孕产期知识教育对孕妇分娩方式及产后母乳喂养的影响  

Knowledge and Education on the Impact of Maternal Mode of Delivery and Postpartum Maternal BreastFeeding

作　　者：刘红军[1] 季秀娟[1] 李岩[1] 黄晓燕[1] 吴晓蔚[1] 

机构地区：[1]中航工业哈尔滨二四二医院,黑龙江哈尔滨150066

出　　处：《航空航天医学杂志》2014年第6期856-857,共2页Journal of Aerospace medicine

摘　　要：目的探讨孕产期健康教育对分娩结局及母乳喂养率的影响。方法采用分析的方法,选600例在医院建册并孕检的孕产妇做为研究对象,将自愿参加孕妇学校,接受系统化孕期教育和产前培训的300例为实验组,仅接受常规孕检和指导不能参加孕妇学校培训的300例为对照组,将两组孕妇分娩结局、剖宫产原因、产后泌乳始动时间及产后半年母乳喂养情况进行比较。结果观察组和对照组剖宫产率分别为38.11%和57.67%,差异有统计学意义(P<0.01)。两组产妇中,有医学指证剖宫产所占比例观察组为96.33%,对照组为79.77%,差异有统计学意义(P<0.01)。观察组产妇产后初乳分泌时间明显短短于对照组,半年后调查观察组纯母乳喂养率为87.41%,对照组为77%,两组比较差异有统计学意义(P<0.01)。结论通过孕产期系统的干预,可促使孕妇正确认识自然分娩和母乳喂养的影响因素,树立信心,促进阴道分娩,降低剖宫产率,提高母乳喂养率。Objective To investigate the effect of maternal health education on birth outcomes and breastfeeding rates.Methods Methods a retrospective analysis , Selected 600 cases registered in the hospital building and a pregnancy test pregnant women for the study ,Will voluntarily for the Pregnant women school and received sysremaric education dur -ing pregnancy and prenatal training of 300 casea as the experimental group , And guidance received only routine pregnancy test pregnant women can not attend school for the training of 300 cases in the control group , The two groups of preg-nant women ,delivery end ,cause of section , postpartum lactation initiating breast -feeding situatin compare tine and post-natal six months.Results Observation group and control group cesarean section rate was 57.67%and 38.11%respec-tively, and the difference was statistically significant （P＆lt;0.01）.Two mothers, there is medical evidence cesarean pro-portion of the observation group was 96.33%in the control group was 79.77%, the difference was statistically significant （P〈0.01）.Secrete colostrum postpartum observation group was significantly short period of time in the control group , six months after the investigation in the observation group was 87.41%exclusively breastfed , 77%of the control group , the difference was statistically significant （P〈0.01）.Conclusions Through the intervention of maternal systems , preg-nant women can contribute to a correct understanding of the factors affecting natural childbirth and breastfeeding , confi-dence , and promote vaginal delivery , cesarean section rate reduced to improve breastfeeding rates .

关 键 词：孕产期 健康教育 剖宫产 母乳喂养 

分 类 号：R473.71[医药卫生—护理学]