新生儿乳房爬行运动对早期母乳喂养的影响

Effect of breast crawl of newborns on early breastfeeding

目的探讨新生儿乳房爬行运动对母乳喂养的影响,为促进母乳喂养提供参考。方法采用随机数字表法将104例初产妇随机分为观察组和对照组各52例;观察组新生儿娩出后实施乳房爬行运动90 min;对照组新生儿常规护理后实施母婴皮肤接触,至母亲会阴伤口缝合并检查完毕(约30 min)。比较两组首次母乳喂养得分和成功率、第2次母乳喂养新生儿自主含接乳头成功率、产后泌乳启动时间和泌乳素水平、出院时和产后1个月纯母乳喂养率。结果观察组50例、对照组48例完成研究。观察组首次母乳喂养得分和成功率、第2次母乳喂养新生儿自主含接乳头成功率和出院时纯母乳喂养率显著高于对照组,泌乳启动时间显著短于对照组(P<0.05,P<0.01),而两组产后泌乳素水平和产后1个月纯母乳喂养率比较,差异无统计学意义(均P>0.05)。结论乳房爬行运动能够实现新生儿自主觅乳行为,对早期母乳喂养有促进作用,缩短初产妇产后泌乳启动时间,提高出院时纯母乳喂养率。

Objective To explore the effect of breast crawl of newborns on breastfeeding,so as to provide reference to improve breastfeeding.Methods A total of 104 primiparas were divided into an experimental group and a control group using a random number table,with 52 cases in each group.The experimental group conducted 90 minutes breast crawl after delivery,and the control group conducted maternal and infant skin contact after routine care until perineorrhaphy and related check for the new mothers was completed(about 30 minutes).The score of Breast-feeding Assessment tool(BAT)in the first breastfeeding and success rate,the spontaneous nipple insertion success rate in the second breastfeeding,the onset time for maternal lactogenesis and prolactin level,and the exclusive breastfeeding rate at discharge and one month postpartum were compared between the two groups.Results Finally 50 primiparas in the experimental group and 48 primiparas in the control group completed the study.When compared with the control group,the BAT score in the first breastfeeding and success rate,the spontaneous nipple insertion success rate in the second breastfeeding,and the exclusive breastfeeding rate at discharge of the experimental group were significantly higher,and its onset time for maternal lactogenesis was significantly shorter(P<0.05,P<0.01),while there were no significant differences in prolactin level and the exclusive breastfeeding rate at one month postpartum between the two groups(P>0.05 for both).Conclusion Breast crawl can realize the self breast-seeking behavior among newborns,improve early breastfeeding and shorten the onset time for maternal lactogenesis,and increase the exclusive breastfeeding rate at discharge.