新生儿早期基本保健对初产妇泌乳启动的影响

doi:10.11852/zgetbjzz2019-0013

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (10): 1136-1139.DOI: 10.11852/zgetbjzz2019-0013

新生儿早期基本保健对初产妇泌乳启动的影响

崔敏¹, 刘振芳¹, 王爱华¹, 张效艳², 张媛媛¹, 王雪莲²

1 潍坊医学院护理学院,山东潍坊 261053;
2 潍坊医学院附属医院产房,山东潍坊 261031

收稿日期:2019-01-04 发布日期:2019-10-10 出版日期:2019-10-10
通讯作者: 王爱华,E-mail:wangaihua64@163.com
作者简介:崔敏(1992-),女,硕士研究生在读,主要研究方向为妇产科护理及母婴助产。
基金资助:
2018年潍坊市科学技术发展计划(医学类)(2018YX029)

Effects of early essential newborn care on the onset of lactogenesis among primiparaes

CUI Min¹, LIU Zhen-fang¹, WANG Ai-hua¹, ZHANG Xiao-yan², ZHANG Yuan-yuan¹, WANG Xue-lian²

1 Nursing School of Weifang Medical University,Weifang,Shandong 261053,China;
2 Delivery Ward,the Affiliated Hospital of Weifang Medical University,Weifang,Shandong 261031,China

Received:2019-01-04 Online:2019-10-10 Published:2019-10-10
Contact: WANG Ai-hua,E-mail:wangaihua64@163.com

摘要/Abstract

摘要： 目的研究新生儿早期基本保健(EENC)技术对初产妇母乳喂养得分、泌乳启动时间及产后前72 h纯母乳喂养率的影响。方法 2018年6-7月随机选取潍坊医学院附属医院自然分娩的89对初产妇及新生儿,分为干预组(n=45)及对照组(n=44)。干预组新生儿实施EENC,对照组进行常规护理。采用母乳喂养测量工具(BAT)进行母乳喂养评分,并在产后24、48、72 h随访记录产妇泌乳启动时间及纯母乳喂养情况。结果干预组首次母乳喂养评分为(10.84±1.36)分,对照组为(10.23±1.43)分,差异有统计学意义(t=-2.085,P=0.040);干预组产妇泌乳启动时间[(48.51±10.71)h] 早于对照组[(53.66±10.99)h] ,差异有统计学意义(t=2.238,P=0.028);干预组产后24、48、72 h的纯母乳喂养率(33.3%、51.1%、71.1%)均高于对照组(13.6%、29.5%、50.0%),差异有统计学差异(χ²=4.788,4.295,4.155,P<0.05)。但两组首次母乳喂养或成功率和泌乳启动率间差异均无统计学意义(P>0.05)。结论新生儿早期基本保健对母乳喂养评分及产妇泌乳启动有促进作用,能够提高早期纯母乳喂养率,值得推广。

关键词: 新生儿早期基本保健, 初产妇, 泌乳启动, 母乳喂养

Abstract: Objective To study the effect of early essential newborn care(EENC) after birth on neonatal first breastfeeding success rate,maternal onset of lactogenesis and exclusive breastfeeding rate during 72 h postpartum. Methods A total of 89 primiparas mother-infant pairs were recruited from a tertiary hospital in Shandong from June to July 2018,and were randomly divided into intervention group(n=45) and control group(n=44). The intervention group received the EENC,while the control group was given routine care. The neonatal first breastfeeding was scored after the postpartum by the Breastfeeding Measurement Tool(BAT).The onset time for maternal lactogenesis and the exclusive breastfeeding rate per 24 hours were recorded during the follow-up. Results The first breastfeeding score in intervention group(10.84±1.36) was significantly higher than that in control group(10.23±1.43)(t=-2.085,P=0.040). The onset time for lactogenesis of the intervention group[(48.51±10.71) h] was significantly earlier than that of the control group[(53.66±10.99) h] (t=2.238,P=0.028). Moreover,the exclusive breastfeeding rates in 24 hours(33.3% vs.13.6%),48 hours(51.1% vs. 29.5%) and 72 hours(71.1% vs. 50.0%) after delivery in intervention group were significantly higher than those in control group(χ²=4.788,4.295,4.155,P<0.05),but the differences on the successful rate of breastfeeding,and the onset rate of lactogenesis between the two groups were not significant(P＞0.05). Conclusion Early essential newborn care can promote the first breastfeeding score and maternal lactation,and effectively increase the early exclusive breastfeeding rate,which is worthy of widely use.

