即刻皮肤接触对新生儿体温、母乳喂养、泌乳量及乳房并发症影响

Influence of newborns immediate skin contact with their mother after birth on the neonatal body temperature and breastfeeding,and the lactation yield and breast complication of puerpera

目的:分析即刻皮肤接触对新生儿体温、母乳喂养、泌乳量及乳房并发症影响。方法:选取2018年11月-2020年11月于本院分娩的足月新生儿236例,随机数字法分为对照组(n=118)和观察组(n=118),对照组给予常规产科护理,观察组在对照组基础上给予即刻皮肤接触,比较两组新生儿体温、啼哭情况、产后4d母乳喂养率、泌乳量及乳房并发症发生率。结果:观察组新生儿出生后1h(36.5±2.7℃)、2h(36.9±2.8℃)、3h(37.1±2.9℃)体温均高于对照组(35.8±2.2℃、36.1±2.4℃、36.4±2.7℃),产后1h、6h啼哭人数、啼哭次数少于对照组,啼哭时间短于对照组,观察组产后4d完全母乳喂养率(71.4%)高于对照组(50.9%)(均P<0.05),混合喂养率两组无差异(P>0.05);观察组产妇产后12h、24h泌乳量高于对照组,乳腺炎(8.5%)、乳涨(12.7%)发生率均低于对照组(32.2%,39.0%)(P<0.05)。结论:即刻皮肤接触可提高新生儿体温和母乳喂养率,减少新生儿啼哭次数和时间,改善产妇泌乳量和乳房并发症发生率。

Objective:To analyze the influence of newborns immediate skin contact with their mother after birth on the neonatal body temperature and breastfeeding,and the lactation yield and breast complication of puerpera.Methods:236 full-term neonates were enrolled as the research objects from November 2018 to November 2020.According to random number table method,these neonates were divided into control group(n=118)and observation group(n=118).The neonates in the control group were given routine obstetric nursing measures,while the neonates in the observation group were given immediate skin contact with their mother after birth except to the routine obstetric nursing measures.The neonatal body temperature,the neonatal crying situation,the breastfeeding rate within 4d after born,the lactation yield and incidence of breast complications of the puerpera were compared between the two groups.Results:The neonatal body temperatures at 1h(36.5±2.7℃),2h(36.9±2.8℃),and 3h(37.1±2.9℃)after birth in the observation group were significant higher than those(35.8±2.2℃,36.1±2.4℃,and 36.4±2.7℃)in the control group.The number,frequency,and duration of neonatal crying in the observation group in 1h and 6h after birth were significant less than those in the control group.The rate of complete breastfeeding(71.4%)in the observation group was significant higher than that(50.9%)in the control group(all P<0.05),but there was no significant difference in mixed feeding rate between the two groups(P>0.05).The lactation yield of the puerpera in the observation group in 12h and 24h after delivery were significant higher than those of the puerpera in the control group.The incidence of mastitis(8.5%)and milk swelling(12.7%)of the puerpera in the observation group were significant lower than those(32.2%and 39.0%)of the puerpera in the control group(P<0.05).Conclusion:Newborns immediate skin contact with their mother after birth can increase neonatal temperature and improve breastfeeding can reduce times and duration of crying,can improve lactation yield of the puerpera,and can decrease the breast complication of the puerpera.