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产后1 h早接触早吸吮对母乳喂养率的影响研究(1)
http://www.100md.com 2018年1月15日 中国实用医药 2018年第2期
     【摘要】 目的 研究产后1 h早接触早吸吮对母乳喂养率的影响。方法 1218例分娩孕产妇, 采取分层随机法分为观察组和对照组, 各609例。观察组产后1 h进行早接触早吸吮, 对照组产后未进行早接触早吸吮, 对比两组母乳喂养情况及新生儿并发症发生情况。结果 观察组母乳喂养率为65.85%, 对照组母乳喂养率为20.85%, 观察组孕产妇母乳喂养率高于对照组, 差异有统计学意义(P<0.05)。观察组奶粉喂养率为26.44%, 对照组奶粉喂养率为70.44%, 观察组孕产妇奶粉喂养率低于对照组, 差异有统计学意义(P<0.05)。两组孕产妇母乳奶粉混合喂养率比较差异无统计学意义(P>0.05)。观察组新生儿并发症发生率为13.46%, 低于对照组的49.26%, 差异有统计学意义(P<0.05)。结论 产后1 h早接触早吸吮可同时对新生儿和产妇产生积极影响, 明显提高母乳喂养率, 减少新生儿并发症的发生, 对新生儿健康成长有利, 具有较高的临床价值。

    【关键词】 产后;早接触;早吸吮;母乳喂养

    DOI:10.14163/j.cnki.11-5547/r.2018.02.079

    Study on the effect of early contact and early sucking in postpartum 1 h on breastfeeding rate JIANG Min-yi. Guangzhou Huadu District Huashan Town Health Center, Guangzhou 510880, China

    【Abstract】 Objective To study the effect of early contact and early sucking in postpartum 1 h on breastfeeding rate. Methods A total of 1218 pregnant women were divided by stratified random method into observation group and control group, with 609 cases in each group. The observation group received early contact and early sucking in postpartum 1 h, and the control group received no early contact and early sucking. Comparison were made on breastfeeding status and occurrence of complications between two groups. Results The observation group had breastfeeding rate as 65.85%, while the control group had breastfeeding rate as 20.85%. The observation group had higher breastfeeding rate than the control group, and the difference was statistically significant (P<0.05). The observation group had milk feeding rate as 26.44%, while the control group had milk feeding rate as 70.44%. The observation group had lower milk feeding rate than the control group, and the difference was statistically significant (P<0.05). Both groups had no statistically significant difference in breast and milk feeding rate (P>0.05). The observation group had lower incidence of neonatal complications as 13.46% than 49.26% in the control group, and the difference was statistically significant (P<0.05). Conclusion Early contact and early sucking in postpartum 1 h can also have a positive impact on newborns and puerpera. It can significantly improve breastfeeding rate, reduce neonatal complications, and is beneficial to the healthy growth of newborns. It contains high clinical value.

    【Key words】 Postpartum; Early contact; Early sucking; Breastfeeding

    产后一段时间内母儿生理和心理上变化均较大, 一般在出生后一段时间内, 新生儿有较强的吸吮兴奋, 而对于母亲而言, 經历产痛, 身心疲惫, 但怀有对新生儿的憧憬, 担忧以及其他情绪, 多种情绪交织, 生理和心理处于较为复杂的状态[1, 2]。此时产生产后抑郁症或者因为综合性原因哺乳困难, 则仅可采取人工奶粉喂养, 因此进行早抚触早吸吮是帮助母亲调整状态, 帮助新生儿建立吸吮反射, 提高母乳喂养率的方法, 本研究对产后1 h早接触早吸吮对母乳喂养率以及新生儿并发症的影响进行观察, 现报告如下。, 百拇医药(江敏仪)
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