早期母婴皮肤接触对子宫复旧和催乳素的影响

Effect of early maternal and child skin contact on uterine involution and prolactin

目的观察母亲与新生婴儿皮肤进行早期接触对母亲产后的母乳量和子宫复旧程度的影响。方法选择2017年1月-2018年1月武清区人民医院收治的100例经阴道分娩的健康产妇,随机分成对照组和观察组各50例,观察组产妇在新生儿出生后立即进行母婴皮肤早接触≥1 h,对照组仅进行产科常规护理。对比两组产妇产后2 4 h的宫底高度及2 4 h时产妇体内催乳素水平。结果观察组产后24 h时产妇子宫复旧的程度、体内催乳素含量均优于对照组,差异均有统计学意义(P<0.05)。结论早期母婴皮肤接触≥1 h对产妇初产后子宫复旧有极大帮助,有助于产妇体内泌乳素含量的上升,促进产妇乳汁分泌,值得临床推广应用。

Objective To study the effect of early skin contact on postpartum breast milk and uterine restoration. Methods From January 2017 to January 2018 in Tianjin Wuqing District People’s Hospital,100 cases of healthy parturient who were delivered by vagina were randomly divided into control group and observation group,50 cases in each group. In the observation group,maternal and infant skin contact was earlier than 1 hour immediately after the birth of the newborn,while the control group was only given routine obstetrical nursing. The height of uterus floor and prolactin level were measured at 24 hours postpartum. Results The degree of uterine involution and the content of prolactin in the observation group at 24 hours postpartum were better than those in the control group,the differences were statistically significant(P<0.05). Conclusion The skin contact of early mothers and infants for more than 1 hour is of great help to the uterine involution for parturient after primipara,to increase the content of prolactin and promote the secretion of milk. It is worthy of clinical application.