挤奶日记联合针筒收集初乳法应用于母婴分离产妇对早期泌乳的影响

Effect of milking diary combined with syringe collection of colostrum used in mother-infant separation on early lactation

目的:探讨挤奶日记联合针筒收集初乳法应用于母婴分离产妇对早期泌乳的影响。方法:选取2019年3月至2020年3月于无锡第九人民医院分娩的母婴分离产妇96例,按随机数字表法分为两组,每组各48例。对照组给予常规泌乳指导,观察组在常规泌乳基础上行挤奶日记联合针筒收集初乳法干预。比较两组产后0~24 h、25~48 h及49~72 h挤奶次数、挤奶量、泌乳始动时间、乳房胀痛情况及产后抑郁程度。结果:观察组产后0~24 h、25~48 h及49~72 h挤奶次数均高于对照组(P<0.05)。观察组产后0~24 h、25~48 h及49~72 h挤奶量高于对照组(P<0.05)。观察组泌乳始动时间早于对照组(P<0.05)。观察组乳房胀痛情况轻于对照组(P<0.05)。观察组产后抑郁发生率低于对照组(P<0.05)。结论:挤奶日记联合针筒收集初乳法可有效增加产妇挤奶次数及挤奶量,缩短泌乳始动时间,缓解乳房胀痛情况,减少产后抑郁发生。

Objective:To explore the effect of milking diary combined with syringe collection colostrum method used in mother-infant separation on early lactation.Methods:A total of 96 cases of separated mothers and infants in our hospital from March 2019 to March 2020 were selected and divided into two groups according to the random number table method,with 48 cases in each group.The control group was given regular lactation guidance,and the observation group was given regular lactation based on milking diary combined with syringe collection colostrum intervention.The number of milking,milking volume,milking initiation time,breast tenderness and postpartum depression were compared between the two groups at 0-24 h,25-48 h and 49-72 h postpartum.Results:The number of milking in the observation group was higher than that in the control group at 0-24 h,25-48 h and 49-72 h postpartum(P<0.05).The milking volume of the observation group was higher than that of the control group at 0-24 h,25-48 h and 49-72 h after delivery(P<0.05).The onset of lactation in the observation group was earlier than that in the control group(P<0.05).The breast pain in the observation group was lighter than that in the control group(P<0.05).The incidence of postpartum depression in the observation group was lower than that in the control group(P<0.05).Conclusion:The method of milking diary combined with syringe collection of colostrum can effectively increase the number of milking and milking volume of the parturient,shorten the time of milking,relieve breast pain,and reduce postpartum depression.