综合干预对初产妇母乳喂养的影响

Comprehensive intervention in promoting breast milk secretion in the primipara

目的观察综合干预对初产妇乳汁分泌的影响。方法选择我院分娩的初产孕妇100例,随机分为试验组和对照组,各50例;2组产后均给予常规处置;试验组在常规处置的基础上配合综合干预,主要从产前宣教、饮食指导、乳房卫生护理及居住环境干预入手对产妇进行干预治疗。采用估计评分法对2组试验对象各项干预前后进行评分;并于干预前及干预结束当天取产妇晨起空腹静脉血,采用放射免疫法测定血清泌乳素(PRL)水平变化。结果试验组干预后各项指标及泌乳总量评分均显著高于对照组(P<0.05);试验组干预后血清PRL水平显著高于对照组(P<0.05)。结论有效的综合干预方案能明显提高产妇产后血清泌乳素水平,进而提高泌乳量,对提高产妇产后人工喂养率有积极作用。

Objective To observe the effect of comprehensive intervention on the breast milk secretion in the primipara. Methods A total of 100 primiparas who were admitted in our hospital were included in the study and randomized into the experiment group and the control group with 50 cases in each group. The primiparas in the two groups were given routine treatments. On this basis,the primiparas in the experiment group were given additional comprehensive interventions,including prenatal health education,diet guidance,breast hygiene guidance,and living environment.The evaluation scoring method was used for grading. The morning fasting venous blood before intervention and the day after intervention was taken. The radioimmunoassay was used to detect the serum PRL level. Results The scores of various indicators and the total amount of milk secretion after intervention in the experiment group were significantly higher than those in the control group（ P〈0.05）. The serum PRL level after intervention in the experiment group was significantly higher than that in the control group（ P〈0.05）. Conclusion The effectively comprehensive intervention can significantly elevate the serum PRL levels in the primiparas,thus increasing the lactation field,which plays a positive role in enhancing the breast feeding rate.