摘要
目的:探讨院内母乳喂养支持系统应用于高危妊娠产妇母乳喂养对乳涨发生率、泌乳延迟发生率的影响。方法:通过简单抽样方法抽取福州市7家医院2018年7-9月收治的高危妊娠产妇120例作为研究对象,用信封法分为对照组及研究组,各60例,对照组应用常规产科泌乳喂养干预,研究组母乳喂养中应用院内母乳喂养支持系统干预。对比两组泌乳延迟发生率及母乳喂养率、产后乳涨及不同时间段泌乳量评分、不良情绪评分,以及两组自我效能评分、泌乳始动时间。结果:研究组泌乳延迟发生率低于对照组,研究组产后1、2、3 d母乳喂养率均高于对照组,差异均有统计学意义(P<0.05);研究组产后不同时间泌乳量评分均高于对照组,且研究组乳涨情况优于对照组,差异均有统计学意义(P<0.05);干预后研究组HAMD评分、EPDS评分均低于对照组,差异均有统计学意义(P<0.05);研究组自我效能评分高于对照组,泌乳始动时间早于对照组,差异均有统计学意义(P<0.05)。结论:在高危妊娠产妇母乳喂养中给予院内母乳喂养系统支持,可减少乳涨发生率泌及乳延迟发生率,缓解产妇不良情绪,还能提升产妇的自我效能评分,使泌乳始动时间,增加泌乳量,应用效果良好,可考虑普及。
Objective:To investigate the effects of in-hospital breast feeding support system on the incidence of breast swelling and delayed lactation in high-risk pregnant women.Method:A total of 120 high-risk pregnant women admitted to 7 hospitals in Fuzhou City from July to September 2018 were selected as the research objects by simple sampling method,the envelope method was used to divide them into the control group and the study group 60 cases each.The control group was treated with routine obstetric lactation feeding intervention,and the research group was treated with in-hospital breast feeding support system intervention.The incidence of delayed lactation,the rate of breast feeding,postpartum lactation,the score of lactation volume in different time periods,the score of bad mood,the score of self-efficacy and the beginning time of lactation were compared between the two groups.Result:The incidence of delayed lactation in the study group was lower than that in the control group,and the rates of breastfeeding on postpartum day 1,2 and 3 in the study group were higher than those in the control group,the differences were statistically significant (P<0.05).The score of postpartum lactation in the study group was higher than that in the control group at different postpartum time,and the milk swelling in the study group was better than that in the control group,the differences were statistically significant (P<0.05).After intervention,HAMD score and EPDS score in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).The self-efficacy score in the study group was higher than that in the control group,and the beginning time of lactation was earlier than that in the control group,the differences were statistically significant (P<0.05).Conclusion:In the breast feeding of high-risk pregnant women,in-hospital breast feeding support system can reduce the incidence of swelling,lactation and delayed lactation,alleviate maternal bad mood,but also improve maternal self-effi
作者
毛莹
梁世芳
唐晓燕
MAO Ying;LIANG Shifang;TANG Xiaoyan(Fujian Provincial Jinshan Hospital,Fuzhou 350028,China)
出处
《中外医学研究》
2021年第4期178-181,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
院内母乳喂养支持系统
高危妊娠产妇
母乳喂养
乳涨发生率
泌乳延迟
In-hospital breast feeding support system
High-risk pregnant women
Breast feeding
Incidence of breast swelling
Delayed lactation
