住院分娩母乳喂养干预措施

目的:探讨住院分娩者母乳喂养干预措施,提高纯母乳喂养率。方法:将2009年1月～2010年12月平顶山市妇幼保健院妇产科收治的3 230例孕妇随机分为两组,干预组1 960例孕妇,对照组1 270例孕妇。干预组孕产妇由乳腺科医生到产科对其查房并进行干预;所有产妇出院后1月、2月分别进行母乳喂养状况随访调查。结果:干预前干预组孕妇乳房总异常率为9.29%,对照组为7.56%,差异无统计学意义(χ2=2.92,P=0.09);干预后干预组和对照组母乳喂养有信心者分别为96.53%和77.64%,差异有统计学意义(χ2=283.28,P<0.01);产后2组乳房不适率分别为15.97%和39.76%,差异有统计学意义(χ2=230.72,P<0.01);干预组产妇泌乳时间明显短于对照组(P<0.01),泌乳量大于对照组(P<0.01);住院期间纯母乳喂养率干预组为95.20%,对照组为86.54%,产后1个月分别为93.67%和80.47%,产后2个月分别为91.58%和70.47%,差异均有统计学意义(P<0.01)。结论:母乳喂养干预措施可行,能显著提高母乳喂养率。

Intervention measures of breastfeeding for the women choosing hospitalized delivery

Objective:To explore the intervention measures of breastfeeding for the women choosing hospitalized delivery,increase the rate of pure breastfeeding. Methods:3 230 hospitalized pregnant women in obstetrical department of the hospital from January 2009 to December 2010 were divided into two groups randomly,1 960 pregnant women in intervention group and 1 270 pregnant women in control group.The pregnant women in intervention group were intervened by doctors in department of mammary gland;the breastfeeding con...