摘要
[目的]分析顺产和剖宫产两种不同分娩方式对婴儿喂养的影响。[方法]选择2010年4月—2011年10月广州市3所教学医院的360例顺产产妇和300例剖宫产产妇,应用中文版母乳喂养自信心量表、婴儿喂养态度量表、母乳喂养技能评估表(LATCHES)在产后3d进行测评,比较两组婴儿喂养情况。[结果]剖宫产组产后1d催乳素水平低于顺产组、ACTH水平高于顺产组;泌乳始动时间迟于顺产组、第1次哺乳开始时间迟于顺产组、LATCHES总分低于顺产组、产后1d的纯母乳喂养率和混合喂养率都低于顺产组、产后1d无乳汁的比例高于顺产组;剖宫产组的母乳喂养自信心评分高于顺产组(均P<0.05)。[结论]剖宫产影响产后早期母乳喂养,与顺产比较,虽然母乳喂养自信心较高,但是剖宫产后妇女催乳素水平低、ACTH水平高、泌乳始动时间延迟、第1次哺乳开始时间延迟、母乳喂养技能水平低、产后1d纯母乳喂养率低、无乳汁比例高。
Objective： To analyze the influence of natural labor and cesarean delivery on infant feeding. Methods： A total of 360 cases of natural labor of maternal and 300 cases of cesarean section of maternal in three teaching hospitals in Guangzhou from April in 2010 to October in 2011 were selected. The Chinese version of Breastfeeding Self - efficacy Scale, Iowa Infant Feeding Attitude Scale, breastfeeding skills assessment scale （LATCHES） were used for measurement in postpartum three days, then to compare the infant feeding between two groups. Results： The prolactin level of cesarean section group was lower than that of natural labor group on postpartum 1st day, ACTH level was higher than that of natural labor group;the lactation initiating time was later than that of natural labor group, 1st lactation start time was later than that of natural labor group; the LATCHES score was lower than that of natural labor group; the exclusive breastfeeding rate and mixed feeding rate on postpartum 1st day were lower than that of natural labor group,the portion of no breast milk on postpartum 1st day was higher than that of natural labor group; the breastfeeding confidence score was higher than that of natural labor group （all P〈0.05）. Conclusion：Cesarean section can impact postnatal early breastfeeding, compared with natural labor, the confidence of maternal for breastfeeding is higher, but the prolactin level of women after cesarean section is lower,the level of ACTH pressure is higher, lactation initiation time delays, 1st lactation start time delays, LATCHES breastfeeding skill level is lower, exclusive breastfeeding rate is lower and proportion of nonmilk is higher on postpartum 1st day.
出处
《护理研究（下旬版）》
2013年第1期195-199,共5页
Chinese Nursing Researsh
基金
澳门理工学院科研基金立项
编号:RP/ESS-6/2008
中山大学博士学位课题
编号:2010004
关键词
剖宫产
母乳喂养
婴儿喂
养态度婴儿喂养意图
cesarean section
breastfeeding
infant feeding attitude
infant feeding intention
