母婴分离对产妇影响的临床研究

Clinical Study of Maternal Separation in Puerpera

目的:探讨产后母婴分离对产妇影响的临床分析。方法:回顾性分析我院住院分娩的418例产妇,根据母婴分离与否分为两组,母婴分离为研究组222例,母婴同室为对照组196例,评估两组产妇产后开始泌乳时间及泌乳量、产后出血时间、产后情绪异常率、产后子宫复旧时间及产后42d母乳喂养率等情况的影响。结果:产后开始泌乳时间、开始泌乳量、产后恶露时间、产后抑郁发生率、子宫复旧时间、产后42d母乳喂养率,研究组分别为(20.3±4.7)h,(10.5±8.1)ml,(31.9±4.2)d,11.26%,(45.4±4.9)d,72.52%;对照组分别为(12.5±2.3)h,(17.1±7.3)ml,5.61%,(37.2±2.6)d,89.28%,差别均有统计学意义(P<0.05)。结论:母婴分离延长了产妇的泌乳时间,泌乳量减少,恶露时间长、子宫复旧慢,并增加其产后抑郁症的发生率,使产后母乳喂养率降低,影响到母儿的身心健康。

Objective：To investigate the impact of postnatal maternal separation on maternal.Methods：418 cases of our hospital of maternal birth were analyzed retrospectively.Thet were divided into two groups according to whether or not maternal separation,including maternal separation for the study group（222 cases）,rooming-in the control group（196 cases）.Start lactating postpartum time and lactation,postpartum bleeding,rates of postpartum mood disorders,postpartum uterine involution time and 42 days postpartum breastfeeding rate situation was assessed.Results：Post-partum lactation start time,start lactation,postpartum lochia time,the incidence of postpartum depression,uterine involution time,42 days postpartum breastfeeding rates of the study group were（20.3±4.7）h,（10.5±8.1）ml,（31.9±4.2）d,11.26%,（45.4±4.9）d,72.52% respectively;the control group were（12.5±2.3）h,（17.1±7.3）ml,5.61%,（37.2±2.6）d,89.28%.The difference were statistically significant（P0.05）.Conclusion：Maternal Separation can extend maternal lactation time,reduc lactation,lochia a long time,slow uterine involution,and increase the incidence of postpartum depression,postpartum breastfeeding rates to reduce the impact on mother and child health.