ISSN 1672-9234　CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
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中华护理教育

中华护理教育 ›› 2022, Vol. 19 ›› Issue (6): 562-565.doi: 10.3761/j.issn.1672-9234.2022.06.016

• 临床实践 • 上一篇    下一篇

新生儿乳房爬行在自然分娩产妇中的应用研究

程桂芝(),倪倩倩(),辛友地,周颜,张旖旎,周利华,陈安   

  1. 230001 合肥市 中国科学技术大学附属第一医院产科（程桂芝,倪倩倩,辛友地,周颜,张旖旎）；230601 合肥市 安徽医科大学护理学院（周利华）；02150 芬兰艾斯波 芬兰阿尔托大学医疗服务管理研究中心（陈安）
  • 收稿日期:2021-09-22 出版日期:2022-06-15 发布日期:2022-06-21
  • 通讯作者: 倪倩倩
  • 作者简介:程桂芝：女,本科,副主任护师,E-mail： <email>cgz2644@sina.com</email>

Application of the neonatal breast crawling in women with natural delivery

CHENG Gui-zhi(),NI Qian-qian(),XIN You-di,ZHOU Yan,ZHANG Yi-ni,ZHOU Li-hua,CHEN An   

  • Received:2021-09-22 Online:2022-06-15 Published:2022-06-21
  • Contact: Qian-qian NI

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摘要：

目的 评价新生儿乳房爬行对促进自然分娩产妇产后泌乳和早期母乳喂养的效果。方法 将2021年2月1日 —5月31日在安徽省某三级甲等医院自然分娩的产妇分为试验组（2月1日—3月31日,n=68）和对照组（4月1日—5月31日,n=62）。试验组实施新生儿乳房爬行,主动寻乳吸吮;对照组实施新生儿被动含乳吸吮。在产后次日晨检测血清泌乳素、雌二醇和孕酮,记录两组的首次母乳喂养时间、泌乳发动时间及泌乳发动延迟情况。结果 在研究过程中,试验组剔除9例,对照组剔除3例,两组的有效样本均为59例。试验组产妇血清泌乳素高于对照组（Z=2.822,P=0.005）,血清雌二醇低于对照组（Z=2.056,P=0.040）,首次母乳喂养时间长于对照组（Z=4.154,P<0.001）,泌乳发动时间早于对照组（Z=2.987,P=0.003）,泌乳发动延迟率低于对照组（ χ2=4.196,P=0.041）。 结论 新生儿乳房爬行对刺激自然分娩产妇产后泌乳和早期母乳喂养有促进作用。

关键词: 母乳喂养, 自然分娩, 婴儿,新生, 乳房爬行

Abstract:

Objective To explore the effects of neonatal breast crawling on postpartum lactation and early breastfeeding among women with natural delivery. Methods Women with natural delivery in a class A hospital of Anhui Province from February 1 to May 31,2021 were divided into experimental group（February 1 to March 31,n=68） and the control group（April 1 to May 31,n=62）. The neonatal breast crawling and actively seeking breast sucking was adopted in the experimental group while passive sucking was used in the control group. Serum prolactin,estradiol and progesterone were detected the next morning after the delivery. The first breastfeeding time,lactation initiation time and delay of lactation initiation were recorded. Results During the study,9 cases were excluded from the experimental group and 3 cases were excluded from the control group,with 59 participants in both groups. The serum PRL concentration in the experimental group was higher than that in the control group （Z=2.822,P=0.005）. The serum E2 was lower than that of the control group（Z=2.056,P=0.040）. The first breastfeeding time was longer than that of the control group（Z=4.154,P<0.001）,the lactation start time was earlier than that of the control group（Z=2.987,P=0.003）,and the lactation start delay rate was lower than that of the control group（ χ2=4.196,P=0.041）. Conclusion The new-born breast crawling can promote postpartum lactation and early breastfeeding.

Key words: Breast Feeding, Natural Childbirth, Infant,Newborn, Breast crawling