产后子宫按摩对产妇泌乳及预防产后出血的效果影响

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目的:探讨产后子宫按摩对产妇泌乳及预防产后出血的效果。方法:选取2012年4月~12月间该院收治的正常产产妇220例,随机分为对照组和观察组,每组各110例。对照组产妇进行常规产科治疗,观察组产妇在此基础上接受产后子宫按摩,对比两组产妇泌乳情况、产后出血发生率和在院期间的满意度。结果:观察组产妇见乳时间明显短于对照组产妇,差异有统计学意义(P<0.05);观察组产妇泌乳量多的比例明显高于对照组,差异有统计学意义(P<0.05);与对照组相比,观察组产妇第三产程时间明显缩短,第三产程出血量、平均出血量均明显减少,产后出血率明显降低,差异均有统计学意义(P<0.05);观察组产妇满意率、非常满意率明显高于对照组,差异有统计学意义(P<0.05)。结论:产后按摩可明显促进产妇泌乳,降低产后出血的发生率,提高治疗满意度,值得在产科推广应用。 Objective: To investigate the effects of postpartum uterine massage on lactation and postpartum hemorrhage. Methods: 220 cases of normal labor women admitted to our hospital from April to December 2012 were randomly divided into control group and observation group, with 110 cases in each group. The control group of maternal general obstetric treatment, observation group maternal on this basis to accept postpartum uterine massage, compared the two groups of maternal lactation, postpartum hemorrhage rate and satisfaction during the hospital stay. Results: The observation group maternal milk was significantly shorter than the control group maternal, the difference was statistically significant (P <0.05); observation group maternal milk yield was significantly higher than the proportion of the control group, the difference was statistically significant (P <0.05) ; Compared with the control group, the observation group maternal third trimester time was significantly shorter, the third stage of bleeding, the average amount of bleeding were significantly reduced, postpartum hemorrhage rate was significantly lower, the difference was statistically significant (P <0.05); observation group Maternal satisfaction rate, very satisfied with the rate was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion: Postpartum massage can significantly promote maternal lactation, reduce the incidence of postpartum hemorrhage and improve the satisfaction of treatment. It is worth popularizing and applying in obstetrics.
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