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目的研究并探讨剖宫产前后体位指导在提高剖宫产产妇的母乳喂养成功率中的效果。方法选取2013年1月~2015年12月我院产科收治的100例具有高危妊娠因素的选择性剖宫产产妇作为研究对象,采取随机数字表法将产妇分为对照组、观察组,每组50例。对照组实施常规护理,观察组在常规护理的基础上实施产前哺乳体位训练、产后喂养体位指导。比较产后第1天、第2天、第3天两组产妇的乳汁分泌量以及母乳喂养成功率,并对两组产妇的护理满意度进行比较。结果产后第1天,两组产妇乳汁分泌量以及母乳喂养成功率比较,差异无统计学意义(P>0.05);产后第2天、第3天,观察组产妇的乳汁分泌量以及母乳喂养成功率较对照组均明显更高(P<0.05)。观察组产妇的护理满意度为98%,高于对照组的86%,差异有统计学意义(P<0.05)。结论在剖宫产前后对产妇实施合理的哺乳体位指导,可有效促进产妇乳汁的分泌,提高剖宫产后婴儿的母乳喂养成功率。
Objective To study and evaluate the effect of postural guidance of cesarean section on the success rate of breastfeeding in cesarean section. Methods From January 2013 to December 2015, 100 cases of selective cesarean section with high-risk pregnancy in obstetrics and gynecology in our hospital were selected as research objects. The maternal was divided into control group, observation group, 50 cases. The control group underwent routine nursing. The observation group received prenatal nursing position training and postnatal feeding position guidance on the basis of routine nursing. The postpartum day 1, day 2, and day 3 postpartum maternal milk secretion and breastfeeding success rate, and the two groups of maternal care satisfaction were compared. Results On the first day postpartum, there was no significant difference in breast milk secretion and breastfeeding success between the two groups (P> 0.05). On the second and third days postpartum, maternal milk secretion and breastfeeding success in the observation group Compared with the control group were significantly higher (P <0.05). The nursing satisfaction of the observation group was 98%, higher than that of the control group (86%), the difference was statistically significant (P <0.05). Conclusion Before and after cesarean section on the mother to carry out reasonable nursing position guidance can effectively promote the secretion of maternal milk and improve the success rate of breastfeeding infants after cesarean section.