新生儿双侧早吸吮与单侧早吸吮对产妇泌乳的影响

摘要

Objective To study the effects of neonatal bilateral and unilateral early sucking on the secretion time and the amount of colostrum.Methods A total of 300 cases with normal full-term delivery and nipple condition were selected and randomly divided into two groups:bilateral early sucking group and unilateral early sucking group.Women in the two groups were assisted by a midwife within 1 h after birth to implement early suction,with women of bilateral early sucking receiving breast sucking 15 minutes on each side and unilateral early sucking group 30 minutes just on one side.Maternal lactation′s initiating time and amount of lactation of two groups after postpartum 6 hours,24 hours,48 hours and 72 hours were analyzed.Results There was no difference of lactation initiating time in bilateral early sucking group and unilateral early sucking group (P >0.05).After 6 hours,lactation in the 2 groups had no difference (P >0.05).After 24 hours,48 hours and 72 hours,number of women with sufficient lactation in bilateral early sucking group was greater than unilateral early sucking group (P <0.05).Conclusions Bilateral early sucking is more favorable than unilateral early sucking postpartum for lactation amount.%目的：探讨乳房双侧早吸吮与单侧早吸吮对初乳分泌时间和乳汁量的影响。方法选取300名足月正常分娩、乳头条件正常的初产妇，随机分为双侧早吸吮组150人和单侧早吸吮组150人。两组产妇均在产后1 h 内由助产士协助实施早吸吮，双侧早吸吮组每侧乳房吸吮15 min，共吸吮30 min，单侧早吸吮组任选左侧或右侧乳房吸吮30 min。比较分析两组产妇泌乳始动时间和产后6 h、24 h、48 h、72 h 泌乳量的差别。结果双侧早吸吮组与单侧早吸吮组泌乳始动时间比较，差异无统计学意义（P ＞0．05）。产后6 h 泌乳量两组差异无统计学意义（P ＞0．05），产后24 h、48 h 和72 h 双侧早吸吮组奶量充足人数均多于单侧早吸吮组，且差异有统计学意义（P ＜0．05）。结论产后实施双侧早吸吮比单侧早吸吮泌乳效果更佳。