母婴皮肤接触持续时间对新生儿影响的研究

Effects of 90 min skin-to-skin contact between newborn infants and their mothers on infants' body temperature,sense of safety and breastfeeding

目的评价新生儿出生后与母亲皮肤接触持续90 min对新生儿体温、安全感及母乳喂养的影响。方法将在北京市3所医院分娩的320例正常产妇及正常足月新生儿随机分为两组:实验组新生儿出生后立即仰卧放置在产妇腹部,脐带搏动停止后断脐,新生儿俯卧于产妇胸前持续90 min后给予新生儿常规护理;对照组按常规方法断脐并给予常规护理操作后,将新生儿放置于产妇腹部进行母婴皮肤接触30 min。比较两组新生儿体温的变化情况,出生后90 min内啼哭次数,出现觅食反射的时间及早吸吮、早开奶的时间。结果 296例产妇及其新生儿完成研究,实验组150例,对照组146例。两组比较,实验组新生儿出生后30 min、60 min、90 min、120 min体温均高于对照组,体温波动小于对照组,差异有统计学意义(P<0.001)。实验组新生儿出生后90 min内啼哭次数少于对照组、觅食反射出现时间早于对照组、第1次母乳喂养持续时间长于对照组,差异有统计学意义(P<0.001)。结论母婴皮肤接触持续90 min有利于维持新生儿体温,增加新生儿安全感,促进母乳喂养。

Objective To evaluate the effects of the skin-to-skin contact for 90minutes between newborn infants and their mothers on infants'body temperature,sense of safety and breastfeeding.Methods A total of 320healthy mothers and their mature newborn infants in three hospitals in Beijing were enrolled and divided into two groups randomly:infants in the experimental group had skin-to-skin contact with their mothers immediately after birth,they were put on their mothers'abdomen after umbilical cord clamping,then after 90min,they were given routine nursing care;infants in the controll group firstly had their umbilical cord clamping and routine nursing care,then they were put on their mothers'abdomen for 30 min.Body temperature change,number of crying,initial time of rooting reflex,early sucking and early opening milk.Results Totally 296mothers and infants completed the study, 150cases in the experimental group,and 146in the control group.The experimental group had higher body temperature than the control group at 30,60,90and 120 min after birth,and fluctuation of body temperature in the experimental group was less than that in the control group,and differences were statistically significant(P<0.001). Number of crying in the experimental group was lower,initial time of rooting reflex was earlier,and duration of first breastfeeding was longer,and differences were statistically significant(P<0.001).Conclusion The immediate skin-to-skin contact for 90min between newborn infants and their mothers can keep warm of newborn infants,make them feel safe and promote breasffeeding.