孕前健康宣教对剖宫产产妇母乳喂养的影响

目的 探讨孕前健康宣教对剖宫产产妇母乳喂养的影响,寻求有效的方法加强剖宫产产妇的母乳喂养.方法 选择2014年6月至12月在本院产科择期剖宫产产妇2 147例,其中正常产妇1 701例作为对照组,孕前参加孕妇学校健康宣教的446例产妇作为观察组,观察两组产妇产后纯母乳喂养情况.结果 观察组术后3d母乳喂养率为85.2％(380/446),对照组母乳养率为60.3％(1 026/1 701).观察组母乳喂养率明显高于对照组,差异有统计学意义(P＜0.05).另外观察组始动泌乳时间＜24h的产妇占66.4％(296/446)明显高于对照组的30.1％(512/1 701),差异有统计学意义(P＜0.05).结论 孕前健康宣教可明显提高剖宫产产妇产后的母乳喂养的水平,对产妇及新生儿有较好的意义.

Effect of pre-pregnancy health education on maternal breast-feeding of cesarean

Objective To explore the effect of pre-pregnancy health education on maternal breastfeeding of cesarean,and seek effective ways to strengthen maternal breast-feeding of cesarean.Methods 2147 puerpera prepared for elective cesarean from June to December 2014 in department of obstetrics of our hospital were selected,1701 normal puerpera as control group,446 puerpera who received pre-pregnancy health education as observation group.Observed postpartum breast-feeding of two groups.Results The breastfeeding rate 3 d after cesarean section in observation group was 85.2％ (380/446),that in control group was 60.3％ (1 026/1 701),breast-feeding rate in observation group was significantly higher than that in control group,with statistically significant difference (P＜0.05).Puerpera whose initiating lactation time was ＜24 h accounted for 66.4％(296/446) in observation group,significantly higher than 30.1％ (512/1 701) in control group,with statistically significant difference (P＜0.05).Conclusion Pre-pregnancy health education improve caesarean puerperal breast-feeding level,has good meaning on puerpera and newborn.