摘要
目的探讨母乳喂养路径在计划性剖宫产孕产妇母乳喂养中的应用效果。方法将实施计划性剖宫产、母婴同室、无母乳喂养禁忌证的328例孕妇随机分为观察组(158例)和对照组(170例)。对照组采用传统方法进行母乳喂养指导;观察组自行设计计划性剖宫产母乳喂养临床路径(护理版和产妇版)后,按母乳喂养路径对孕产妇进行母乳喂养指导。结果观察组母乳喂养知识与技巧掌握情况显著优于对照组(P<0.05,P<0.01),产褥期结束纯母乳喂养率显著高于对照组(P<0.05)。结论母乳喂养路径的应用,可提高计划性剖宫产产妇母乳喂养指导效果,提高母乳喂养率。
Objective To investigate effect of breastfeeding pathway on improvement of maternal breastfeeding in women undergoing planned cesarean section. Methods A total of 328 pregnant women without contraindications of breastfeeding undergoing planned cesarean section and receiving mother-infant rooming-in care were randomized into an observation group （158 cases） and a control group （170 cases）. The control group were given traditional breastfeeding education, while the observation group received breast- feeding education based on self-designed breastfeeding pathways including a nurse version and a patient version. Results Breastfeeding knowledge and skills in the observation group were significantly better than those in the control group （P〈0.05, P〈0.01） ; breastfeeding rate at 6 weeks postpartum was significantly greater in the observation group （P〈0.05）. Conclusion The application of breastfeeding pathway in a planned cesarean section can improve education effect and increase breastfeeding rate.
基金
广东省深圳市科技计划项目(201203215)
关键词
剖宫产
孕妇
产妇
临床路径
母乳喂养
cesarean section
pregnant woman
parturient woman
clinical pathway
breast feeding
