新生儿早期基本保健技术对足月剖宫产母儿健康结局的影响  

Effects of early essential newborn care technology on the health outcomes of mothers and infants after full-term cesarean section

作　　者：刘军[1] 朱栋书[1] 程欢 包艾荣 段红艳[1] 冯嘉蕾[1] 杨慧霞[1] Liu Jun;Zhu Dongshu;Cheng Huan;Bao Airong;Duan Hongyan;Feng Jialei;Yang Huixia(Department of Gynecology and Obstetrics,Peking University First Hospital,Beijing 100034,China;Nursing Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院妇产科,北京100034 [2]北京大学第一医院护理部,北京100034

出　　处：《中华现代护理杂志》2023年第3期354-358,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨剖宫产术中实施新生儿早期基本保健对母儿早期健康指标及母乳喂养的影响。方法本研究为随机对照研究,选择2020年10月—2021年8月于北京大学第一医院择期行足月剖宫产的104名产妇及其新生儿作为研究对象,按照剖宫产时间的先后顺序排序,采用随机分组的方法分为对照组和干预组,各52名。对照组实施剖宫产新生儿常规护理,干预组实施剖宫产新生儿早期基本保健技术。比较两组产妇的产后出血量、住院天数,新生儿出生后1、5 min Apgar评分,出生后90 min内异常情况发生率,脐带脱落时间,新生儿出现第一次觅食征象的时间、早开奶的成功率以及出院时母乳喂养实施情况。结果两组产妇的产后2 h内出血量、产后2~24 h出血量及住院天数比较,差异均无统计学意义(P>0.05)。两组新生儿出生后的1、5 min Apgar评分比较,差异无统计学意义(P>0.05);两组出生后90 min内出现再吸引、呼吸异常、复苏、转入NICU等异常情况比较,差异均无统计学意义(P>0.05);两组新生儿的脐带脱落时间比较,差异无统计学意义(P>0.05),且均未发生脐部感染。干预组新生儿第一次出现觅食反射的时间早于干预组,早开奶成功率高于对照组,差异均有统计学意义(P<0.05)。两组出院时母乳喂养的实施情况比较,差异无统计学意义(P>0.05)。结论剖宫产术中实施新生儿早期基本保健安全可行,且能有效促进早开奶,对母乳喂养有重要意义,具有临床推广实施的价值。Objective To explore the effect of early essential newborn care technology during cesarean section on early health outcomes of mothers and infants and breast feeding.Methods This study was a randomized controlled study.From October 2020 to August 2021,104 delivery women and their newborns who were scheduled for full-term cesarean section in Peking University First Hospital were selected as the study subject.The subjects were randomly divided into control group and intervention group,52 cases in each group.The control group received routine nursing of the newborn after cesarean section,while the intervention group received early essential newborn care technology after cesarean section.The amount of postpartum hemorrhage,hospital stay,Apgar score at one and five minutes after birth,the incidence of abnormal conditions within 90 minutes after birth,the time of umbilical cord shedding,the time of the first feeding sign of the newborn,the success rate of early initiation of breastfeeding and the implementation of breast feeding at discharge were compared between the two groups.Results There was no statistical difference between the two groups in the amount of postpartum hemorrhage within two hours,the amount of postpartum hemorrhage within two to 24 hours and the number of days in hospital(P>0.05).There was no statistical difference between the two groups in Apgar scores at one and five min after birth(P>0.05).There was no statistical difference between the two groups in the occurrence of re-attraction,respiratory abnormalities,resuscitation,Neonatal Intensive Care Unit(NICU)transfer and other abnormalities within 90 minutes after birth(P>0.05).There was no statistical difference in the time of umbilical cord shedding between the two groups(P>0.05),and no umbilical infection occurred.The first foraging reflex in the intervention group was earlier than that in the control group,and the success rate of early initiation of breastfeeding was higher than that in the control group,and the differences was statistically signi

关 键 词：婴儿 新生 剖宫产 新生儿早期基本保健 早开奶 

分 类 号：R473.72[医药卫生—护理学]