Analysis of Factors Affecting Breastfeeding After Cesarean Section and Its Nursing Countermeasures

doi:10.3877/cma.j.issn.1673-5250.2014.04.017

Objective

To study the related factors affecting breastfeeding after cesarean section, analysis the important role of nursing interventions in breastfeeding after cesarean section.

Methods

From January 2013 to September 2012, a total of 116 cases parturients with cesarean section in Anyue Hospital of Traditional Chinese Medicine were recruited. According to nursing interventions, they were randomly divided into observation group (n= 58, to practice targeted nursing intervention) and control group (n = 58, to practice routine care interventions) by admission odd and even numbers. Maternal breastfeeding rates, lactational rates, and lactational scores were statistically analyzed between two groups. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Anyue Hospital of Traditional Chinese Medicine. Informed consent was obtained from each participant. There had no significance differences between two groups in general clinical data of each parturient and each neonate(P>0.05).

Results

After different nursing interventions, rate of breast feeding in observation group was significantly higher than that in control group (P<0.05). There had no significance difference between two groups in 12 h lactational rates (P > 0.05), but within 24 h and 48 h lactational rates in observation group were significantly higher than those in control group (P<0.05). Lactational scores within 48 h and 72 h in observation group were significantly higher than those in control group (P < 0.05).

Conclusion

Postoperative targeted nursing intervention can effectively improve maternal breastfeeding rates and lactational scores within 48 h and 72 h.

Key words: Cesarean section, Breast feeding, Clinical nursing, Maternal

表1 观察组与对照组产妇不同方式喂养率比较[n(%)]

Table 1 Comparison of breastfeeding rates between two groups

组别	n	纯母乳喂养率	纯母乳+人工混合喂养率	人工喂养率	母乳喂养率(%)
观察组	58	22(37.9)	28(48.3)	8(13.8)	86.2
对照组	58	15(25.9)	18(31.0)	25(43.1)	56.9
χ²		4.285	5.237	6.375	4.682
P		<0.05	<0.05	<0.05	<0.05

表1 观察组与对照组产妇不同方式喂养率比较[n(%)]

Table 1 Comparison of breastfeeding rates between two groups

组别	n	纯母乳喂养率	纯母乳+人工混合喂养率	人工喂养率	母乳喂养率(%)
观察组	58	22(37.9)	28(48.3)	8(13.8)	86.2
对照组	58	15(25.9)	18(31.0)	25(43.1)	56.9
χ²		4.285	5.237	6.375	4.682
P		<0.05	<0.05	<0.05	<0.05

表2 两组产妇于产后不同时段泌乳率比较[n(%)]

Table 2 Comparison of lactational rates after delivery between two groups [n(%)]

组别	n	12 h	24 h	48 h
观察组	58	25(43.1)	39(67.2)	46(79.3)
对照组	58	22(37.9)	28(48.3)	35(60.3)
χ²		2.285	5.792	5.025
P		>0.05	<0.05	<0.05

表2 两组产妇于产后不同时段泌乳率比较[n(%)]

Table 2 Comparison of lactational rates after delivery between two groups [n(%)]

组别	n	12 h	24 h	48 h
观察组	58	25(43.1)	39(67.2)	46(79.3)
对照组	58	22(37.9)	28(48.3)	35(60.3)
χ²		2.285	5.792	5.025
P		>0.05	<0.05	<0.05

表3 两组产妇泌乳评分比较(分，±s)

Table 3 Comparison of lactational scores between two groups (score,±s)

组别	n	48 h	72 h
观察组	58	2.15±0.26	2.60±0.27
对照组	58	1.25±0.31	1.89±0.39
t		3.682	4.802
P		<0.05	<0.05

表3 两组产妇泌乳评分比较(分，±s)

Table 3 Comparison of lactational scores between two groups (score,±s)

组别	n	48 h	72 h
观察组	58	2.15±0.26	2.60±0.27
对照组	58	1.25±0.31	1.89±0.39
t		3.682	4.802
P		<0.05	<0.05

