初产妇母乳喂养认知程度与泌乳功能的相关性  

Correlation between cognition degree of breastfeeding and lactation function in primipara

作　　者：万丽[1] 顾银燕[1] WAN Li;GU Yinyan(Department of Obstetrics,Nanjing Hospital Affiliated to Nanjing Medical University(Nanjing First Hospital),Jiangsu Province,Nanjing210000,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)产科,江苏南京210000

出　　处：《中国医药导报》2020年第25期180-183,共4页China Medical Herald

摘　　要：目的探讨初产妇母乳喂养认知程度与泌乳功能之间的相关性。方法选取2019年1-12月在南京医科大学附属南京医院成功分娩的128例产妇为研究对象,均接受初产妇认知程度调查量表调查,根据最终得分划分为A组:母乳喂养认知程度较高(56例);B组:认知程度一般(42例);C组:认知程度低下(30例)。观察并比较不同认知程度初产妇产后泌乳功能(产后泌乳开始时间、产后24 h及48 h泌乳量评分),检验初产妇母乳喂养认知程度与泌乳功能之间的相关性。结果各组初产妇年龄、孕周等一般资料比较,差异无统计学意义(P>0.05);C组产后泌乳开始时间长于A、B组,B组泌乳开始时间长于A组,差异有统计学意义(P<0.05);C组产后24、48 h泌乳量评分低于A、B组,B组产后24、48 h泌乳量评分低于A组,差异有统计学意义(P<0.05);经双变量Pearson直线相关分析结果显示,初产妇母乳喂养认知程度与产后泌乳开始时间呈负相关(r=-0.912,P<0.001),初产妇母乳喂养认知程度与产后24、48 h泌乳量评分均呈正相关(r=0.851、0.848,P<0.001)。结论初产妇产后泌乳功能与母乳喂养认知程度密切相关,临床应重视妊娠中晚期初产妇母乳喂养认知功能调查,对认知功能低下的产妇,应及时开展针对性干预措施,这对提高初产妇母乳认知程度及产后母乳喂养成功率意义重大。Objective To explore the correlation between breastfeeding cognition and lactation function in primipara.Methods A total of 128 women who gave birth successfully in Nanjing Hospital Affiliated to Nanjing Medical University from January to December 2019 were selected as the research subjects.All of them were investigated by the cognition scale of primiparas,according to the final score,they were divided into group A:high cognitive level of breastfeeding(56 cases);group B:general cognitive level(42 cases);group C:low cognitive degree(30 cases).The postpartum lactation function of primiparas with different cognitive levels(postpartum lactation start time,postpartum lactation volume score at 24 and 48 hours)were observed and compared,to examine the correlation between breastfeeding cognition and lactation function in primiparas.Results Comparison of general data of age and gestational week of primipara in each group showed no statistically significant difference(P>0.05),the postpartum lactation start time of group C was longer than that of group A and B,while the time of group B was longer than that of group A,with statistically significant difference(P<0.05);the lactation volume scores of group C at 24 and 48 h postpartum were lower than those of group A and B,and those of group B at 24 and 48 h postpartum were lower than those of group A,with statistically significant differences(P<0.05).The results of bivariate Pearson linear correlation analysis showed that the cognitive level of breastfeeding of primipara was negatively correlated with the start time of lactation after delivery(r=-0.912,P<0.001),and the cognitive level of breastfeeding of primipara was positively correlated with the score of lactation 24 and 48 h after delivery(r=0.851,0.848,P<0.001).Conclusion The postpartum lactation function of primiparas is closely related to the cognitive level of breastfeeding,so clinical attention should be paid to the investigation of the cognitive function of breastfeeding of primiparas in the middle and third trimester

关 键 词：初产妇 母乳喂养 认知程度 泌乳功能 相关性 

分 类 号：R743.71[医药卫生—神经病学与精神病学]