost midwives' practical abilities, which will improve the quality of perineal massage for expectant mothers in the latter stages of pregnancy.</p>

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Knowledge, attitude, and practice of Chinese midwives performing in perineal massage for pregnant women in the latter stages of pregnancy

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月31日

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  • Jinzhu Yin,
  • Yun Chen,
  • Xinyan Zhao,
  • Zhongyan Cao,
  • Yao Li,
  • Ziyan Jiang,
  • Yanan Zhang,
  • Yangjun Pan,
  • Jian Shen,
  • Meiling Huang

摘要

Background

In obstetrics, perineal trauma is regarded as a serious public health issue. Perineal massage is advised for pregnant women in the later stages of pregnancy to help prevent perineal injuries during labor. This study aims to assess the knowledge, attitudes, and practices (KAP) of Chinese midwives concerning perineal massage for pregnant women in the latter stages of pregnancy.

Methods

This cross-sectional study was conducted in China from July 2024 to September 2024, aiming to investigate the knowledge, attitudes, and practices of midwives regarding perineal massage for pregnant women in the latter stages of pregnancy. The research employed a questionnaire survey covering demographic data as well as dimensions related to knowledge, attitudes, and practices. Data were analyzed using SPSS 27.0. Descriptive statistics summarized participant characteristics, while inferential analyses included independent t-tests, one-way ANOVA, Pearson correlation (to evaluate interrelationships among knowledge, attitude, and practice scores), and multivariable logistic regression (to determine predictors of practice scores), with statistical significance set at α = 0.05.

Results

A total of 446 valid questionnaires were gathered. Of these, 441 (98.88%) were female and 5 (1.12%) were male; 376 (84.30%) were from tertiary hospitals and 70 (15.70%) were from secondary hospitals. 89.01% of the sample had worked in the delivery room for more than five years. Regarding perineal massage for pregnant women in the latter stages of pregnancy, midwives received scores of 69.28 ± 12.90, 42.20 ± 4.31, and 45.25 ± 10.05 in the knowledge, attitude, and practice aspects, respectively. Multivariate logistic regression analysis outcomes indicated that practice dimension scores were influenced by knowledge (OR = 1.257, 95% CI [1.64–1.357], P < 0.001) and attitude (OR = 1.152, 95% CI [1.113–1.193], P < 0.001) scores.

Conclusions

There is an average level of midwives' knowledge, attitudes, and practices (KAP) on perineal massage for pregnant women in the later stages of pregnancy. This study recommends strengthening the knowledge and attitude dimensions of midwives in order to improve their comprehension of giving pregnant women a perineal massage in the latter stages of pregnancy. Improving these elements will also boost midwives' practical abilities, which will improve the quality of perineal massage for expectant mothers in the latter stages of pregnancy.