孕期乳房按摩对促进母乳喂养的效果研究

目的研究孕期乳房按摩对促进母乳喂养的效果。方法选取2014年3月—2014年12月在广东省清远连州市妇幼保健院定期检查并怀孕36周的产妇84例作为研究对象,抽签随机分为观察组与对照组,每组42例。对观察组每天进行乳房与乳头按摩1~2次(37周前不作乳头按摩);对照组不作乳房乳头按摩,仅采取常规的孕期检查与护理。比较两组产妇产后泌乳始动时间、始动泌乳量、纯母乳喂养率以及不同喂养方式对婴儿体内血红蛋白数、钙、锌、铁含量的影响。结果泌乳始动时间观察组(15.9±2.6)h快于对照组(24.4±2.7)h;始动泌乳量观察组(24.61±4.95)m L多于对照组(13.27±4.56)m L,两组比较均有统计学意义(P0.05)。6个月纯母乳喂养率观察组92.8%高于对照组61.9%,两组比较有统计学意义(P0.05)。6个月母乳喂养的婴儿血红蛋白数、钙、锌、铁含量均高于人工喂养的婴儿,比较有统计学意义(P0.05)。结论孕期乳房按摩对母乳喂养的促进效果显著,能明显加快泌乳始动时间,提高始动泌乳量,增加纯母乳的喂养率,提高婴儿体内血红蛋白数、钙、锌、铁含量。

Study on the Effects of Breast Massage During Pregnancy in Promoting Breast Feeding

Objective To study the effects of breast massage during pregnancy in promoting breast feeding.Methods 84 cases of puerperae who were in pregnancy for 36 weeks and received regular examination in our hospital between March and December 2014 were selected as the study objects and were randomly divided into the observation group and the control group , with 42 cases in each group.The observation group received daily breast and nipple massage for 1~2 times ( before 37 weeks, there was no nipple massage ); The control group did not receive breast and nipple massage and only received routine pregnant examination and nursing.The postpartum initial time of lactation , initial lactation volume, rate of pure breastfeeding and effects of different feeding ways on number of hemoglobin in vivo and contents of calcium , zinc and Fe in infants were compared between the two groups.Results The initial time of lactation in the observation group ( 15.9 ±2.6 ) h was shorter than that of the control group (24.4±2.7)h;The initial lactation volume of the observation group (24.61±4.95) mL was more than that of the control group (13.27 ±4.56 ) mL ( P<0.05 ) .The rate of 6-months pure breastfeeding in the observation group ( 92.8%) was higher than that in the control group ( 61.9%) ( P<0.05 ) .The contents of number of hemoglobin , calcium, zinc and Fe in infants after 6 months of breast feeding were higher than those in artificial fed infants ( P<0.05 ) .Conclusion Breast massage during pregnancy can significantly promote breastfeeding , accelerate the initial time of lactation , increase the initial lactation volume, increase the rate of pure breast feeding and improve the contents of number of hemoglobin , calcium, zinc and Fe.