1	黄佩凤．影响剖宫产术后母乳喂养的因素和护理[J]．中国医药指南，2012，8(10)：287-290.
2	刘春．护理干预对剖宫产术后产妇母乳喂养的积极影响[J]．医学理论与实践，2011，24(18)：2253-2254.
3	麻晓玲，张延丽．剖宫产产妇母乳喂养自我效能及影响因素[J]．山西中医学院学报，2011，12(4)：58-60.
4	庞则英．剖宫产术后影响母乳喂养的因素及护理措施[J]．医学信息，2011，24(9)：6287-6289.
5	潘小平．剖宫产术后影响母乳喂养原因的探讨[J]．江西医药，2010，45(1)：79-80.
6	张雯执，刘兆娟．近30年国内剖宫产率变化趋势及影响因素[J]．浙江中西医结合杂志，2010，20(10)：659-661.
7	郭慧芳．影响剖宫产术后母乳喂养的原因和护理措施[J]．河北医药，2012，34(1)：1737-1739.
8	冯林林，王建珍．优质护理服务对剖宫产产妇母乳喂养的影响[J]．全科护理，2011，9(9)：2367-2368.
9	白云广．剖宫产产妇母乳喂养的影响因素与护理对策[J]．中外医学研究，2012，10(3)：105-107.
10	李国庆．舒适护理在剖宫产术后产妇护理中的应用研究[J]．中国医药指南，2012，10(1)：14-15.
11	余利红，吴梅娟．剖宫产术后影响母乳喂养的因素分析及护理对策[J]．中国实用护理杂志，2012，28(5)：32-33.
12	许庆．护理干预措施对剖宫产术后母乳喂养的影响[J]．中国实用护理杂志，2011，27(15)：59-60.
13	周建红，伍克立，李明霞，等．护理干预对剖宫产产妇泌乳及母乳喂养的效果研究[J]．四川医学，2013，34(8)：1268-1269.
14	汪新菊，舒新莲，王乐霞，等．规范化健康教育对剖宫产术后母乳喂养的影响研究[J]．中国全科医学，2012，15(34)：4009-4011.
15	陈玉芳．整体护理对剖宫产术后产妇恢复及母乳喂养的影响[J]．中国实用护理杂志，2012，28(5)：37-39.

[1]	Jingyu Qian, Mingming Zheng. Interpretation of the Italian guidelines on non-invasive and invasive prenatal diagnosis：executive summary of recommendations for practice the Italian Society for Obstetrics and Gynecology（SIGO）[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2024, 20(05): 486-492.
[2]	Fanying Zeng, Jie Ruan, Xinghui Liu, Guolin He. Current status of perinatal medicine advances under the new reproductive situation and coping strategies in prenatal care[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2024, 20(05): 519-524.
[3]	Tingting Xu, Yongchi Zhan, Xiaodong Wang, Xiaodong Wang. Perinatal outcomes of fetomaternal hemorrhage syndrome pregnant women with sinusoidal fetal heart tracing[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2024, 20(04): 382-389.
[4]	Xuanyao Liu, Xiaoxi Zhao. Predictive value of single and combined detection of common prenatal screening indexes for pregnant women on fetal chromosomal abnormalities[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(06): 657-664.
[5]	Yinjun Zhu, Min Zhang, Jiayu Wang. Effects of low-dose norepinephrine on neonates undergoing cesarean section under combined spinal-epidural anesthesia[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(06): 728-733.
[6]	Ling Wei, Hui Li, Yi Chen. Current research status on colonization or infection and mother-to-child transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae in pregnant and post-partum women[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 517-521.
[7]	Haoyuan Yang, Jie Gong, Qingwei Zou, Hang Ruan. Current research status on adverse pregnancy outcomes of maternal and infant in pregnant women with asthma[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 522-529.
[8]	Xiaoqing Ju, Yunjie Jin, Xiaoyan Wang. Influencing factors of uterine rupture during vaginal delivery in patients with scarred uterus after cesarean section[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 575-581.
[9]	Mengling Zhou, Zhiwei Xue, Shu Zhou. Changes in size of uterine myoma during pregnancy and its association with adverse pregnancy outcomes[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 611-615.
[10]	Min Li, Fei Xiong. Current research status of ingredients and their influencing factors of breast milk[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 267-272.
[11]	Li Chen, Xueqin Lei, Lian Duan, Yue Zeng, Guolin He. Analysis of influencing factors of success of trial of labor after twice cesarean sections and its pregnancy outcomes[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 287-294.
[12]	Chihui Mao, Jiani Zhang, Xiaodong Wang. Analysis of risk factors related to 652 stillbirths and evaluation of prevention and control measures[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 323-329.
[13]	Rongkui Wu, Jing Wu, Junhao Feng, Jiayi Zhong. The application of clinical nursing pathway in patients undergoing intervention through the femoral artery approach[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(08): 729-733.
[14]	Guanghua Liu, Qiang Ouyang, Juming Yu, Guoping Fan, Jingmin Ou, Mingke Qiu, Feikai Lin, Huizhen Sun, Hui Zhang, Xipeng Wang, Minfei Jin. Clinical application of caesarean section assisted by bilateral internal iliac artery balloon occlusion with sequential uterine artery embolization[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2024, 12(01): 33-38.
[15]	Ying Tao, Xiaoguang Li, Taohong Zhu, Yan Yang, Qi Chen. The application of Westgard-Sigma rule in quality management of maternal serological prenatal screening during the second trimester[J]. Chinese Journal of Clinical Laboratory Management(Electronic Edition), 2024, 12(02): 65-69.

Viewed

Full text

Abstract

Please choose a citation manager

Content to export