剖宫产与阴道分娩产妇血催乳素水平与泌乳关系的探讨

Relationship between Serum Prolactin Levels and Lactation in Caesarean Section and Spontaneous Labour

通过对1996年6～8月在我院分娩的63例产妇,其中择期部宫产30例(剖宫产组),自然分娩33例(阴道分娩组),测定其产前、产时、产后24小时和72小时血催乳素(PRL)水平,观察其与产后泌乳始动时间以及产后1～4天泌乳情况的关系.结果显示:两组产前、产后24小时和72小时血PRL差异无显著性,但两组产时PRL均下降.剖宫产组明显低于阴道分娩组(P<0.05);部宫产组泌乳始动时间显著延迟(P<0.01);产后1～4天剖官产用泌乳不足率依次为90%、36.67%、13.33%、10%,而阴道分娩组依次为39.39%,3.33%、0%、0%.提示不仅从产科质量考虑而且从母乳喂养考虑.也应严格掌握部宫产指征.

By 63 pregnant women which were labour in our hospital, 30 of them were caesarean operated by select time (Caesarean birth groups), Other 33 cases were spontaneous labour (spontaneous labour groups). Prolactin (PRL) levels were measured in prenatal,delivery,24and 72 hour after delivery. Relationship be-tween the time of lactation beginning and quantity of lactation. Results: The PRL levels is no significantly difference between the two growps in prenatal, labour, 24 and 72 hour after delivery. At delivery PRL is decrease in the two groups, as well as PRL of catsarean birth group is lower than that of spontaneous labour groups (P<0.05).The time of lactation beginning is significant postpone in the caesarean section group (P<0.01). The rate of insufficient suckling in order 90% 36.67% 13.33% 10%, but it's 39.39% 3.33% 0% 0% in the vaginal labour groups. So that it make stricl master sign abact shown caesarean birth on the other hand, if disposlof right caesarean section and spontaneous labour are same with breast feeding.