首页> 中文期刊> 《齐鲁护理杂志》 >早期母婴皮肤接触对新生儿及产妇的影响

早期母婴皮肤接触对新生儿及产妇的影响

         

摘要

Objective:To investigate the effect of early mother-neonate skin contact on neonatal behavioral state and puerperae. Meth-ods:110 puerperae and neonates were randomly divided into the study group and the control group( 55 puerperae and neonates in each group). The routine obstetric nursing intervention was conducted in the control group and the early mother-neonate skin contact interven-tion was adopted in the study group,the duration of crying and crying times within 1 hour and 6 hours after childbirth,the temperature changes at birth and after 2 hours of childbirth,the effect and pattern of the first breastfeeding and postpartum uterine involution of puerpe-rae were compared between the two groups. Results:The duration of crying and crying times within 1 hour and 6 hours after childbirth were shorter and fewer in the study group than the control group(P﹤0. 05);the temperature changes of neonates after 2 hours of child-birth was superior to that at birth in the study group and it was superior in the study group to that in the control group(P﹤0. 05);the success rate of the first breastfeeding in the study group was significantly higher than that in the control group(P﹤0. 01);after 40 days of follow-up,the rate of pure breastfeeding in the study group was significantly higher than that in the control group(P﹤0. 05);the postpartum uterine involution of puerperae was significantly better in the study group than the control group(P﹤0. 05). Conclusion:The early mother-neonate skin contact can effectively improve neonatal behavioral state,temperature level and breastfeeding rate and can ac-celerate the postpartum uterine involution of puerperae.%目的:探讨早期母婴皮肤接触对新生儿行为状态及产妇的影响。方法:将110例产妇及其新生儿随机分为研究组与对照组各55例,对照组采取常规产科护理干预,研究组实施早期母婴皮肤接触干预。比较两组新生儿1 h内及5~6 h的啼哭时间及啼哭次数、出生时及出生2h的体温变化、首次母乳喂养效果及喂养方式、产妇子宫复旧情况。结果:研究组新生儿1h内及5~6h的啼哭持续时间及啼哭次数均少于对照组( P﹤0.05)。研究组新生儿出生2 h的体温水平显著优于出生时及对照组( P ﹤0.05)。研究组新生儿首次母乳喂养成功率为显著高于对照组(P﹤0.01);随访40 d后,研究组新生儿纯母乳喂养率显著高于对照组(P﹤0.05)。研究组产妇产后子宫复旧情况明显优于对照组( P﹤0.05)。结论:早期母婴皮肤接触可以有效改善新生儿啼哭的行为状态,提高体温水平及母乳喂养率,加速产妇子宫复旧。

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