延长产后母婴皮肤接触时间对母乳喂养的影响

目的 分析产后母婴皮肤接触时间对出院时、产后1月、产后3月母乳喂养情况的影响.方法 选择2018年12月—2019年12月贵州省人民医院符合标准的产妇368例,按实际母婴皮肤接触时间分为＜30 min(n = 49)、30～＜60 min(n = 59)、60～＜90 min(n = 54)、≥90 min(n = 2...

Effect of prolonging mother-infant skin-contact time on breastfeeding

Objective To explore the influence of mother-infant skin-contact time on breastfeeding at discharge, 1 month or 3 months after delivery, in order to facilitate implementation of newborn safety project in pilot hospitals in Guizhou. Methods A total of 368 pregnant women were selected from pilot hospitals in the designated areas (Guizhou Province) of WHO/China CDC newborn safety project, and were divided into four groups according to mother-infant skin-contact time[＜30 min(n=49), 30-<60 min(n=59), 60-<90 min(n=54), ≥90 min(n=206)].The exclusive breastfeeding rate, difficulty of breastfeeding and long-term breastfeeding risk of the four groups were analyzed. Results There was no statistical difference in the exclusive breastfeeding rate among the four groups (χ²=2.026, P>0.05),but the rate of exclusive breastfeeding in the group of mother-infant skin-contact time ≥90 min was significantly higher than that in the three groups in the first month after delivery(χ²=8.755, P＜0.05).With the increasing time of mother-infant skin-contact time, the rate of moderate/severe difficulty of breastfeeding was significantly reduced, while the mild difficulty of breastfeeding significantly increased(χ²=19.627, P＜0.001) .In 3 months after birth, with the increasing of mother-infant skin-contact time, the scores of maternal and infant satisfaction and lifestyle, as well as the total score of Maternal Breastfeeding Evaluation Scale(MBFES) significantly increased(F=9.758,15.201,9.025,16.360, P<0.001). Conclusion Prolonging mother-infant skin-contact time is helpful to improve the key link of breastfeeding, the rate of exclusive breastfeeding and the long-term outcome of breastfeeding.