产后早接触、早吸吮对初产妇泌乳及新生儿状况的影响

The effect of early contact,early sucking on lactation of primipara and health of the newborn

目的探讨产后早接触、早吸吮对初产妇泌乳及新生儿状况的影响。方法对2016年6月~2017年9月在我院产科顺利分娩的145例初产妇及新生儿的临床资料进行回顾性分析,按照是否接受产后早接触、早吸吮分为观察组(76例)和对照组(69例),观察组于产后行早接触、早吸吮,对照组则在产后不行早接触、早吸吮。就两组初产妇的泌乳情况及新生儿状况行对比分析。结果观察组的初乳分泌时间、产后乳房充盈时间明显短于对照组,产后24 h哺乳次数明显多于对照组(P<0.05)。观察组产妇产后0~48 h及>48~72 h的泌乳量分布明显优于对照组,差异有统计学意义(P<0.05)。观察组新生儿的并发症发生率为9.21%,明显低于对照组(36.23%),差异有统计学意义(P<0.05)。结论实行产后早接触、早吸吮的初产妇,初乳分泌更早,泌乳量更多,能满足新生儿在产后早期的母乳供应,使母乳喂养的成功率得到进一步提升,对产妇及新生儿的健康都极为有利。

Objective To research the effect of early contact,early sucking on lactation of primipara and health of the newborn.Methods From June 2016 to September 2017,the clinical data of 145 cases of primipara who were successfully delivered in obstetrics department of our hospital were analyzed retrospectively.According to whether or not to accept the postpartum early contactearly sucking,primiparas were divided into the observation group（76 cases） and the control group（69 cases）.The observation group carried out early contact and early sucking after postpartum,while the control group did not carry out early contact and early sucking after postpartum.The lactation and neonatal status of the two groups of primipara were compared.Results The colostrum secretion time and the filling time of postpartum breast in the observation group were significantly lower than in the control group,the number of 24 h lactation after postpartum was significantly more than that of the control group（P〈0.05）.In the observation group,the distribution lactating amount of 0-48 h and 〉48-72 h in postpartum women were significantly better than those of the control group,and the differences were statistically significant（P〈0.05）.The incidence of neonatal complications in the observation group was 9.21%,which was significantly lower than that of the control group（36.23%）,and the difference was statistically significant（P〈0.05）.Conclusion The primipara who carry out the early postpartum,early sucking,the colostrum is secreted earlier,and the amount of lactation is more.It can satisfy the newborn′s breast milk supply at the early stage of postpartum,so that the success rate of breastfeeding is further improved,which is very beneficial for the health of the newborn and the newborn.