超早期乳房护理干预对母婴分离产妇泌乳影响的研究

The effects of early regular breast care in maternal lactation with maternal separation

目的探索超早期乳房护理干预对母婴分离产妇泌乳量的影响。方法将92例阴道分娩母婴分离产妇随机分为实验组和对照组,各46例,两组均按母婴分离常规护理,实验组在常规护理基础上,在产后2h内对产妇乳头进行刺激,以后开始挤奶,1次/3小时,每次双侧乳房挤奶时间持续20min。观察两组产妇泌乳始动率、血清泌乳素水平(PRL)、泌乳量以及乳房肿胀的发生率。结果实验组产妇泌乳始动时间提前、PRL水平增高、泌乳量增多、乳房肿胀的发生率降低,与对照组比较均差异有统计学意义(P<0.05或0.01)。结论超早期乳房护理干预可使乳房肿胀发生率降低,促进乳汁分泌。

Objective To study the effects of early regular breast care intervention for maternal lactation in maternal separation. Methods 92 cases who experienced maternal separation after vaginal delivery were randomly divided into experimental and control group,with 46 cases in each group. Control group applied usual nursing. The experimental group applied early regular breast care base on the usual nursing,stimulated the maternal nipple 2 h after delivery,milking bilateral breast per 3 h,each time for 20 min. Then observed initiating rate,serum prolactin levels（PRL）,lactation and the incidence of breast swelling of lactating mothers. Re- sults The maternal lactation time of experimental group moved ahead of schedule,the levels of serum prolactin and milk production increased,the incidence of breast swelling reduced. All of them were significant difference compared with the control group（P~ 0.05 or 0.01）. Conclusion Early regular breast care intervention can reduce the incidence of breast swelling and promote milk se- cretion.