摘要
目的 探究手法按摩催乳催乳配合健康教育对初产妇产后泌乳量及母乳喂养率的影响。方法 将我院160例健康初产 妇随机分为观察组和对照组,每组80例。对照组实施常规产后护理,观察组在此基础上予以乳房手法按摩催乳和健 康教育。对比分析两组初产妇泌乳始动时间、24h乳汁分泌量和纯母乳喂养率差异。结果 观察组产妇产后泌乳始动 时间短于对照组(P<0.05),且24h泌乳量和纯母乳喂养率均明显高于对照组(P均<0.05)。结论 产后通过手法 按摩催乳配合健康教育干预可促进初产妇分泌乳汁,提高产后母乳喂养率。
Objective to explore the effect of massage and galactagogue combined with health education on postpartum lactation volume and breastfeeding rate of primipara. Methods 160 healthy primipara in our hospital were randomly divided into observation group and control group, 80 cases in each group. The control group was given routine postpartum nursing, and the observation group was given breast massage and health education. The lactation initiation time, 24h milk secretion and exclusive breastfeeding rate of the two groups were compared and analyzed. Results the postpartum lactation initiation time in the observation group was shorter than that in the control group (P<0.05), and the lactation volume and exclusive breastfeeding rate at 24h were significantly higher than those in the control group (P<0.05). Conclusion Massage and health education can promote lactation and increase the rate of postpartum breastfeeding.
【关键词】手法按摩;催乳;健康教育;初产妇;产后泌乳;母乳喂养率
【中图分类号】R244.1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.02.039
前言
母乳所含的免疫因子和丰富的抗体有助于增强新 生儿免疫力,促进其体格发育和治理发育,且易于新 生儿的肠胃消化吸收,因此母乳喂养是目前公认的最 佳新生儿喂养方式。但有调查显示,近年来国内超过 20%的产妇存在缺乳现象,且我国目前纯母乳喂养率 仅为20.8%[1]。目前临床常用的常规产后护理方法效 果并不理想,且产后心理引导和健康教育的缺失,导 致很多初产妇缺乏必要的母乳喂养知识,产后过度焦 虑紧张,甚至产生产后抑郁,进而难以保证母乳喂养 质量。产后泌乳不足或乳汁分泌迟缓的产妇需要配合 使用其他乳制品喂养,易造成新生儿消化不良,对其 健康发育产生消极影响[2]。而本研究对初产妇实施手 法按摩催乳配合健康教育,观察其提高产妇泌乳量和 母乳喂养质量的效果,现报道如下。
罕少疾病杂志
第26卷, 第 2 期
2019年03月
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