Key words: early essential newborn care, primipara, onset of lactogenesis, breastfeeding

中图分类号:

R772.6

崔敏, 刘振芳, 王爱华, 张效艳, 张媛媛, 王雪莲. 新生儿早期基本保健对初产妇泌乳启动的影响[J]. 中国儿童保健杂志, 2019, 27(10): 1136-1139.

CUI Min, LIU Zhen-fang, WANG Ai-hua, ZHANG Xiao-yan, ZHANG Yuan-yuan, WANG Xue-lian. Effects of early essential newborn care on the onset of lactogenesis among primiparaes[J]. journal1, 2019, 27(10): 1136-1139.

参考文献

[1] World Health Organization. Early essential newborn care:clinical practice pocket guide[R] . Geneva:World HeaIth Organization, 2016:1-35.
[2] 冯瑜,池桂红,赵丽萍,等.新生儿早期基础保健项目实施对正常分娩足月儿患病的影响[J] .中国妇幼健康研究,2017,28(11):1433-1435.
[3] 徐丹凤,蒋运兰,罗晓菊,等.新生儿早期基本保健技术对0~6个月婴儿体重增长的影响[J] .西部医学,2018,30(11):1700-1703.
[4] 李夏芸,徐韬.世界卫生组织新生儿早期基本保健技术的理论与实践[J] .中华围产医学杂志,2017,20(9):689-691.
[5] 黄蓉,候燕文,刘宏,等.早期母婴皮肤接触l小时对初产妇产后6个月母乳喂养的影响[J] .中华护理杂志,2015,50(12):1420-1424.
[6] Chapman DJ, Perez-Escamilla R. Maternal perception of the onset of lactation is a valid, public health indicator of lactogenesis stage Ⅱ[J] . J Nutr, 2000,130(12):2972-2980.
[7] 高峰,陈京立,周彩峰.早期母婴皮肤接触对新生儿体温和母乳喂养的影响[J] .护理管理杂志,2010,10(12):852-854.
[8] 郗浩丽.客体关系理论的转向:温尼科特研究[M] .福州:福建教育出版社,2008.
[9] Bystrova K,Ivanova V,Edhborg M,et al.Early contact versus separation effects on mother infant interaction one year later[J] . Birth, 2009, 36(2):97-109.
[10] 朱鹏,陶芳标,蒋晓敏,等.孕期应激生活事件、体重增加及分娩方式对初产妇泌乳启动延迟的影响[J] .卫生研究,2010,39(4):478-482.
[11] 薛瑶纯,徐琼,刘莉,等.广州市女性分娩后的膳食摄入情况及泌乳启动延迟相关影响因素分析[J] .华南预防医学,2015,41(3):218-223.
[12] Arthur P, Smith M, Hartmann P. Milk lactose,citrate and glucose as markers of lactogenesis in normal and diabetic women[J] . J Pediatr Gastroenterol Nutr,1989, 9(4):488-496.
[13] Dimitraki M,Tsikouras P,Manav B,et al.Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding[J] .Arch Gynecol Obstet,2016,293(2):317-328.
[14] Arivabene JC, Tyrrell MAR. Kangaroo mother method:mothers′experiences and contributions to nursing[J] . Revista Latino Americana De Enfermagem,2010,18(2):262-268.
[15] CDC. Vital,signs:hospital practices to support breastfeeding-United States,2007 and 2009[J] . Morbidity and Mortality Weekly Report, 2011, 60(30):1020-1205.
[16] Neville MC,Morton J.Physiology and endocrine changes un derlying human lactogenesis Ⅱ[J] . J Nutr,2001,131(11):3005-3008.
[17] Bramson L, Lee JW, Moore E, et al. Effect of early skin-to skin mother-infant contact during the first 3 hours following birth on exclusive breastfeeding during the maternity hospital stay[J] . Hum Lact, 2010, 26(2):130-137.
[18] 杨惠燕.母乳每日喂养次数对泌乳量影响的观察[J] .齐齐哈尔医学院学报,2015,36(17):2634-2635.

