ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (5): 454-457.doi: 10.3969/j.issn.1674-3865.2020.05.024

• 临床研究 • 上一篇    下一篇

母乳库捐赠母乳喂养支持干预对高危孕妇母婴预后的影响

庄坤英,陈丽珠,潘万贵   

  1. 362000 福建 泉州,泉州市妇幼保健院儿童医院新生儿科(庄坤英,陈丽珠),感染科(潘万贵)
  • 出版日期:2020-10-25 发布日期:2020-11-28
  • 通讯作者: 庄坤英,E-mail:nmtno9213@163.com
  • 作者简介:庄坤英(1984-),女,主管护师。研究方向:新生儿护理

Effect of breastfeeding support intervention donated by breast milk bank on maternal and infant prognosis of highrisk pregnant women

  • Online:2020-10-25 Published:2020-11-28

摘要: 目的 探究母乳库捐赠母乳(DHM)喂养支持干预对高危孕妇母婴预后的影响。 方法 回顾性分析2017年9月至2019年9月于我院收治的120例高危孕妇的临床资料,根据家属是否同意新生儿接受DHM将母婴分为观察组64例和对照组56例。观察组新生儿接受DHM喂养支持干预,对照组新生儿予以配方奶喂养。比较两组产妇产后3 d内乳涨发生率,比较两组产妇产后1、2、>3 d泌乳情况、产后6周内纯母乳喂养率,比较出生7 d后两组新生儿发育情况。 结果 (1)产后3 d内,观察组产妇胀乳发生率为12.50%(8/64),低于对照组28.57%(16/56),差异有统计学意义(P<0.05)。(2)采用DHM后,观察组产妇产后1 d泌乳人数高于对照组,观察组产妇产后2 d泌乳人数、产后>3 d未泌乳人数均低于对照组,差异有统计学意义(P<0.05)。(3)观察组产妇产后6周内纯母乳喂养率为75.00%(48/64),高于对照组5714%(32/56),差异有统计学意义(P<0.05)。(4)观察组新生儿大便正常率高于对照组,腹胀率低于对照组,体质量较出生时增长高于对照组,差异有统计学意义(P<0.05)。 结论 进行DHM喂养干预支持有利于高危产妇减少乳涨,促进早期泌乳,有利于产妇实施早期纯母乳喂养,同时减少新生儿大便异常、腹胀的发生,促进新生儿体质量增长。

关键词: 高危妊娠, 孕妇, 母乳喂养, 母乳库, 婴儿,新生

Abstract: Objective To explore the effect of breast milk donation (DHM) feeding support intervention on the prognosis of mothers and infants of highrisk pregnant women. Methods The clinical data of 120 cases of highrisk pregnant women admitted to our hospital from September 2017 to September 2019 were retrospectively analyzed. According to whether the family members agreed to give DHM to infants, the mothers and infants were divided into observation group (64 cases) and control group (56 cases). The observation group received DHM feeding support intervention, while the control group received formula feeding. The incidence of breast distention within 3 days after delivery was compared between the two groups. The lactation rate of postpartum 1,2 and > 3 days, the rate of pure breastfeeding within 6 weeks after delivery, and the neonatal development after 7 days were compared between the two groups. Results (1) Within 3 days after delivery, the incidence of breast distention in the observation group was 12.50%(8/64), which was lower than 28.57%(16/56) in the control group(P<0.05). (2) After using DHM, the number of lactation women in the observation group was higher than that in the control group on the first day after delivery. The number of lactating women in the observation group two days after delivery and the number of nonlactating women 3 days after delivery in the observation group were lower than those in the control group(P<0.05). (3) The rate of pure breastfeeding in the observation group was 75.00%(48/64), which was higher than 57.14%(32/56) in the control group, the difference being statistically significant(P<0.05). (4) The rate of normal defecation in the observation group was higher than that in the control group, the rate of abdominal distension was lower, and the growth of body weight was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion DHM feeding intervention support can help highrisk pregnant women to reduce milk distension, promote early lactation, help mothers implement early exclusive breastfeeding, reduce the incidence of abnormal stool and abdominal distension, and promote the growth of neonatal body weight.

Key words: Highrisk pregnancy, Pregnant women, Breastfeeding, Milk bank, Infant, newborn