Application of Team-Based Flipped Classroom and Traditional Learning on the Antenatal Education Center Course

Abstract

Background

The goal is to evaluate the effects of a flipped class strategy on knowledge, self-directed learning ability, learning satisfaction and pregnancy outcomes in primiparas undergoing antenatal education.

Methods

A random sampling method was adopted. A total of 600 primiparas who were diagnosed with early pregnancy in a first-class hospital in southeast China and received continuous prenatal health education from May to July 2020 were selected as the research subjects. In order to make the baseline of the two groups of primipara comparable, we divided the two groups in the antenatal education centre according to the odd-even number of the lesson card number. The odd-numbered group was the experimental group, who used the prenatal health education model based on blended learning; the even-numbered group was the control group, who used the traditional mode of prenatal health education. The two groups were compared on the following outcomes: knowledge, self-directed learning ability, learning satisfaction and pregnancy outcomes.

Results

Compared with traditional learning, the blended learning approach can effectively controlled the gestational weight gain (GWG), alleviated the anxiety and depression during pregnancy, improved the natural delivery rate of the primipara, shortened the delivery process and reduced the risk of gestational diabetes mellitus (GDM), the difference was statistically significant (all P<0.05).

Conclusion

Blended learning may be an effective strategy because of its validity and practicality in antenatal education.

Keywords:

• health education
• flipped classroom
• team-based learning
• primipara
• pregnancy outcomes
• blended learning

Abbreviations

FC, Flipped classroom; TBL, Team-based learning; TL, Traditional lecture; SAS: Self-Rating Anxiety Scale; SDS, Self-Rating Depression Scale; CBSEI-C32, The short form of the Chinese Childbirth Self-Efficacy Inventory; BSES, Breastfeeding self-efficacy Scale; CSE, Childbirth self-efficacy; BSE, Breastfeeding self-efficacy; GWG, gestational weight gain; T1, First trimester; T2, Second trimester; T3, Third trimester; HDCP, hypertensive disorder complicating pregnancy; PH, Postpartum hemorrhage; GDM, gestational diabetes mellitus.

Data Sharing Statement

The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.

Ethics Approval and Consent to Participate

The Hospital Ethics Committee of Fujian Provincial Maternity and Children’s Hospital, an affiliated hospital of Fujian Medical University, approved the study (2022KYLLR03050) and complied with the Declaration of Helsinki. All individuals participating in this study provided written informed consent.

Acknowledgments

We would like to thank all the women who kindly agreed to participate in this study. We are also grateful to all the staff at the hospitals and health facilities of the Fujian Maternity and Child Health Hospital and their support with this research.

This article has been released preprint in the research square (https://assets.researchsquare.com/files/rs-640411/v1_covered.pdf?c=1631871876). Preprints are the authors’ early version of their research, it is not considered plagiarism or self-plagiarism. Each preprint also has a disclaimer stating that the paper has not been published. Beyond that, I declare that this article has not been published elsewhere.

Disclosure

The authors declare that they have no competing interests in this work.

Additional information

Funding

Joint Funds for the innovation of science and Technology, Fujian province (Grant number: 2020Y9165).