应用综合干预技术减少剖宫产产妇泌乳启动延迟的效果分析
摘要
目的探讨基于护理程序的综合干预技术对减少产后泌乳启动延迟的效果。方法随机选择70例剖宫产术后产妇,分为早接触吸吮组(24例)、早接触吸吮+理论组(22例)、综合干预组(24例),比较3组产后泌乳启动时间、泌乳启动延迟率、出院时纯母乳喂养率和乳头疼痛/破损率。结果综合干预组泌乳启动时间早于其它2组,泌乳启动延迟率低于其它2组,出院时纯母乳喂养率高于其它2组,差异均有统计学意义(P<0.05)。结论基于护理程序的综合干预技术能够有效促进剖宫产产妇泌乳启动,减少泌乳启动延迟的发生,提高纯母乳喂养率。
引文
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[6]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.
[7]姜珊,段一凡,庞学红,等.2013年中国乳母下奶延迟流行状况及其影响因素[J].中华预防医学杂志,2016,50(12):1061-1066.
[8]Brownell E,Howard C R,Lawrence R A,et al.Delayed onset lactogenesis II predicts the cessation of any or exclusive breastfeeding[J].J Pediatr,2012,161(4):608-614.
[9]Dewey K G,Nommsen-Rivers L A,Heinig M J,et al.Risk factors for suboptimal infant breastfeeding behavior,delayed onset of lactation,and excess neonatal weight loss[J].Pediatrics,2003,112(3 Pt 1):607-619.
[10]郑晓龙,章瑶,徐鑫芬.泌乳启动延迟影响因素及其干预的研究进展[J].中华护理杂志,2014,49(3):340-343.
[2]徐雪芬,胡引.阶段性电话回访对初产妇产褥期纯母乳喂养的影响研究[J].中国实用护理杂志,2017,33(3):191-193.
[3]司曼丽,顾平,石志宜.妊娠不良事件与泌乳启动延迟相关性的研究进展[J].国际护理学杂志,2017,36(5):577-579.
[4]Hruschka D J,Sellen D W,Stein A D,et al.Delayed onset of lactation and risk of ending full breast-feeding early in rural Guatemala[J].J Nutr,2003,133(8):2592-2599.
[5]Nommsen-Rivers L A,Chantry C J,Peerson J M,et al.Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding[J].Am J Clin Nutr,2010,92(3):574-584.
[6]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.
[7]姜珊,段一凡,庞学红,等.2013年中国乳母下奶延迟流行状况及其影响因素[J].中华预防医学杂志,2016,50(12):1061-1066.
[8]Brownell E,Howard C R,Lawrence R A,et al.Delayed onset lactogenesis II predicts the cessation of any or exclusive breastfeeding[J].J Pediatr,2012,161(4):608-614.
[9]Dewey K G,Nommsen-Rivers L A,Heinig M J,et al.Risk factors for suboptimal infant breastfeeding behavior,delayed onset of lactation,and excess neonatal weight loss[J].Pediatrics,2003,112(3 Pt 1):607-619.
[10]郑晓龙,章瑶,徐鑫芬.泌乳启动延迟影响因素及其干预的研究进展[J].中华护理杂志,2014,49(3):340-343.