摘要
目的了解新生儿乳房爬行成功情况,并分析导致爬行失败的影响因素。方法采用便利抽样法,纳入2022年1—10月于我院分娩的163例产妇及其新生儿为研究对象,查阅文献自制调查表进行调查。结果新生儿爬行成功94例(57.7%),失败69例(42.3%)。多因素logistic分析显示,总产程过长、破膜距分娩时间过长、使用防治产后出血药物(卡贝/欣母沛)是爬行失败的危险因素。结论新生儿爬行成功率有待提高,产时因素易导致爬行失败,提示助产人员应及早识别危险因素,严密观察产程进展,严格遵守医疗干预指征,为新生儿自主寻乳提供更多可能。
Objective To understand the success of neonatal breast crawling and analyze the influencing factors that lead to the failure of breast crawling.Methods Using convenience sampling,a total of 163 women and their newborns who gave birth in the Women's and Children's Hospital Affiliated to University of Electronic Science and Technology of China between January and October 2022 were included as the research objects according to the inclusion and exclusion criteria,and a self-made questionnaire was consulted for investigation by searching the literature.Results Out of the total cases,94 cases(57.7%)were successful in neonatal breast crawling while 69 cases(42.3%)were failed.The results of multivariate logistic analysis showed that the risk factors for crawling failure were excessive total labor time,excessive interval between membrane rupture and delivery,and the use of drugs(Carbetocin injection/Carboprost tromethamine injection).Conclusion The success rate of newborn crawling needs to be improved,and intrapartum factors can easily lead to crawling failure.Midwives should identify risk factors early,closely observe labor progress,and strictly follow medical intervention indications to provide more opportunities for newborns to autonomously search for breast milk.
作者
庞艳
付金竹
柏丽
杜娟
任晓玲
李慧敏
王鑫
PANG Yan;FU Jinzhu;BAI Li;DU Juan;REN Xiaoling;LI Huimin;WANG Xin(Women's and Children's Hospital Affiliated to University of Electronic Science and Technology of China&Chengdu Women's and Children's Central Hospital,Chengdu 611731,Sichuan,China)
出处
《护士进修杂志》
2024年第10期1048-1052,共5页
Journal of Nurses Training
基金
成都市医学科研课题项目(编号:2022144)。
关键词
新生儿
阴道分娩
乳房爬行
自主寻乳
影响因素
护理
newborn
vaginal birth
breast crawling
autonomous milk seeking
influencing factors
nursing
