系统性健康教育及产后乳房按摩对母乳喂养的影响分析  

Influence analysis of systematic health education and postpartum breast massage on breast feeding

作　　者：刘晓艳 林楠 LIU Xiao-yan;LIN Nan(The Second Ward of Department of Obstetrics,Dalian Women and Children′s Medical Center,Liaoning Province,Dalian116100,China)

机构地区：[1]大连市妇女儿童医疗中心产二病房,辽宁大连116100

出　　处：《中国当代医药》2021年第24期246-248,共3页China Modern Medicine

摘　　要：目的探讨系统性健康教育及产后乳房按摩对母乳喂养的影响。方法选取大连市妇女儿童医疗中心2020年2—5月的120例足月自然分娩且由丈夫陪伴的单胎初产妇为研究对象,按照随机数字表法分为对照组与观察组,每组各60例。观察组采用系统性健康教育,对产妇及丈夫进行系统的母乳喂养相关知识及技能的健康教育,产后给予乳房按摩;对照组只给予常规的母乳喂养指导。比较两组的母乳喂养相关知识评分、技能、母乳量、产妇乳房肿胀情况。结果观察组干预后的母乳喂养知识评分高于对照组,差异有统计学意义(P<0.05)。观察组的母乳喂养技能优于对照组,差异有统计学意义(P<0.05)。两组分娩后3 d的母乳量比较,差异无统计学意义(P>0.05)。观察组分娩后30 d的母乳充足占比高于对照组,差异有统计学意义(P<0.05)。观察组初产妇的乳房肿胀率为5.00%(2/60),低于对照组的16.67%(10/60),差异有统计学意义(P<0.05)。结论对产妇及家属提供系统性健康教育和产后乳房按摩,促进丈夫的参与和支持,能够提高产妇母乳喂养的信心,促进产妇乳汁的分泌,减轻乳房肿胀情况。Objective To explore the influence of systematic health education and postpartum breast massage on breast feeding.Methods A total of 120 cases of full-term natural delivery and single birth primiparas accompanied by their husbands in Dalian Women and Children′s Medical Center from February to May in 2020 were selected as the research objects,and they were divided into the control group and the observation group according to random number table method,with 60 cases in each group.The observation group was given systematic health education,the maternal and husband were given systematic health education on breast feeding related knowledge and skills,and breast massage was given after delivery.The control group was only given routine breast-feeding guidance.The scores of breastfeeding related knowledge,skills,breast milk volume and breast swelling of the two groups were compared.Results The score of breastfeeding related knowledge in the observation group after intervention was higher than that in the control group,and the difference was statistically significant(P<0.05).The breastfeeding skills of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the amount of breast milk at 3 days after delivery between the two groups(P>0.05).The ratio of breast milk adequate in the observation group at 30 days after delivery was more than that in the control group,and the difference was statistically significant(P<0.05).The breast swelling rate of primipara in the observation group was 5.00%(2/60),which was lower than 16.67%(10/60)of the control group,the difference was statistically significant(P<0.05).Conclusion Providing systematic health education and early breast massage for pregnant women and their families,promoting husband′s participation and support can improve maternal confidence in breastfeeding,promote maternal milk secretion and reduce breast swelling.

关 键 词：健康教育 母乳喂养 乳房按摩 乳房肿胀 

分 类 号：R714.61[医药卫生—妇产科学]