产前5P催乳法对促进初产妇产后泌乳量及母乳喂养率效果  

Effect of prenatal 5P prolactin method for treating primiparas on their postpartum milk volume and breastfeeding rate

作　　者：胡冰[1] 陆明[1] 周丽莉 韦会 廖丹 HU Bing;LU Ming;ZHOU Lili;WEI Hui;LIAO Dan(Liuzhou Liutie Central Hospital,Liuzhou,Guangxi Zhuang Autonomous Region,545007)

机构地区：[1]广西壮族自治区柳州市柳铁中心医院,545007

出　　处：《中国计划生育学杂志》2024年第1期120-123,127,共5页Chinese Journal of Family Planning

基　　金：广西壮族自治区卫生健康委员会(Z-B20221503)。

摘　　要：目的:探讨产前5P催乳法对促进初产妇产后泌乳量及母乳喂养率效果.方法:选取2022年8月-2023年8月在本院产科产前检查并住院分娩的初产妇200例为研究对象,随机分为对照组(100例)采用传统的产后常规催乳手法催乳,观察组(100例)孕满37周时采用产前5P催乳法催乳.比较两组泌乳始动时间、泌乳量(产后24h、48h、72h)、乳房肿胀程度、不良事件、母乳喂养率、新生儿第一次胎便时间和大便转黄时间.结果:观察组宫颈成熟时间、进入临产时间和总产程时间短于对照组,泌乳始动时间(21.48±3.01h)短于对照组(27.83±2.48h)、产后24h、48h、72h泌乳量(39.1±2.0ml、80.6±5.3ml、148.3±28.5ml)、母乳喂养率(94.0%)均高于对照组(31.3±2.4ml、67.3±2.5ml、115.0±12.4ml、67.0%),乳房肿胀程度Ⅱ级(7.0%)和Ⅲ级(5.0%)比例低于对照组(15.0%、29.0%),不良事件率(17.0%)低于对照组(57.0%),新生儿第一次胎便时间、大便转黄时间均短于对照组(均P<0.05).结论:产前5P催乳法可促进初产妇泌乳,提高母乳喂养率,降低乳房肿胀等不良事件发生率.Objective:To investigate the effects of prenatal 5P prolactin method for treating primiparas on their postpartum lactation volume and breasteeding rate.Methods:From August 2022 to August 2023,200 primiparas who had deliveried in hospital were selected and were randomly divided into two groups.100 primiparas in the control group received conventional postpartum galactagogue.100 primiparas in the study group recivied 5P prenatal prolactin method.from 37 gestational weeks to delivery.The first lactation time,the lactation volume at postpartum 24h,48h and 72h,the breast swelling degree.the adverse event rate,the breasteeding rate of the primiparas,and the nconatal first fetal stool time and the stool turning yellow time were compared between the two groups.Results:The cervical ripening timc,the time of near to labor,and the total labor duration of the primiparas in the study group were significantly shorter than those of the primiparas in the control group.The onset time of lactation(21.48±3.01h),and the proportions of gradeⅡ(7.0%)and gradeⅢ(5.0%)of the breast swelling of the primiparas in the study group were significantly lower than those(27.83±2.48 h,15.0%and 29.0%)of the primiparas in the control group.The incidence of adverse events(17.0%)of the primiparas in the study group was significantly lower than that(57.0%)of the primiparas in the control group.The lactation volume of the primiparas at postpartum 24h,48h,72h(39.1±2.0ml,80.6±5.3 ml and 148.3±28.5)ml,the breastfeeding rate(94.0%)of the primiparas in the study group were significantly higher than those(31.3±2.4 ml,67.3±2.5 ml,115.0±12.4 ml and 67.0%)of the primiparas in the control group.The neonatal first fetal stool time and stool turning yellow time in the study group were shorter than those in the control group(all P<0.05).Conclusion:Prenatal 5P prolactin method for the primiparas can promote their lactation,can improve their rate of breastleeding.and can reduce their incidence of breast swelling and other adverse events.

关 键 词：5P催乳法 泌乳量 母乳喂养 分娩 

分 类 号：R714.6[医药卫生—妇产科学]