不同时间乳房按摩对产妇泌乳量及母乳喂养成功率的影响  

Effects of breast massage at different time periods on lactation yield and breastfeeding success rate

作　　者：何爽爽 卢婷 He Shuangshuang;Lu Ting(Department of Obstetrics,The First People's Hospital of Wenling,Wenling 317500,Zhejiang Province,China)

机构地区：[1]温岭市第一人民医院产科,浙江省317500

出　　处：《中国基层医药》2021年第11期1621-1625,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省自然科学基金项目(LQ19H090001)。

摘　　要：目的探讨产后不同时间乳房按摩对产妇泌乳量及母乳喂养成功率的影响。方法选取温岭市第一人民医院2018年1月至2019年5月择期分娩产妇240例为研究对象,采用随机数字表法分为对照组、观察1组、观察2组各80例,对照组产后仅给予常规护理,不予以乳房按摩;观察1组在对照组的基础上于产后2 h进行产后乳房按摩;观察2组于产后24 h进行产后乳房按摩。比较各组产后乳房舒适率、泌乳始动时间及干预1 d、3 d泌乳量,比较各组产后4 d新生儿每天吐奶、哭闹及粪便排空次数,观察各组产后42 d母乳喂养成功率及新生儿体质量、身高增长情况。结果对照组、观察1组、观察2组乳房舒适率分别为71.25%(57/80)、93.75%(75/80)、83.75%(67/80),三组差异有统计学意义(χ^(2)=26.466,P<0.05);对照组、观察1组、观察2组产后乳房并发症发生率分别为27.50%(22/80)、5.00%(4/80)、15.00%(12/80),三组差异有统计学意义(χ^(2)=10.478,P<0.05);对照组、观察1组、观察2组泌乳始动时间分别为(33.54±7.28)h、(5.56±2.01)h、(22.32±4.23)h,三组差异有统计学意义(F=27.897,P<0.05);观察1组、观察2组干预1 d、3 d泌乳量均多于对照组(F=6.208、10.458,均P<0.05);三组产后4 d新生儿每天吐奶、哭闹及粪便排空次数差异均有统计学意义(F=71.54、9.26、10.45,均P<0.05);观察1组母乳喂养成功率为93.75%(75/80),高于观察2组的85.00%(68/80)、对照组的75.00%(60/80)(χ^(2)=7.841,P<0.05);三组产后42 d新生儿体质量、身高增长情况差异均有统计学意义(F=10.645、5.789,均P<0.05)。结论产后2 h进行乳房按摩,可明显提高产妇乳房舒适率,有效降低产后乳房并发症发生率,缩短泌乳始动时间,增加产后泌乳量,提高母乳喂养成功率。Objective To investigate the effects of breast massage at different time periods on lactation yield and breast feeding success rate.Methods 240 pregnant women who gave birth at scheduled time in The First People's Hospital of Wenling from January 2018 to May 2019 were included in this study.They were randomly divided into control group,observation group 1 and observation group 2(n=80/group).The control group was only given routine nursing after delivery without breast massage.The observation group 1 received breast massage at 2 hours postpartum based on routine nursing.The observation group 2 received breast massage at 24 hours postpartum based on routine nursing.Breast comfort rate,the time to lactation,lactation yield at 1 and 3 days after intervention were compared between groups.The number of daily vomiting,crying and fecal empties at 4 days postpartum were compared between groups.The success rate of breastfeeding and the increases in neonatal body mass and height at 42 days postpartum were determined in each group.Results Breast comfort rate in the control group,observation group 1 and observation group 2 was 71.25%(57/80),93.75%(75/80)and 83.75%(67/80),respectively.There was significant difference in breast comfort rate among the three groups(χ^(2)=26.466,P<0.05).The incidence of postpartum breast problem in the control group,observation group 1 and observation group 2 was 27.50%(22/80),5.00%(4/80)and 15.00%(12/80),respectively.There was significant difference in the incidence of postpartum breast problem among the three groups(χ^(2)=10.478,P<0.05).The time to lactation in the control group,observation group 1 and observation group 2 was(33.54±7.28)hours,(5.56±2.01)hours and(22.32±4.23)hours,respectively(F=27.897,P<0.05).There was significant difference in the time to lactation between groups(F=27.897,P<0.05).The lactation yield in the observation group 1 and observation group 2 was significantly greater than that in the control group(F=6.208,10.458,both P<0.05).There were significant differences in th

关 键 词：按摩 乳房 时间因素 产妇卫生保健服务 泌乳 母乳喂养 对比研究 

分 类 号：R473.71[医药卫生—护理学]