影响母婴分离产妇乳汁分泌的多因素分析

Analysis of multiple factors affect maternal separation maternal milk

目的探讨影响母婴分离产妇乳汁分泌的主要因素，从而为产妇乳汁正常分泌提供相关建议。方法选取2009年3月到2012年11月无锡市第九人民医院治疗的母婴分离产妇145例，从单因素和多因素两个方面对影响母婴分离产妇乳汁分泌的相关因素进行总结分析。结果产妇中自然分娩、产后2h内刺激乳头、24h挤奶次数的增加且挤奶时间在10—30min、在夜间进行挤奶，抑郁值评价（EPDS）〈9分者有利于母婴分离产妇乳汁分泌。统计因素中，产妇年龄、孕次以及麻醉药物使用情况无直接影响。结论为促进母婴分离产妇产后乳汁正常分泌或多分泌，采取自然分娩、增加挤奶的次数，早期进行乳头刺激或挤奶，做好母婴分离产妇产后的心理疏导以减轻产后焦虑抑郁等具有较好的效果。

Objective To investigate the main factors maternal separation maternal milk secretion, so as maternal milk secretion normally provide recommendations. Methods March 2009 to November 2012 145 cases of maternal maternal separation Ninth People＇s Hospital, Wuxi treatment from both univariate and multivariate aspects of the relevant factors affecting maternal separation maternal milk were analyzed. Results Maternal natural childbirth, postpartum 2 h nipple stimulation, increasing the frequency of milking and milking 24h time 10 - 30min, at night milking, depression value assessment （EPDS） 〈 9 points were in favor of maternal separation maternal milk secretion. Statistical factors, maternal age, gravidity and use of narcotic drugs is not directly affected. Conclusion To promote postpartum maternal separation normal secretion or secretion of milk, take a natural childbirth, increasing the frequency of milking, milking an early stage or nipple stimulation, good maternal separation postpartum psychological counseling to relieve anxiety and postpar- tum depression with good results.