產科護理中產前母乳喂養咨詢對產后母乳喂養成功率的影響

吳仁清

[摘要]目的 探討產科護理中產前母乳喂養咨詢對產后母乳喂養成功率的影響。方法 選取2017年8月～2018年9月我院收治的100例產婦，采用均衡分組法分為常規組和研究組，每組各50例。常規組采用常規護理干預，研究組附加產前母乳喂養咨詢，干預2個月后觀察臨床效果，包括產后母乳喂養成功率、乳房舒適度、120 d嬰兒身高、120 d嬰兒體重、肥胖疾病發生率及母乳知識認知評分。結果 研究組的產后母乳喂養成功率為88.00%，高于常規組的60.00%，差異有統計學意義（P<0.05）;研究組乳房總舒適度高于常規組，差異有統計學意義（P<0.05）。研究組120 d嬰兒身高高于常規組，嬰兒體重重于常規組，差異有統計學意義（P<0.05）。研究組肥胖疾病發生率4.00%，低于常規組的26.00%，差異有統計學意義（P<0.05）。研究組母乳知識認知評分高于常規組，差異有統計學意義（P<0.05）。結論 產科護理中產前母乳喂養咨詢可有效提高產后母乳喂養成功率，具有較高臨床推廣價值。

[關鍵詞]產科護理;產前母乳喂養咨詢;產后母乳喂養成功率

[中圖分類號] R473.71 ? ? [文獻標識碼] A ? ? [文章編號] 1674-4721（2019）9（a）-0245-03

Effect of prenatal breastfeeding counseling on the success rate of postpartum breastfeeding in obstetric care

WU Ren-qing

Department of Obstetrics and Gynecology， Pingxiang Maternal and Child Health Hospital， Jiangxi Province， Pingxiang? ?337000， China

[Abstract] Objective To study the effect of prenatal breastfeeding counseling on the success rate of postpartum breastfeeding in obstetric care. Methods A total of 100 women who admitted to our hospital from August 2017 to September 2018 were selected and divided into the regular group and the research group using equilibrium grouping method， 50 cases in each group. The routine group used routine nursing intervention. The study group added prenatal breastfeeding counseling. The clinical effects were observed after 2 months of intervention， including postpartum breastfeeding success rate， breast comfort， 120 d infant height， 120 d infant weight， obesity incidence and breast milk knowledge recognition score. Results The success rate of postpartum breastfeeding in the study group was 88.00%， which was higher than that in the conventional group 60.00%， the difference was statistically significant （P<0.05）. The breast total comfort of the study group was higher than that of the conventional group， and the difference was statistically significant （P<0.05）. The height of the 120 d infants in the study group was higher than that in the conventional group， and the weight of the 120 d infants was heavier than that in the conventional group （P<0.05）. The incidence of obesity in the study group was 4.00%， which was lower than that in the conventional group （26.00%）. The difference was statistically significant （P<0.05）. The breast mile knowledge recognition score of the study group was higher than that of the conventional group， and the difference was statistically significant （P<0.05）. Conclusion Prenatal breastfeeding counseling in obstetric care can effectively improve the success rate of postpartum breastfeeding and has high clinical value.

[Key words] Obstetric care; Prenatal breastfeeding counseling; Postpartum breastfeeding success rate

母乳對于新生兒而言是最自然、安全的食物，母乳內含有50%左右的脂肪，不僅能補充新生兒身體熱量，也能對其大腦發育對脂肪的需求進行滿足。同時，母乳內含有豐富的鈣和磷成分能促進新生兒生長發育，免疫球蛋白則能有效提高其抵抗能力及免疫能力，避免感染或其他慢性疾病[1-3]。但是在具體喂養過程中，由于部分產婦對母乳喂養知識認知程度較低，外加缺乏奶水、寶寶拒絕吸吮、吸吮疼痛或體力不足等原因，從而導致臨床母乳喂養成功率較低[4-5]。因此，臨床針對上述情況應及時采取有效措施干預，以提高產婦自我認知。本研究圍繞產前母乳喂養咨詢開展研究，就50例產婦采用產前母乳喂養咨詢進行干預，旨在明確產科護理中產前母乳喂養咨詢對產后母乳喂養成功率的效果，現報道如下。

1資料與方法