目的：探讨产后乳房湿热敷配合乳房及肩部按摩对产妇泌乳的影响。方法将所有患者分为观察组和对照组，每组各150例。对照组：在产后30分钟内，实施早接触、早吸吮，按需哺乳，产后回病房进行常规母乳喂养指导。观察组：在对照组的基础上，于产后6h协助产妇进行乳房湿热敷按摩，产后24 h行肩背部按摩。结果产后24 h、48 h、72 h，观察组泌乳始动时间较对照组缩短14 h，泌乳量也明显高于对照组，观察组母乳足够率达95．1％。结论产妇产后乳房湿热敷配合乳房及肩部按摩对产妇泌乳的研究，明显缩短乳汁分泌始动时间，有效促进乳汁分泌和保持泌乳，增进母婴感情，促进身心健康，进一步提高母亲坚持4～6个母乳喂养率，有效减轻家庭经济负担。%Objective To explore the effect of moist heat compress on the postpartum breast combined with breast and shoulder massage on maternal lactation.Methods All patients enrolled in this study were divided into observation group and control group, the control group (150 cases):within postpartum 30 minutes, patients were carried out earlier contact,earlier sucking, on-demand lactation and given normal breast-feeding advice after postpartum back ward.The observation group (150 cases):On the basis of control group, moist heat on the breast massage was given 6 hours after given birth, and the humeral back massage was given after 24 hours. Results 24 hours, 48 hours and 72 hours after postpartum, lactation pick up time of observation group was 14 hours shorter than control group, mammary volume is significantly higher than the control, breast milk enough rate was 95.1%.Conclusions Moist heat compress on the maternal postpartum breast combined with breast and shoulder massage can significantly reduce milk initiating time, effectively promote milk secretion and maintain lactation, improve maternal affection and promote physical and mental health, further encourage the mother insisted 4-6 months breastfeeding rates, effectively reduce the family economic burden.
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