| 蔡晓燕,周华,刘铭,于婷婷,王琴,李玥玥.母乳库支持下的转运早产儿母乳喂养现状及其影响因素的研究[J].上海护理,2021,21(S1): |
| 母乳库支持下的转运早产儿母乳喂养现状及其影响因素的研究 |
| Study on the status quo and influencing factors of breastfeeding in transshipment premature infants supported by breast milk bank |
| DOI： |
| 中文关键词: 转运早产儿 母婴分离 母乳库支持 家庭支持系统 母乳喂养 |
| 英文关键词:Transport of premature infants Separation of mother and child Breast milk bank support Family support system Breastfeeding |
| 基金项目:2019年上海市卫生健康委先进适宜技术推广项目；上海市同仁医院院级科研基金（护理专项） |
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| 中文摘要: |
| 【摘要】目的 通过对上海某三级乙等综合性医院产科转运至有母乳库支持单位的早产儿母亲进行调查，了解早产儿母婴分离情况下母乳喂养的现况及影响因素，为提供个性化母乳喂养指导方案提供依据。 方法 采用便利抽样方法，将产科2019年1月1日至2019年12月31日，转运至有母乳库支持的三级甲等专科医院的113例早产儿及其母亲81例作为研究对象，对母亲进行电话随访，随访内容包括母亲、早产儿一般资料、母乳喂养情况及母乳喂养结局三个方面。 结果 1）母亲文化程度较高（大专以上77.8%）、剖宫产率高（79.6%）、双胎占比高（39.5%）、产假结束继续休假比例高（60.5%）；早产儿出生时胎龄≥35周占比为（34.5%）、出生5分钟时Apgar评分正常占比高（78.8%）、出生体重为（1840.00±479.38）克、转院时年龄为（131.55±88.55）分钟、住院天数为（27.29±21.81）天。2）6个月纯母乳喂养率为49.4%，通过对纯母乳喂养组及非纯母乳喂养组间比较得出，与母亲在产前掌握母乳喂养知识程度、吸奶频率和送奶行为呈正相关（P<0.001）；与早产儿住院后母亲掌握儿童医院母乳喂养知识技能、母乳库知晓程度呈正相关（P<0.05）。3）Logistic回归分析显示，早产儿入住儿童医院后，母亲对母乳喂养知识技能掌握程度、母乳库知晓度及最终送奶的行为是早产儿6个月内实现纯母乳喂养独立影响因素，差异有显著影响（P<0.001）。 结论 转运至有母乳库支持单位的早产儿6个月纯母乳喂养率水平高。提高母亲母乳喂养知识技能水平；母婴分离情况下鼓励母亲坚持每天8次，其中夜间2次以上吸奶频率是促进泌乳的有效措施；母乳库母乳补充和家庭送母乳的支持系统是实现6个月内纯母乳喂养关键。建议早产儿转运后，产科和儿童医院新生儿科联合，加强对转运早产儿母亲个性化母乳喂养指导的支持，从而进一步提高转运早产儿6个月纯母乳喂养率。 |
| 英文摘要: |
| 【Abstract】 Objective Through the investigation of the mothers of premature infants transferred to the supporting unit of the breast milk bank in the obstetrics department of a third-class b-class general hospital in Shanghai, the current situation and influencing factors of breast-feeding in the case of infant and infant separation were understood, so as to provide the basis for providing personalized breast-feeding guidance program. Methods Convenience sampling method was used with obstetric on January 1, 2019 to December 31, 2019, transferred to a third rate that library support breastfeeding specialized subject hospital, 113 cases of 81 cases of premature infants and their mother as the research object, to my mother by telephone follow-up, follow-up content includes general information, breastfeeding mothers, premature infants and breastfeeding ending three aspects. Result 1) Mothers with higher education (77.8% and above junior college level), cesarean section rate (79.6%), twins ratio (39.5%), and continuing leave after maternity leave (60.5%); The proportion of premature infants with gestational age ≥35 weeks at birth was (34.5%), the proportion of Apgar score normal at 5 minutes of birth was (78.8%), the birth weight was (1840.00±479.38 g), the age at transfer was (131.55±88.55) minutes, and the length of stay was (27.29±21.81) days. 2) The rate of exclusive breastfeeding at 6 months was 49.4%, which was positively correlated with the knowledge of breastfeeding, breastfeeding frequency and breastfeeding behavior of mothers in prenatal (P<0.001). There was a positive correlation with mothers"" knowledge and skills of breast-feeding in children""s hospital and the level of breast-feeding bank knowledge after admission (P<0.05). 3) Logistic regression analysis showed that, after admission to the children""s hospital for premature infants, mothers"" knowledge and skills of breast-feeding, breast-milk bank awareness and final breast-feeding behavior were independent factors influencing the realization of exclusive breast-feeding for premature infants within 6 months, with significant differences (P<0.001). Conclusion The rate of exclusive breastfeeding at 6 months of premature infants transferred to a breastfeeding support unit was high. (b) Improve the knowledge and skills of mothers in breastfeeding; Under the condition of mother and child separation, mothers are encouraged to adhere to 8 times a day, among which the frequency of more than 2 times at night is an effective measure to promote lactation; Breast milk replenishment in the breast milk bank and support systems for home delivery are key to achieving exclusive breastfeeding for six months. It is suggested that after the transfer of premature infants, the department of Obstetrics and neonatology of children""s hospital should strengthen the support of personalized breastfeeding guidance for the mothers of premature infants, so as to further increase the rate of exclusive breastfeeding of premature infants at 6 months after the transfer. |
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