以家庭为中心的一体化产房模式对初产妇母亲角色适应及母乳喂养效果的影响

摘要

Objective To explore the effect of family centered integrated delivery room mode on maternal role adaptation of primiparae and effect of breast feeding. Methods Totally 240 primiparae from February 2015 to January 2016 in our hospital were selected and were assigned to the observation group ( family centered integrated delivery room mode) and the control group ( traditional delivery room mode) randomly. The delivery mode, mother-infant prognosis, breast-feeding rate and primipara role adaptation level were compared between two groups. Results In the observation group (120 cases), there were 104 natural childbirth cases (86.67%), 2 postpartum hemorrhage cases (1.67%), and 1 neonatal asphyxia cases (0.83%). As for the control group (120 cases), there were 81 natural childbirth cases(67.50%), postpartum hemorrhage 7 cases (5.83%), 4 neonatal asphyxia cases ( 3. 33%) . The breast-feeding rate was 89. 17% in the observation group, and was 74.17% in the control group (P<0.05). In the observation group, 9 cases (7.50%) were in good primipara role adaptation level, 69 cases(57.50%) were in general level and 42 (35%) were in bad level. In the control group, 1 cases (0.83%) was in good level, 42 cases (35%) were in general level, and 77 cases (64.17%) were in bad level. The difference between two groups was statistically significant (P<0.05).Conclusions Family centered integrated delivery room mode can significantly improve the natural childbirth rate and breast-feeding rate, promote maternal role adaptation, reduce the risk of postpartum hemorrhage, neonatal asphyxia and other adverse maternal and neonatal outcomes.%目的：探讨以家庭为中心的一体化产房模式对初产妇母亲角色适应及母乳喂养效果的影响。方法选取2015年2月—2016年1月分娩的初产妇240人，依据随机数字表法分为观察组(以家庭为中心的一体化产房模式)和对照组(传统产房模式)，比较两组分娩方式、母婴结局、母乳喂养率及初产妇角色适应水平。结果观察组120人，自然分娩104人(86.67％)，产后出血2人(1.67％)，新生儿窒息1人(0.83％)。对照组120人，自然分娩81人(67.50％)，产后出血7人(5.83％)，新生儿窒息4人(3.33％)。观察组母乳喂养率为89.17％，对照组母乳喂养率为74.17％，差异具有统计学意义(P<0.05)。观察组初产妇角色适应情况中良好9人(7.50％)，一般69人(57.50％)，差42人(35.00％)；对照组初产妇角色适应情况中良好1人(0.83％)，一般42人(35.00％)，差77人(64.17％)，差异具有统计学意义( P<0.05)。结论以家庭为中心的一体化产房模式能够明显提高自然分娩率和母乳喂养率，促进初产妇母亲角色适应，降低产后出血、新生儿窒息等不良母婴结局风险。