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目的:比较剖宫产和阴道分娩产妇的泌乳素水平、乳汁始动时间、新生儿体重。方法:选取2011年6月至2012年5月在我院进行分娩的产妇160例进行分析,按照分娩方式分成观察组和对照组,观察组76例采用剖宫产,对照组84例采用阴道分娩,观察两组泌乳素(PRL)水平、乳汁始动时间、新生儿体重。结果:两组产妇血清PRL含量及产后1d、产后3d产妇初乳PRL含量比较无明显差异(P>0.05);观察组乳汁始动时间明显长于对照组(P<0.05),泌乳不足率明显高于对照组(P<0.05);两组出生后4d新生儿体重均明显下降(P<0.05),且观察组下降水平明显高于对照组(P<0.05)。结论:阴道分娩产妇乳汁始动时间、泌乳量、新生儿体重上均优于剖宫产产妇;因而在对产妇进行剖宫产时要严格掌握剖宫产指征,产后采取母乳喂养和按需哺乳,提高产妇哺乳信心。
OBJECTIVE: To compare the level of prolactin, milk start-up time and newborn weight in cesarean section and vaginal delivery. Methods: From June 2011 to May 2012 in our hospital for delivery of 160 cases of maternal analysis, according to mode of delivery was divided into observation group and control group, observation group 76 cases of cesarean section, 84 cases of the control group by vaginal delivery The levels of prolactin (PRL), milk start-up time and newborn weight were observed. Results: There was no significant difference in PRL content between the two groups (P> 0.05). The onset time of milk in the observation group was significantly longer than that of the control group (P <0.05), and the lactation deficit rate was significantly higher (P <0.05). The body weight of newborns in both groups after birth decreased significantly (P <0.05), and the decrease in observation group was significantly higher than that in control group (P <0.05). Conclusion: Maternal milk in vaginal delivery time, lactation volume, neonatal weight are better than cesarean section maternal; so during maternal cesarean section to strictly control indications of cesarean section, postpartum breastfeeding and on-demand Breastfeeding, improve maternal breastfeeding confidence.