住院期间护士全程实施婴儿喂哺对促进初产母乳喂养效果研究

Effect of Baby Feeding Guided by Nurses on the Breast Feeding in Primiparas During the Whole Hospitalization Period

目的探讨初产妇住院期间护士全程实施婴儿喂哺对促进母乳喂养的效果。方法随机选取该院2013年8月—2015年5月接诊的初产妇100例按照随机数字法分为两组,各50例,对照组住院期间首次早吮吸由护士完成并指导母乳喂养,之后按照爱婴医院相关规定指导家属协助婴儿母乳喂养,研究组则在初产妇住院期间护士全程实施婴儿哺喂指导,对比分析两组效果。结果研究组泌乳时间在〈24 h、24-72 h上的百分比明显高于对照组,而〉72 h上的百分比则明显低于对照组,组间对比差异有统计学意义（P〈0.05）;研究组母乳量充足率明显高于对照组,同时坚持四个月纯母乳喂养率也明显高于对照组,组间对比差异有统计学意义（P〈0.05）;此外,研究组奶胀发生率与乳腺炎发生率明显低于对照组（P〈0.05）。结论初产妇住院期间护士全程实施婴儿喂哺对促进产妇母乳喂养有着积极的意义,可促进产后及时泌乳,并改善母乳量充足率,延长纯母乳喂养时间,降低奶胀与乳腺炎发生率,值得借鉴。

Objective To investigate the effect of baby feeding guided by nurses on the breast feeding in primiparas during the whole hospitalization period. Methods 100 primiparas admitted in our hospital from August 2013 to May 2015 were divided into two groups, the control group and the study group in accordance with the random number method with 50 cases in each. In the control group, the first early sucking of the babies was implemented and the breast feeding was guided and assisted by the nurses under the relative regulations of the baby-friendly hospital. In the study group, baby feeding was guided by the nurses during the whole hospitalization period of the primiparas. And the effect of breast feeding of the two groups was compared and analyzed. Results The proportion of primiparas with the lactation time 24 h, 24-72 h was much higher in the study group than that in the control group respectively with statistically significant differences（P〈0.05）, while that of primiparas with the lactation time 72h was much lower in the study group than that in the control group with statistically significant difference（P〈0.05）. The breast volume adequacy ratio was significantly higher in the study group than that in the control group（P〈0.05）. The 4-month breast feeding rate was significantly higher in the study group than that in the control group（P〈0.05）. In addition, the incidence of milk bulge was significantly lower in the study group than that in the control group（P〈0.05）. The incidence of mastitis was obviously lower in the study group than that in the control group（P〈0.05）. Conclusion Baby feeding guided by nurses in the primiparas during the whole hospitalization period is of positive significance in promoting the breast feeding and timely postpartum lactation, improving the milk supply adequacy, prolonging the duration of exclusive breastfeeding, and reducing the rate of milk bulge and mastitis, so it is worthy of reference.