摘要
目的分析产后72h乳汁分泌量的影响因素。方法选取2018年2月至2021年1月河北省邢台市第三医院收治的205例进行产检及分娩的产妇作为研究对象。根据产后72h乳汁分泌量是否>50mL,将其分成正常组(n=140)和缺乏组(n=65)。单因素分析两组的基线资料,对差异具有统计学意义的指标进行Logistic回归分析,探讨产妇乳汁分泌量缺乏的独立影响因素。结果在205例产妇中,乳汁分泌量缺乏有65例,占31.71%(65/205)。两组孕次、分娩方式、孕前体重指数、挤奶方式、开奶时间、24h挤奶次数、乳头类型、每次挤奶时间、夜间挤奶次数、乳房按摩及乳房胀痛程度等基线资料比较,差异具有统计学意义(P<0.05)。Logistic回归分析结果表明,剖宫产(OR=2.342,95%CI:1.170~4.687)、开奶时间(>6h)(OR=1.751,95%CI:1.386~2.211)、24h挤奶次数(<6次)(OR=1.842,95%CI:0.299~0.987)、重度抑郁(OR=2.440,95%CI:1.353~4.402)和乳房重度胀痛(OR=2.646,95%CI:1.435~4.877)等指标是乳汁分泌量缺乏的独立危险因素(P<0.05);而乳房按摩(OR=0.406,95%CI:0.198~0.834)是乳汁分泌量的独立保护因素(P<0.05)。结论产妇产后72h乳汁分泌量缺乏的发生率较高,分娩方式、开奶时间、24h挤奶次数、抑郁、乳房按摩和乳房胀痛程度等指标是影响产妇乳汁分泌量的独立影响因素,临床宜针对上述因素制定切实可行并有针对性的干预措施,以增加乳汁分泌量,提高母乳喂养率。
Objective To explore the factors affecting breast milk secretion at 72 hours after delivery. Methods 205 parturients admitted to the Xingtai Third Hospital from February 2018 to January 2021 for labor check-up and delivery were selected as the research object. They were divided into normal group(n=140) and deficient group(n=65) according to whether the milk secretion was more than 50 ml within 72 hours. Univariate analysis was performed on the baseline data of the two groups, and Logistic regression analysis was performed on the indicators with statistically significant differences to explore the independent influencing factors of maternal milk secretion deficiency. Results There were 65 cases(31.71%, 65/205) of the 205 parturients with lack of milk secretion. There were statistically significant differences between the two groups in the baseline data of pregnancy number, delivery mode, pregnancy precursor quality index, milking method, milking time, 24-hour milking times, nipple type, each milking time, night milking times, breast massage and breast pain degree(P<0.05). Logistic regression analysis showed that cesarean section(OR=2.342,95%CI: 1.170-4.687), milk opening time(>6 h)(OR=1.751,95%CI: 1.386-2.211), milking times of 24 h(<6 times)(OR=1.842,95%CI: 0.299-0.987), severe depression(OR=2.440,95%CI: 1.353-4.402) and severe breast pain(OR=2.646,95%CI: 1.435-4.877) were independent risk factors for lack of milk secretion(P<0.05). However, breast massage(OR=0.406,95%CI: 0.198-0.834) was an independent protective factor of milk secretion(P<0.05). Conclusions The incidence of lack of milk secretion was high. Delivery mode, milking time, 24-hour milking times, depression, breast massage and breast distension pain were the independent influencing factors of breast secretion. It is appropriate to formulate feasible and targeted intervention measures to increase milk secretion and improve breastfeeding rate.
作者
韩兴思
郝俊兰
王俊茹
王晶
HAN Xingsi;HAO Junlan;WANG Junru;WANG Jing(Department of Gynaecology and Obstetrics,Xingtai Third Hospital,Xingtai 054000,Hebei,China)
出处
《中国性科学》
2021年第11期67-70,共4页
Chinese Journal of Human Sexuality
基金
邢台市科技支撑计划项目(2019ZC264)。
