母乳喂养支持对妊娠合并癫痫产妇泌乳量及哺乳行为的影响  

Influence of the breastfeeding support for women with epilepsy during pregnancy on their lactation volume and lactation behavior

作　　者：王怡 刘小玮[1] 年玉莹 WANG Yi;LIU Xiaowei;NIAN Yuying(Xuanwu Hospital,Capital Medical University,Beijing,10l106)

机构地区：[1]首都医科大学附属宣武医院,北京101106

出　　处：《中国计划生育学杂志》2025年第3期662-666,671,共6页Chinese Journal of Family Planning

摘　　要：目的:探讨母乳喂养支持对妊娠合并癫痫产妇泌乳量及哺乳行为的影响。方法:纳入2021年2月-2023年12月在本院妇产科收治的妊娠合并癫痫产妇105例,随机分为对照组(52例,常规术后干预)和观察组(53例,常规术后干预联合母乳喂养支持干预)。干预持续4周,主要观察指标包括泌乳量、母乳喂养自我效能量表(BSES)评分、爱丁堡产后抑郁量表(EPDS)和焦虑自评量表(SAS)评分及新生儿体质量变化。结果:干预4周后,两组泌乳量均高于干预1周后且观察组(586.35±42.67 ml)高于对照组(512.78±39.34 ml),观察组母乳喂养BSES信心、技巧、坚持度、舒适度评分(7.86±0.38分、7.95±0.41分、6.79±0.35分、8.06±0.37分)均高于对照组(7.15±0.44分、7.58±0.46分、6.34±0.43分、7.68±0.45分),EPDS、SAS评分(15.45±3.67分、45.78±6.52分)均低于对照组(18.82±4.21分、52.45±7.19分),干预2周、4周观察组新生儿体质量(542±74 g、342±43 g)增幅均高于对照组(312±45 g、436±78 g)(均P<0.05)。结论:母乳喂养支持能够有效提高妊娠合并癫痫产妇的泌乳量,改善母乳喂养行为,缓解产后抑郁和焦虑情绪,增加新生儿体质量。Objective:To explore the influence of the breastfeeding support for women with epilepsy during pregnancy on their lactation volume and lactation behavior.Methods:1o5 pregnant women with epilepsy who wanted delivery in the hospital were included and were randomized into control group(52 cases with the routine postpartum intervention for 4 weeks)and study group(53 cases with the breastfeeding support combined with the routine postpartum intervention for 4 weeks)from February 2021 to December 2023.The main observation indicators included the lactation volume,the scores of breastfeeding self-efficacy scale(BSES),Edinburgh postnatal depression scale(EPDS)and self-rating anxiety scale(SAS),and the neonatal body mass change of the women in the two groups.Results:The lactation volume of the women in the two groups after 4 weeks of intervention was significantly higher than that of the women after 1 week of intervention,and which(586.35±42.67 ml)of the women in the observation group was significantly higher than that(512.78±39.34 ml)of the women in the control group.The scores of the confidence(7.86±0.38 points),the skill(7.95±0.41 points),the persistence(6.79±0.35 points)and the comfort(8.06±0.37 points)in the breastfeeding BSES of the women in the observation group were significantly higher than those(7.15±0.44 points,7.58±0.46 points,6.34±0.43 points and 7.68±0.45 points)of the women in the control group.The scores of EPDS(15.45±3.67 points)and SAS(45.78±6.52 points)of the women in the observation group were significantly lower than those(18.82±4.21 points and 52.45±7.19 points)of the women in the control group.After 2 and 4 weeks of intervention,the increased values of the neonatal weight in the observation group were 542±74g and 342±43g,and which were significantly higher than those(312±45g and 436±78g)in the control group(all P<0.05).Conclusion:The breastfeeding support for the pregnant women with epilepsy can effectively enhance their lactation volume,improve their breastfeeding behavior,relieve t

关 键 词：妊娠合并癫痫产妇 母乳喂养 泌乳量 哺乳行为 产后护理 

分 类 号：R47[医药卫生—护理学]