乳房爬行对妊娠糖尿病孕妇所娩新生儿血糖及母乳喂养的影响  

Impacts of breast crawl on blood glucose and breastfeeding of neonates of pregnant women with gestational diabetes mellitus

作　　者：黄玲玲 陈凡[1] HUANG Lingling;CHEN Fan(Department of Obstetrics,Women and Children’s Hospital,School of Medicine,Xiamen University,Fujian,Xiamen 361001,China)

机构地区：[1]厦门大学附属妇女儿童医院厦门市妇幼保健院产科,福建厦门361001

出　　处：《中国医药科学》2025年第2期45-48,91,共5页China Medicine And Pharmacy

基　　金：福建省厦门市护理学会护理科研课题立项项目(XMSHLXH2306)。

摘　　要：目的探讨乳房爬行对妊娠糖尿病(GDM)孕妇所娩新生儿血糖水平及母乳喂养的影响。方法选取2022年10月至2023年2月于厦门市妇幼保健院GDM产妇分娩的新生儿64例作为研究对象,采用随机数表法分为对照组(n=32)和试验组(n=32)。试验组新生儿出生后立即进行乳房爬行干预,对照组新生儿采用常规母乳喂养。比较两组新生儿出生后30 min和90 min血糖水平,住院期间新生儿转新生儿重症监护病房(NICU)率,母乳喂养测量得分,首次母乳喂养成功率和出院前、出生后1个月及6个月母乳喂养情况。结果试验组出生后90 min血糖水平、母乳喂养测量得分、首次母乳喂养成功率、出院前及出生后6个月纯母乳喂养率高于对照组,差异均有统计学意义(P<0.05)。两组新生儿出生后30 min血糖、低血糖发生率、出生后1个月纯母乳喂养率及转NICU率比较,差异无统计学意义(P>0.05)。结论乳房爬行能有效稳定GDM孕妇所娩新生儿血糖水平,提高GDM患者母乳喂养率,值得临床推广与应用。Objective To investigate the impacts of breast crawl on blood glucose level and breastfeeding of neonates of pregnant women with gestational diabetes mellitus(GDM).Methods A total of 64 newborns delivered by GDM mothers in Women and Children’s Hospital,School of Medicine,Xiamen University from October 2022 to February 2023 were selected for the study,and were divided into the control group(n=32)and the experimental group(n=32)by using the method of random number table.The newborns in the experimental group underwent breast crawling intervention immediately after birth,and the newborns in the control group were breastfed routinely.The blood glucose levels at 30 min and 90 min after birth,the rate of neonatal transfer to neonatal intensive care unit(NICU)during hospitalization,breastfeeding measurement scores,the success rate of the first breastfeeding,and breastfeeding before discharge,at 1 month and 6 months after birth were compared between the two groups.Results The blood glucose level at 90 min after birth,the measurement score of breastfeeding,the success rate of first breastfeeding and the exclusive breastfeeding rate before discharge and 6 months after birth in the experimental group were higher than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference between the two groups in the blood glucose level at 30 min after birth,the incidence of neonatal hypoglycemia,the rate of exclusive breastfeeding in the first month of life,and the rate of transfer to the NICU(P>0.05).Conclusion Breast crawl can effectively stabilize the blood glucose level of neonates delivered by GDM pregnant women and improve the breastfeeding rate of GDM patients,which is worthy of clinical promotion and application.

关 键 词：乳房爬行 妊娠糖尿病 新生儿低血糖 母乳喂养 

分 类 号：R473.72[医药卫生—护理学]