产前手挤奶对初产妇产后3 d纯母乳喂养的影响  

Effect of antenatal milk expression on 3 d exclusive breastfeeding after birth among primiparas

作　　者：陈燕[1] 蒙莉萍[2] 张娇娇[2] 郭洪花[1] 许晨耘 张宏玉[1] CHEN Yan;MENG Liping;ZHANG Jiaojiao;GUO Honghua;XU Chenyun;ZHANG Hongyu(International School of Nursing,Hainan Medical University,Haikou,Hainan 571199,China;Department of Nursing,First Affiliated Hospital of Hainan Medical University,Haikou,Hainan 571102,China;Department of Comprehensive Management,Affiliated Hainan Hospital of Hainan Medical University,Haikou,Hainan 570311,China)

机构地区：[1]海南医学院国际护理学院,海口571199 [2]海南医学院第一附属医院护理部,海口571102 [3]海南医学院附属海南医院综合管理部,海口570311

出　　处：《重庆医学》2021年第9期1476-1480,共5页Chongqing medicine

基　　金：海南省自然科学基金青年基金项目(SQ2019QNJJ0440);海南省高等学校教育教学改革研究项目(Hnjg2020-70)。

摘　　要：目的探讨产前手挤奶(AME)对初产妇产后3 d纯母乳喂养的影响。方法选取2019年3-8月在海南医学院第一附属医院产检的90例健康足月初产妇,将其分为对照组和干预组。对照组予常规母乳喂养健康教育,干预组在对照组基础上予AME指导。比较两组产妇妊娠37^(+1)、38^(+1)周及产后第3天的母乳喂养自我效能得分,产后泌乳启动时间及产后3 d的纯母乳喂养率。结果干预前(37^(+1)周)两组产妇的母乳喂养自我效能得分比较,差异无统计学意义(P>0.05),干预后(38^(+1)周)及产后第3天干预组产妇的母乳喂养自我效能得分均高于对照组(P<0.05);干预组产妇的泌乳启动时间早于对照组(P<0.05),不同泌乳启动时间在AME频次分组中存在分布差异(P<0.05),AME频次越高,泌乳启动时间越早;干预组产后第1、2、3天的纯母乳喂养率均高于对照组(P<0.05)。结论AME能提高初产妇产前及产后的母乳喂养自我效能得分,促进泌乳启动,能提高产后3 d纯母乳喂养率。Objective To explore the effect of antenatal milk expression(AME)on 3 d exclusive breastfeeding after birth among primiparas.Methods Ninety healthy full term primiparas with antenatal examination in this hospital from March to August 2019 were selected and randomly divided into the control group and intervention group.The control group was given the conventional breastfeeding health education,and the intervention group was given the AME guidance on the basis of the control group.The breastfeeding self-efficacy scale(BSES)scores in 37^(+1),38^(+1)gestational weeks and on 3 d after delivery,postpartum lactating starting time and exclusive breastfeeding rate on postpartum 3 d were compared between the two groups.Results The breastfeeding self-efficacy level before intervention(37^(+1)weeks)had no statistical difference between the two groups(P>0.05);the breastfeeding self-efficacy score in 38^(+1)weeks after intervention and on postpartum 3 d in the intervention group was higher than that in the control group(P<0.05);the lactating starting time in the intervention group was earlier than that in the control group(P<0.05);different lactating starting time had the distribution difference among the AME frequency groups(P<0.05);the higher the AME frequency,the earlier the lactating starting time;the exclusive breastfeeding rates on postpartum 1,23 d in the intervention group all were higher than those in the control group(P<0.05).Conclusion AME can increase the antenatal and postpartum breastfeeding self-efficacy score,promotes the lactating start and increase the exclusive breastfeeding rate on postpartum 3 d.

关 键 词：产前手挤奶 母乳喂养 自我效能 泌乳启动 初产妇 

分 类 号：R473.71[医药卫生—护理学]