新生儿早期基本保健对初产妇泌乳启动的影响

Effects of early essential newborn care on the onset of lactogenesis among primiparaes

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	李茗竹, 王静, 谢多双. 小于胎龄儿过快追赶生长与儿童期肥胖关系的研究[J]. 中国儿童保健杂志, 2023, 31(7): 751-755.
[2]	徐燕, 刘东海, 梁譞, 郭丽, 戴永利, 张蓉芳. 高原地区儿童哮喘影响因素分析[J]. 中国儿童保健杂志, 2022, 30(7): 796-800.
[3]	于晓冉, 闫银坤, 黄艺文, 程红, 闫琦, 万乃君, 李丽华, 任霞, 谢向晖, 米杰. 北京市0~36月龄婴幼儿肠道菌群特点[J]. 中国儿童保健杂志, 2022, 30(2): 124-129.
[4]	周婕, 李大威, 刘日辉. 母乳喂养与儿童口腔不良习惯关系的Meta分析[J]. 中国儿童保健杂志, 2022, 30(1): 67-71.
[5]	华祎, 王益, 汪莹莹, 黄倩, 沈惠娟, 陈华琴, 陈语, 李红新. B类高危儿293例信息化管理随访分析[J]. 中国儿童保健杂志, 2022, 30(1): 102-105.
[6]	陈嘉洁, 林力孜, 黄赛君, 王馨, 郭翠华, 武宁, 静进, 曹牧青. 母乳喂养与幼儿神经心理发育的关联研究[J]. 中国儿童保健杂志, 2021, 29(9): 937-941.
[7]	李昱剑, 王杨, 阚璇. 中国儿童哮喘急性发作危险因素的Meta分析[J]. 中国儿童保健杂志, 2021, 29(9): 992-995.
[8]	潘维伟, 童笑梅, 李在玲. 母乳喂养与人工喂养对早产儿脑白质损伤预后的影响[J]. 中国儿童保健杂志, 2021, 29(8): 820-823.
[9]	陈长春, 周勤, 王敏, 梅英姿, 姜善雨. 母乳喂养质量改进对极/超低出生体重儿的影响[J]. 中国儿童保健杂志, 2021, 29(8): 906-909.
[10]	贾朝霞, 赵永鲜, 黄丽丽, 王军华, 王朝, 武明辉. 妊娠期糖尿病与儿童超重肥胖的相关性研究[J]. 中国儿童保健杂志, 2021, 29(7): 717-720.
[11]	杨婧, 魏娜, 刘晓亚, 赵钿, 许吟. 延长产后母婴皮肤接触时间对母乳喂养的影响[J]. 中国儿童保健杂志, 2021, 29(5): 565-568.
[12]	肖述月, 姚诗忆, 马忠华, 熊梅, 彭竞, 徐韬. 四川省凉山州4个重点贫困县6~24月龄婴幼儿营养及喂养现状调查[J]. 中国儿童保健杂志, 2021, 29(2): 138-142.
[13]	胡燕. 婴幼儿科学喂养与肠道健康[J]. 中国儿童保健杂志, 2021, 29(10): 1041-1043.
[14]	崔一帆, 董明明, 胡丹, 肖绪武. 不同喂养方式对婴儿智能发育及免疫功能的影响[J]. 中国儿童保健杂志, 2021, 29(10): 1049-1052.
[15]	经连芳, 李燕, 韦秋芬, 谭伟, 姚丽平, 莫艳. 母乳喂养质量改进对极低和超低出生体重儿母乳喂养率的影响[J]. 中国儿童保健杂志, 2020, 28(6): 692-695.