不同皮肤接触时间对剖宫产新生儿早期母乳喂养行为的影响

Effects of different durations of skin-to-skin contact on early breastfeeding behavior of newborns after Cesarean section

目的探讨不同母婴皮肤接触时间对剖宫产新生儿早期母乳喂养行为的影响。方法将140例单胎足月择期剖宫产的产妇随机分为四组各35例。对照组采用常规剖宫产护理,干预1、2、3组按照母婴皮肤接触的流程分别实施即刻皮肤接触30 min、60 min、90 min。比较四组新生儿第1次出现觅食征象时间、第1次含接乳头时间、第1次吸吮乳头时间以及早开奶成功率。结果干预1、2、3组新生儿第1次出现觅食征象时间显著早于对照组(均P<0.05);干预2组、3组新生儿第1次含接乳头的时间、第1次吸吮的时间显著早于对照组(均P<0.05),早开奶成功率显著高于对照组(均P<0.008)。结论母婴皮肤接触持续60 min、90 min对剖宫产新生儿早期母乳喂养行为的建立有益。

Objective To investigate the effect of different durations of skin-to-skin contact on early breastfeeding behavior of new-borns after Cesarean section.Methods A total of 140 women with a viable singleton pregnancy scheduled for elective Cesarean section were randomly divided into 4 groups, with 35 women in each group.The control group was given routine Cesarean section care.Intervention group 1 had skin-to-skin contact with newborn for 30 minutes, intervention group 2 for 60 minutes, and intervention group 3 for 90 min.The start time of newborns′ first foraging sign, of first nipple sucking and of first breastmilk sucking, and the success rate of early breastfeeding were compared among the 4 groups.Results The start time of newborns′ foraging signs of newborns in the three intervention groups were significantly earlier than that in the control group(all P<0.05);the start time of nipple sucking, as well as start time of first breastmilk sucking in intervention group 2 and 3 was significantly earlier than that in the control group(P<0.05 for all).The success rate of early breastfeeding in intervention group 2 and 3 was significantly higher than that in the control group(P<0.008).Conclusion Mother-newborn skin-to-skin contact for 60 and 90 minutes is beneficial to the establishment of early breastfeeding behavior of newborns after Cesarean section.