本研究目的在比較不同生產方式之初產婦於產後初期的關注內容及衛教需求的差異。研究採用自製結構式問卷，內容包括：基本資料、關注程度及產後衛教需求三大項，於初產婦產後1-3天收案，以立意取樣收集中部四所教學醫院產後病房之初產婦取得有效樣本自然生產120人，剖腹生產80人，共200人。研究結果發現：（1）自然生產產婦與剖腹生產產婦對「自我照顧」方面的關注有顯著差異，自然生產產婦較關心「子宮恢復及子宮按摩」、「個人衛生的維持」及「哺餵母乳時的乳頭保養」，剖腹生產產婦較注重「生產傷口的照顧」。（2）自然生產與剖腹生產產婦對「嬰兒照顧」方面的衛教均有較高度需求。（3）產後的關注及衛教的需求不受生產方式影響，但產後關注程度會明顯影響產婦對衛教的需求。自然生產產婦對「哺餵母乳時的乳頭保養」有較高的關注及衛教需求，剖腹生產產婦產後初期的關注及衛教需求則是「生產傷口的照護」。藉由本研究結果提出討論及建議，以供相關病房日後設計產後衛教指導計劃之參考。

　　　　　The purpose of the study was to identify the difference of primiparas' concerns and knowledge needs during the early postpartum between the different mode of delivery type. 120 vaginal birth mothers and 80 cesarean section mothers were administered during their postpartum 1-3days from the postpartum units of 4 regional hospitals in the middle of Taiwan. The results revealed that: (1) The difference between vaginal and cesarean section birth was significantly concerned with self-care, the priority concerns of vaginal birth mothers were "uterine massage and recovery of uterine", "nipples' care during breast feeding" and "personal hygiene", otherwise the cesarean section mothers were "wound care". (2) All new mothers priority concerned and needed the knowledge about baby-care. (3) The concerns and knowledge needs were not significant relative to the mode of delivery, but the knowledge needs of primiparas were relative to the concerns significantly.