摘要
目的探讨基于生物本能的实践自然哺育法对健康产妇及其婴儿的延续性服务的影响效果。方法选择2018年7月~2019年6月于我院分娩的140例产妇为研究对象,按照简单随机数字表法分为观察组(71例)及对照组(69例)。对照组产妇行产后常规指导,观察组产妇产后1~2周于母乳喂养门诊由哺乳指导师指导其自然哺育法,并持续2次/周进行电话或门诊随访。于产后42 d进行产后复诊时,观察并比较两组母婴的哺乳情况、产妇及婴儿的健康情况。结果产后42 d随访中,两组母婴哺乳情况比较,观察组母婴的纯母乳喂养率(73.24%)、哺乳技能Latches评分[33.00(32.00;34.00)]、哺乳满意度评分[88.00(86.00;90.00)]均高于对照组[44.93%、30.00(28.00;32.00)、72.00(65.50;78.00)](P<0.05);两组产妇的健康情况比较,观察组产妇的NRS评分[1.00(0.00;2.00)]、EPDS评分[9.00(7.00;12.00)]均低于对照组[3.00(1.75;5.00)、10.00(8.00;15.00)](P<0.05),观察组产妇的子宫复旧良好情况(98.59%)高于对照组(88.41%)(P<0.05);两组婴儿的健康情况比较,体质量增长范围为<800 g和800~1000 g的两组婴儿比较,差异无统计学意义;观察组体质量增长>1000 g的婴儿(35.21%)、婴儿患病率(4.23%)均低于对照组(52.17%、13.04%)(P<0.05)。结论母乳喂养门诊中指导产妇实践基于生物本能的自然哺育法为健康产妇提供了专业的母乳喂养延续性指导,有利于母婴健康,值得临床运用。
Objective To explore the effect of the practical natural feeding based on biological instinct on the continuous services of healthy mothers and their babies.Methods 140 maternal patients who gave birth in our hospital from July 2018 to June 2019 were selected as the research objects.They were divided into observation group(71 cases)and control group(69 cases)by simple random number table method.The control group was given routine postpartum guidance.The observation group was given the guidance of natural feeding by breastfeeding instructor in breastfeeding clinics from one week to two weeks after delivery.The breastfeeding instructors continued telephone or outpatient follow-up twice a week.At the postpartum 42 days follow-up visit,the breastfeeding and maternal and infant health between the two groups were observe and compared.Results During the postpartum 42 days follow-up,the exclusive breastfeeding rate(73.24%),lactation skill scores of Latches[33.00(32.00;34.00)],breastfeeding satisfaction score[88.00(86.00;90.00)]in the observation group were higher than those of the control group[44.93%,30.00(28.00;32.00),72.00(65.50;78.00)](P<0.05).The NRS score[1.00(0.00;2.00)],EPDS score[9.00(7.00;12.00)]for health condition of the maternal patients in the observation group were lower than those of the control group[3.00(1.75;5.00),10.00(8.00;15.00)](P<0.05).The maternal uterine rejuvenation situation in the observation group(98.59%)was higher than that(88.41%)of the control group(P<0.05).There was no statistically significant difference in the proportion of infants with weight gain ranging from<800 g and 800-1000 g between two groups(P>0.05).The proportion of infants with weight gain>1000 g(35.21%)and the prevalence of infants(4.23%)in the observation group were lower than those in the control group(52.17%,13.04%)(P<0.05).Conclusion The natural feeding guidance of maternal practice in breastfeeding clinic based on biological instincts provides professional breastfeeding continuity guidance for healthy mothers and their babies.It is beneficial to the health of mothers and infants and is worthy of clinical application.
作者
陈思超
金珊
郭青戈
冯国芳
CHEN Sichao;JIN Shan;GUO Qing'ge;FENG Guofang(Department of Obstetrics,Hangzhou Obstetrics and Gynecology Hospital,Hangzhou 310008,China)
出处
《中国现代医生》
2020年第26期67-71,共5页
China Modern Doctor
基金
浙江省杭州市科技计划引导项目(20163501Y27)
浙江省杭州市卫生计生科技计划项目(2018A77)
浙江省医药卫生科技计划项目(2020KY233)。
关键词
自然哺育法
延续性服务
母乳喂养
生物本能
Natural feeding method
Continuous service
Breastfeeding
Biological instinct
