护理干预在初产妇分娩方式及母乳喂养中的应用效果

Efficacy of nursing intervention on delivery mode and breast feeding of primipara

目的研究并探讨护理干预对初产妇分娩方式及母乳喂养的影响。方法选取2014年1月~2016年12月我院产科接收的300例初产妇作为研究对象,采取计算机单盲分组法随机分为两组,对照组150例初产妇接受常规护理干预,观察组150例初产妇接受针对性护理干预,比较两组初产妇的剖宫产率、产程时间、产后出血量、新生儿窒息率、泌乳始动时间、泌乳量及母乳喂养情况。结果观察组的剖宫产率(19.33%)、新生儿窒息率(1.33%)低于对照组(32.00%、6.67%),总产程时间[(429.65±97.58)min]短于对照组[(507.42±129.54)min],产后出血量[(229.83±98.74)ml]小于对照组[(345.69±137.35)ml],产后泌乳始动时间[(16.85±3.75)h]短于对照组[(20.94±4.07)h],产后第2、3天的泌乳量[(49.85±9.03)、(169.78±32.57)ml]多于对照组[(40.21±7.92)、(134.69±20.29)ml]、母乳喂养成功率(83.33%、92.00%)高于对照组(73.33%、79.33%),差异有统计学意义(P<0.05)。结论针对初产妇采取针对性护理干预,可有效减少剖宫产,提高阴道自然分娩率,有利于保证母婴结局,还可有效促进产后泌乳,提高母乳喂养率。

Objective To explore the efficacy of nursing intervention on delivery mode and breast feeding of primipara.Methods 300 primiparas in our hospital from January 2014 to December 2016 were selected as the research objects and were randomly divided into two groups by taking computer single blind grouping method,150 cases of primiparas in the observation group were given specific nursing intervention,while 150 cases in the control group were given routine nursing intervention.The maternal cesarean section rate,labor time,postpartum hemorrhage,neonatal asphyxia,initial time of lactation,lactation yield and breast feeding were compared between two groups.Results The cesarean section rate（19.33%） and neonatal asphyxia rate（1.33%） in the observation group were lower than those in the control group（32.00%,6.67%）;the labor time [（429.65±97.58） min] was shorter than that in the control group [（507.42±129.54） min];the amount of postpartum hemorrhage [（229.83±98.74） ml] was less than that in the control group [（345.69±137.35） ml];the time of postpartum lactation [（16.85±3.75） h] was shorter than that in the control group [（20.94 ±4.07） h];on the third and second days after lactation,the milk yield [（49.85 ±9.03）,（169.78 ±32.57） ml] were more than those in the control group[（40.21±7.92）,（134.69±20.29） ml];the success rate of breast feeding（83.33%,92.00%） were higher than those in the control group（73.33%,79.33%）,and the differences were statistically significant（P〈0.05）.Conclusion Targeted nursing intervention is used for primipara, can effectively reduce cesarean section, improve vaginal delivery rate, help to ensure maternal and child outcomes, but also can effectively promote postpartum lactation, improve breastfeeding rate.