剖宫产及术后镇痛对母乳喂养的影响

目的观察剖宫产及术后镇痛对母乳喂养的影响.方法将剖宫产术的足月初产妇120例随机分为A、B组:A组术毕通过硬膜外导管间断注入镇痛药物行术后镇痛,24h后重复一次;B组未行术后镇痛;另选同期阴道自然分娩的足月初产妇60例为对照组观察产妇产后镇痛效果、泌乳哺乳情况、禁食时间、排气时间及婴儿体重下降情况.结果剖宫产术影响产后泌乳.剖宫产术后镇痛,产妇情绪安静,有利于建立产妇泌乳反射,泌乳始动时间早、母乳喂养率高.结论剖宫产术影响产后泌乳,术后镇痛能提高产妇母乳喂养的成功率.

Effect of cesarean section and postoperative analgesia on breast-feeding

Objective: To study the effect of cesarean section and postoperative epidural analgesia on breast-feeding. Methods: 120 maturus primiparous women underwent cesarean section were divided randomly into two groups:group A and group B. Epidual analgesia was used in group A at the end of the operation and was repeated 24h after the operation;The epidural analgesia was not administered postoperatively in group B; 60 maturus primiparous women of natual labor in the same period were regarded as the control group(group C). We observed the effect of analgesia,the information of lactation and breast-feeding,the time of fasting and exhaust and the change of babys'weight. Results: Cesarean section would affect the lactation of postpartum women and the emotion of postoperatived women was quiet which would be useful for establishing the reflection of lactation; The beginning time of lactation was earlier, meanwhile the success rate of breast-feeding is higher. Conclusion Cesarean section would affect the lactation of postpartum women and the epidual analgesia would improve the success rate of breast-feeding.