母婴皮肤接触式早复温对新生儿体温及产妇结局的影响  

Effect of early mother-infant skin to skin contact on neonates temperature and moternal outcomes

作　　者：顾红 刘敏 吴蕾 付锦艳 姜善雨 刘君 Gu Hong;Liu Min;Wu Lei;Fu Jinyan;Jiang Shanyu;Liu Jun(Labor Room,Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University,Wuxi 214000,China;Science and Education Section,Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University,Wuxi 214000,China;Neonatology Department,Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University,Wuxi 214000,China;Nursing Department,Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University,Wuxi 214000,China)

机构地区：[1]南京医科大学附属无锡妇幼保健院临产室,无锡214000 [2]南京医科大学附属无锡妇幼保健院科教科,无锡214000 [3]南京医科大学附属无锡妇幼保健院新生儿科,无锡214000 [4]南京医科大学附属无锡妇幼保健院护理部,无锡214000

出　　处：《国际护理学杂志》2022年第3期472-475,共4页international journal of nursing

基　　金：江苏省妇幼保健协会科研项目(FYX201705);无锡市卫健委妇幼科研项目(FYKY201910)。

摘　　要：目的分析对新生儿采取母婴皮肤接触式早复温对其体温恢复及产妇产后出血的影响。方法选取该院2018年6月至2020年2月收治的孕妇及娩出的新生儿100例, 试验组经母婴皮肤接触式复温90 min以后再放回辐射保温台, 对照组全程采用辐射保温台复温。分析两组新生儿复温效果及产妇产后出血等情况。结果试验组产妇出血、胎盘娩出时间、母乳首次喂养成功率优于对照组, 差异均有统计学意义(均P<0.05), 两组新生儿出生后各时段(30 min、1 h、2 h)体温恢复差异无统计学意义(均P>0.05)。结论母婴皮肤接触式复温可减少产后出血, 缩短胎盘娩出时间, 增加母乳首次喂养成功率, 有着辐射台复温不可逾越的优点。Objective To explore the influence of mother-infant skin to skin contact on neonatal temperature recovering and postpartum hemorrhage.Methods A total of 100 pregnant women and neonates born in this hospital from June 2018 to February 2020 were selected as the observation objects.The experimental group was placed back to the radiation warming table after 90 minutes of skin contact rewarming with the mother and infant.The control group adopted the whole process radiation warming table rewarming.The effect of neonatal rewarming and postpartum hemorrhage were analyzed in the two groups.Results The experimental group was better than the control group in terms of maternal bleeding,time of placenta delivery and success rate of first breastfeeding,the differences were statistically significant(P<0.05).There was no significant difference in temperature recovery between the two groups at 30 minutes,1 hour and 2 hours after birth(P>0.05).Conclusions Maternal and infant skin contact rewarming can reduce postpartum bleeding,shorten the time of placenta delivery,increase the success rate of breast milk feeding for the first time,and has the advantages of insurmountable radiation rewarming.

关 键 词：皮肤接触护理 新生儿体温 产妇结局 

分 类 号：R473.72[医药卫生—护理学]