婴儿主导觅乳母乳喂养方式对婴儿和母亲的远期影响  

Long-term effects of infant dominated breast-seeking and breastfeeding on infants and mothers.

作　　者：陈瑞莉 彭碧玲 李育红 CHEN Rui-li;PENG Bi-ling;LI Yu-hong(Department of Obstetrics and Gynecology,the Eighth Affiliated Hospital of Zhongshan University,Shenzhen 518026,Guangdong,CHINA)

机构地区：[1]中山大学附属第八医院(深圳福田)妇产科,广东深圳518026

出　　处：《海南医学》2020年第12期1566-1568,共3页Hainan Medical Journal

基　　金：广东省深圳市福田区科技计划项目(编号:FTWS2018036)。

摘　　要：目的探讨婴儿主导觅乳母乳喂养方式对婴儿和母亲的远期影响。方法回顾性分析2018年6~8月在中山大学附属第八医院分娩的150例婴儿的诊疗情况,按照不同母乳喂养方法分为观察组和对照组,每组75例。对照组采用常规母乳喂养方式,观察组采用婴儿主导觅乳母乳喂养方式。12个月后,比较两组婴儿的平均身高、平均体质量及疾病发生情况,同时比较两组产妇的泌乳始动时间、泌乳量、母乳喂养自信心评分及乳腺疾病发生率。结果 12个月后,观察组婴儿的平均身高、平均体质重分别为(80.3±4.3) cm、(9.4±4.5) kg,明显高于对照组的(75.2±3.6) cm、(7.5±2.9) kg,差异均有统计学意义(P<0.05);观察组产妇产后3 d母乳喂养自信心评分为(97.6±6.8)分,明显高于对照组的(81.1±8.3)分,差异具有统计学意义(P<0.05);观察组产妇的泌乳始动时间为(16.03±9.83) h,明显长于对照组的(10.72±9.01) h,差异具有统计学意义(P<0.05);观察组产妇产后24 h、48 h、72 h的泌乳量[(48.72±3.51) mL、(131.15±25.05) mL、(157.62±24.12) m L]明显多于对照组[(15.96±3.32) mL、(48.25±14.73) mL、(69.04±11.74) mL],差异均具有统计学意义(P<0.05);观察组婴儿总发病率为9.3%,明显低于对照组的29.2%,差异有统计学意义(P<0.05);观察组产妇乳腺疾病总发病率为3.9%,明显低于对照组的17.3%,差异具有统计学意义(P<0.05)。结论婴儿主导觅乳母乳喂养方式可明显促进婴儿健康成长,有效降低婴儿及母亲相关疾病发生率。Objective To analyze the long-term effect of infant dominated breast-seeking on infants and mothers.Methods A total of 150 infants in the Eighth Affiliated Hospital of Zhongshan University were selected and divided into observation group(75 cases)and control group(75 cases)according to the different methods of breastfeeding from June 2018 to August 2018.The control group adopted routine breast-feeding method,and the observation group applied infant dominated breast-seeking breast-feeding method.Twelve months later,the aaverage height,average weight,and disease incidence of the two groups were observed.At the same time,the time of lactation initiation,lactation volume,breastfeeding self-confidence score,and disease incidence were analyzed.Results The average height,average weight of the observation group were(80.3±4.3)cm,(9.4±4.5)kg,significantly higher than(75.2±3.6)cm,(7.5±2.9)kg in the control group,and 3-D postpartum breast-feeding self-confidence score of the observation group were(97.6±6.8)points,significantly higher than(81.1±8.3)points in the control group,with statistically significant differences(P<0.05).The time of initiation of lactation was(16.03±9.83)h in the observation group,significantly longer than(10.72±9.01)h in the control group,and the 24 h,48 h,72 h lactation volume were(48.72±3.51)mL,(131.15±25.05)mL,(157.62±24.12)mL in the observation group,significantly longer than(15.96±3.32)mL,(48.25±14.73)mL,(69.04±11.74)mL in the control group,with statistically significant difference(P<0.05).The total incidence of the observation group was 9.3%,significantly lower than 29.2%in the control group(P<0.05).The incidence rate of breast diseases in the observation group was 3.9%,which was significantly lower than 17.3%in the control group(P<0.05).Conclusion Infant dominated breast-seeking and breastfeeding can significantly promote the healthy growth of infants,and effectively reduce the incidence of infant and mother related diseases.

关 键 词：婴儿 母乳喂养 觅乳 泌乳始动时间 泌乳量 乳腺疾病 

分 类 号：R715[医药卫生—妇产科学]