摘要
目的调查驻马店地区产妇初次泌乳时间及泌乳延迟现状,为本地区产妇泌乳指导工作提供参考依据。方法以2021年3月1日至2022年2月27日驻马店市第二中医院和驻马店市中心医院妇产科生产的产妇作为调查对象,采用调查问卷方式获取其产前情况(妊娠糖尿病、妊娠高血压、焦虑、抑郁、产前母乳宣教)及产后干预情况(母婴同室、母婴早期接触、早期乳房穴位按摩、母乳喂养指导、低频脉冲康复治疗仪乳房刺激、心理干预),对产妇初次泌乳时间及泌乳延迟发生进行描述性分析,并采用单、多因素方法分析产前情况、产后干预情况对泌乳延迟发生的影响。结果共获得有效调查对象1185人。初次泌乳时间<24 h 352人,24~47 h 293人,48~71 h 272人,≥72 h 268人,泌乳延迟发生率为22.62%。多因素Logistic回归分析结果显示焦虑(OR=2.438)、抑郁(OR=2.691)、产前母乳宣教(OR=0.569)、母婴早期接触(OR=0.953)、早期乳房穴位按摩(OR=0.689)、母乳喂养指导(OR=0.559)、低频脉冲康复治疗仪乳房刺激(OR=0.463)、心理干预(OR=0.723)是泌乳延迟的影响因素。结论驻马店地区产妇泌乳延迟发生率较高,其发生与多种泌乳干预措施密切相关,如产前母乳宣教以及产后的母婴早期接触、早期乳房穴位按摩、母乳喂养指导、低频脉冲康复治疗仪乳房刺激、心理干预等,可根据孕产妇个体情况加强孕期及产后泌乳干预,促进母乳喂养率的提高。
Objective To investigate the first lactation time and delayed lactation of parturient in the Zhumadian area,and provide a reference for the lactation guidance of parturient in this area.Methods The parturient who gave birth in the Department of Obstetrics and Gynecology of Zhumadian Second Hospital of Traditional Chinese Medicine and Zhumadian Central Hospital from March 1,2021,to February 27,2022,were selected as the survey subjects,and their prenatal conditions(including gestational diabetes mellitus,pregnancy hypertension,anxiety,depression,and prenatal breastfeeding education)and postpartum interventions(including mother-infant rooming,early mother-infant contact,early breast acupoint massage,breastfeeding guidance,breast stimulation with low-frequency pulse rehabilitation therapy instrument,and psychological intervention)were obtained by questionnaire.The descriptive analysis was performed on first lactation time and delayed lactation,and the effects of the prenatal condition and postpartum interventions on delayed lactation were analyzed by univariate and multivariate analysis methods.Results A total of 1185 valid respondents were obtained.The first lactation time was less than 24 h in 352 cases,24-47 h in 293 cases,48-71 h in 272 cases,and≥72 h in268 cases.The incidence rate of delayed lactation was 22.62%.Multivariate Logistic regression analysis showed that anxiety(OR=2.438),depression(OR=2.691),prenatal breastfeeding education(OR=0.569),early mother-infant contact(OR=0.953),early breast acupoint massage(OR=0.689),breastfeeding guidance(OR=0.559),breast stimulation with low-frequency pulse rehabilitation therapy instrument(OR=0.463),and psychological intervention(OR=0.723)were the influencing factors of delayed lactation.Conclusions The incidence of delayed lactation in the Zhumadian area is high,which is closely related to a variety of lactation interventions,such as prenatal breast education,early mother-infant contact,early breast acupoint massage,breastfeeding guidance,breast stimulation with low-f
作者
全艳
刘省燕
周贺丽
QUAN Yan;LIU Sheng-yan;ZHOU He-li(Zhumadian Second Hospital of Traditional Chinese Medicine,Zhumadian 463000,China;Zhumadian Central Hospital)
出处
《华南预防医学》
2022年第9期1037-1040,共4页
South China Journal of Preventive Medicine
关键词
泌乳时间
产妇
泌乳延迟
母乳喂养
影响因素
Lactation time
Parturient
Delayed lactation
Breastfeeding
Influencing factor
