晚断脐配合早接触和早吸吮的临床效果观察

Clinical Observation of Late Umbilicus Breaking combined with Early Contact and Early Sucking

目的探讨晚断脐配合早接触、早吸吮的临床效果观察。方法对清远市人民医院产科于2018年3月至8月期间顺产分娩的163例母亲及新生儿的临床资料进行分析,将入选产妇及新生儿随机分为观察组(96人,行晚断脐带配合早接触、早吸吮护理)、对照组(67人,行早接触、早吸吮护理)两组。结果两组孕妇一般资料包括年龄、孕周、文化程度比较,无统计学差异性(P>0.05),新生儿体重、出生后7天经皮胆红素值、产后30分钟新生儿血氧饱和度比较,观察组与对照组,无统计学差异(P>0.05)。断脐时间时间、新生儿产后30分钟新生儿安静无哭闹比较,观察组高于对照组,差异具有统计学意义(P<0.05)。产妇产后2h出血量、产妇产后24h出血量比较,两差异均无统计学意义(P>0.05)。结论实行晚断脐配合早接触、早吸吮,并不增加产后出血量的发生,对于产妇是比较安全的、有益的;同时不会提高新生儿皮胆红素值,有利于新生儿心率平稳及安静,让母亲对母乳喂养充满信心对提高纯母乳喂养率起到一定的作用。

Objective To investigate the clinical effect of late umbilicus rupture combined with early contact and early sucking.Methods This paper analyzes the clinical data of 163 cases of mothers and newborns who gave birth during March August 2018 in obstetrics department of Qingyuan people’s hospital.The selected mothers and newborns were randomly divided into two groups:the observation group(96 people,with early contact and early sucking Nursing)and the control group(67 people,with early contact and early sucking Nursing).Results The general information of pregnant women in the two groups included age,gestational age,and level of education,and there was no statistical difference(P>0.05).The time of umbilical cord amputation and 30 minutes postpartum neonatal silence without crying were significantly higher in the observation group than in the control group(P<0.05).There was no significant difference between the two groups(P>0.05).Conclusion Practice late break umbilicus with early contact,early sucking,early sucking,Does not increase postpartum bleeding,To puerpera is safer,beneficial;And it doesn’t increase the skin bilirubin of the newborn,it is conducive to stable and quiet heart rate of newborn,Giving mothers confidence in breastfeeding has helped to raise rates of exclusive breastfeeding.