乳旁加奶在产科母乳喂养不足中的应用  

Application of milk-adding beside breast in the insufficient breast-feeding in obstetrics department

作　　者：杨雪平[1] 毛红妮[1] 刘丽[1] 李蕾[1] YANG Xue-ping;MAO Hong-ni;LIU Li;LI Lei(Baoji Maternal and Child Health Care Hospital, Baoji 721000, China)

机构地区：[1]宝鸡市妇幼保健院

出　　处：《临床医学研究与实践》2019年第29期157-159,共3页Clinical Research and Practice

基　　金：2015年度宝鸡市卫生和计划生育局科研项目（No.2015-44）

摘　　要：目的研究乳旁加奶在产科母乳喂养不足中的应用效果,为母乳喂养不足问题的解决提供参考。方法选取我院产科2018年1月至2018年12月收治的550例母乳喂养不足的产妇作为研究对象,采用数字单双号法将其分为对照组和观察组,每组275例。对照组给予常规加奶,观察组给予乳旁加奶。比较两组产妇自我效能评分、母乳达充足的时间、24 h母婴睡眠时间及不良反应发生情况。结果分娩当天,两组产妇的自我效能评分比较,差异无统计学意义(P>0.05);产后3、42 d,观察组的自我效能评分均高于对照组,差异有统计学意义(P<0.05)。观察组母乳达充足的时间短于对照组,24 h母婴睡眠时间长于对照组,差异有统计学意义(P<0.05)。观察组呛奶发生率低于对照组(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论产科母乳喂养不足中实施乳旁加奶措施可增强产妇的喂养信心,提升母乳喂养效果,且安全性高,值得推广。Objective To study the effect of milk-adding beside breast in the insufficient breast-feeding in obstetrics department, and to provide reference for solving the problem of insufficient breast-feeding. Methods A total of 550 puerperant with insufficient breast-feeding who were admitted in obstetrics department of our hospital from January 2018 to December 2018 were selected as the research objects. The puerperant were divided into control group and observation group by digital single and double method, with 275 cases in each group. The control group was given routine milk-adding, while the observation group was given milk-adding beside breast. Puerperant self-efficacy score, sufficient time of breast milk, 24-hour sleep time of mothers and infants and adverse reactions were compared between the two groups. Results There was no significant difference in the self-efficacy score between the two groups on the day of delivery (P>0.05);at 3 and 42 days after delivery, the self-efficacy scores in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). The sufficient time of breast milk in the observation group was shorter than that in the control group, and the 24-hour sleep time of mothers and infants was longer than that in the control group, the differences were statistically significant (P<0.05). The incidence of choking milk in the observation group was lower than that in the control group (P<0.05);there was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion In the case of insufficient breast-feeding in obstetrics department, the measures of adding milk beside breast can enhance the confidence of puerperant and improve the effect of breast feeding with a high safety, which is worth popularizing.

关 键 词：母乳喂养不足 乳旁加奶 不良反应 

分 类 号：R473.72[医药卫生—护理学]