产妇泌乳启动延迟与妊娠合并甲状腺功能减退症的相关性分析  

Correlation between pregnancy women with hypothyroidism and delayed lactation initiation

作　　者：张志一 刘君[1] 胡珊珊[1] 蒋盘华[1] 刘敏[2] 周芸[1] ZHANG Zhiyi;LIU Jun;HU Shanshan;JIANG Panhua;LIU Min;ZHOU Yun(Department of Obstetrical,Wuxi Human and Enfants Care Hospital,Wuxi,Jiangsu 214002,China;Department of Nursing,Wuxi Human and Enfants Care Hospital,Wuxi,Jiangsu 214002,China)

机构地区：[1]无锡市妇幼保健院产科,江苏无锡214002 [2]无锡市妇幼保健院护理部,江苏无锡214002

出　　处：《现代医药卫生》2022年第15期2536-2539,共4页Journal of Modern Medicine & Health

基　　金：无锡市卫生健康委适宜技术推广项目(T201917);无锡市中医药科技项目(ZYKJ202113)。

摘　　要：目的探讨产妇妊娠合并甲状腺功能减退症(甲减)与泌乳启动延迟的相关性,为预防产妇泌乳启动延迟提供借鉴。方法选取2018年1-12月150例妊娠合并甲减的产妇作为甲减组,131例非妊娠合并甲减的产妇作为非甲减组,收集两组产妇泌乳启动时间。对比分析两组泌乳启动延迟的发生率,采用Spearman相关分析分析妊娠合并甲减与泌乳启动时间的相关性,采用二项logistic回归分析泌乳启动延迟的相关因素。结果甲减组泌乳启动延迟发生率为45.3%,非甲减组泌乳启动延迟发生率为32.1%,甲减组发生泌乳启动延迟率显著高于非甲减组,差异有统计学意义(P<0.05);二项logistic回归分析结果显示妊娠合并甲减、分娩方式是泌乳启动延迟的相关因素(P<0.05)。结论妊娠合并甲状腺功能减退症是泌乳启动延迟的危险因素,需构建有效的预防措施,促进母乳喂养。Objective To explore the correlation between pregnancy with hypothyroidism and delayed lactation initiation,providing references for prevention of delayed lactation initiation in pregnant women.Methods From January to December 2018,a total of 150 pregnancy women with hypothyroidism were selected as the hypothyroidism group,and a total of 131 non-pregnancy women with hypothyroidism were selected as the non-hypothyroidism group.The lactation initiation time of the two groups were collected.The incidence of delayed lactation initiation in two groups was compared.Spearman correlation analysis was used to analyze the relationship between pregnancy with hypothyroidism and lactation initiation time,and binomial logistic regression was used to analyze the related factors of delayed lactation initiation.Results The incidence of delayed lactation initiation in the hypothyroidism group was 45.3%,and that in the non-hypothyroidism group was 32.1%.The incidence of delayed lactation initiation in the hypothyroidism group was higher than that in the non-hypothyroidism group,and the difference was statistically significant(P<0.05).The results of binomial logistic regression analysis showed that pregnancy with hypothyroidism and delivery mode were the related factors of delayed lactation initiation(P<0.05).Conclusion Pregnancy with hypothyroidism is a risk factor for delayed lactation initiation,and effective preventive measures need to be constructed to promote breastfeeding.

关 键 词：妊娠合并甲状腺功能减退症 泌乳延迟 相关因素 

分 类 号：R714.69[医药卫生—妇产科学]