目的对比分析经产妇和初产妇的产后宫缩痛、泌乳、排尿及恶露情况，以探讨提高产妇产后康复的干预措施。方法采用自行设计问卷对100例住院阴道分娩的初产妇和有过大于孕28周引产或分娩史的经产妇在产后第1—第3天进行疼痛强度评估，同时观察两组产妇的泌乳、排尿及恶露情况。结果经产妇组产后第1天疼痛评分中位数为3.5分高于初产妇组，泌乳量、恶露排出量多于初产妇组，差异有统计学意义（P＜0.05），两组产妇产后尿潴留发生率差异无统计学意义（P>0.05）。结论经产妇产后宫缩痛明显，应早期采取有效措施减轻疼痛，促进产后康复；初产妇产后第1天泌乳量较少，应及时指导喂养技巧，增加乳量分泌。%Objective To compare the uterine contraction pain, lactation, urination and lochia situation between multipara and primipara, to improve maternal postpartum rehabilitation interventions. Methods With Visual Analogue Scale (VAS), pain intensity in postpartum 1~3 days of 100 cases of primipara of vaginal delivery in hospital and multipara who had induction of labor after 28 weeks or had delivery history was assessed and their lactation, urination and lochia situation at the same time were observed. Results The pain score was 3.5 points at the first day in multipara group and there were more lactation and lochia discharge in multipara group than those in primipara group, which were statistically significant (P<0.05). Conclusion In first day of postpartum, there is obvious uterine contraction pain among multipara, and less lactation in primipara. Early effective measures to relieve pain of multipara and promote milk secretion for primipara should be taken.
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