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硬膜外分娩镇痛对新生儿哺乳行为及母乳喂养的影响 被引量:2

Effect of epidural labor analgesia on neonatal lactation behavior and breastfeeding
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摘要 目的探讨硬膜外分娩镇痛对新生儿哺乳行为及母乳喂养的影响,为优化硬膜外镇痛药物处方提供数据支持。方法选取2020年8月至2021年3月山东省潍坊市妇幼保健院自然分娩的80例产妇为研究对象,根据产妇意愿分为两组,每组40例。实验组实施硬膜外镇痛,对照组未实施硬膜外镇痛。观察两组新生儿哺乳行为动作表达的出现时间,比较两组产妇泌乳启动时间、72 h内泌乳启动率及产后24、48 h纯母乳喂养次数。结果实验组新生儿首次啼哭持续时间短于对照组,达到爬行、熟悉、吮吸阶段所用时间长于对照组(P<0.05);两组新生儿放松持续时间,觉醒、活动、入睡阶段出现时间比较,差异无统计学意义(P>0.05)。实验组产妇泌乳启动时间早于对照组(P<0.05);两组产妇72 h内泌乳启动率比较,差异无统计学意义(P>0.05)。两组产后24、48 h纯母乳喂养次数比较,差异无统计学意义(P>0.05)。结论硬膜外分娩镇痛可能影响新生儿哺乳行为表达,需进一步优化镇痛药物处方,实现母婴影响的最小化。 Objective To explore the effect of epidural labor analgesia on neonatal lactation behavior and breastfeeding,and to provide data support for optimizing the prescription of epidural analgesics.Methods A total of 80 cases of parturient women who delivered naturally in Weifang Maternal and Child Health Hospital of Shandong Province from August 2020 to March 2021 were selected as the research objects.According to maternal wishes,they were divided into two groups,with 40 cases in each group.The experimental group received epidural analgesia,while the control group did not.The time of expression of lactation behavior and action was observed in the two groups,and the start time of lactation,the lactation initiation rate within 72 h and the times of exclusive breastfeeding 24 and 48 hours after delivery were compared between the two groups.Results The duration of neonate’s first cry in experimental group was shorter than that in control group,and it took longer to reach crawing,familiarity,and sucking stage than that in cotrol group(P<0.05);there were no significant differences in relaxation duration,awakening,activity,and sleep stage between two groups(P>0.05).The start time of lactation in experimental group was earlier than that in control group(P<0.05);there was no significant difference in the lactation initiation rate within 72 h between two groups(P>0.05).There was no significant difference in the times of exclusive breastfeeding 24 and 48 hours after delivery between two groups(P>0.05).Conclusion Labor analgesia may affect the expression of neonatal lactation behavior,which requires further optimization of analgesic drug prescription to minimize maternal and infant effects.
作者 胥阳 滕平 周云 王爱华 张媛媛 刘祎 马晓艳 XU Yang;TENG Ping;ZHOU Yun;WANG Aihua;ZHANG Yuanyuan;LIU Yi;MA Xiaoyan(Nursing School,Weifang Medical University,Shandong Province,Weifang 261053,China;Delivery Room,Weifang Maternal and Child Health Hospital,Shandong Province,Weifang 261000,China;Department of Intensive Care Medicine,Weifang People’s Hospital,Shandong Province,Weifang 261500,China)
出处 《中国医药导报》 CAS 2022年第10期111-114,118,共5页 China Medical Herald
基金 山东省医药卫生科技发展计划项目(2017WS580) 山东省潍坊市科学技术发展计划(医学类)(2018YX029) 潍坊医学院教育教学改革与研究重点项目(2019ZD004、2018ZD001)。
关键词 硬膜外 分娩镇痛 新生儿 哺乳行为 母乳喂养 Epidural Labor analgesia Neonate Lactation behavior Breastfeeding
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