钟桂英 马剑芬 林彩虹 刘佳思 谭嘉玲

【摘要】 目的：探討乳房爬行对母婴健康的影响。方法：选择佛山市禅城区中心医院2019年1-12月入院的100例产妇作为本次研究对象，均为顺利分娩的初产妇，根据护理方式不同分组。研究组50例实施乳房爬行护理。对照1组25例，新生儿出生进行常规产科护理1 h内与母亲进行皮肤接触并帮助含接乳头完成早吸吮。对照2组25例，新生儿出生仅进行常规产科护理，30 min后新生儿开始吸吮。观察两组新生儿哭泣时间、首次排胎粪时间，以及产妇24 h阴道出血量、24 h泌乳量、焦虑评分及母乳喂养成功率。结果：研究组新生儿哭泣时间、首次排胎粪时间均优于对照1、2组，差异有统计学意义（P<0.05）;研究组产妇24 h阴道出血量较少，焦虑评分低于对照1、2组，母乳喂养成功率较高，24 h泌乳量多于对照1、2组，差异均有统计学意义（P<0.05）。结论：乳房爬行母乳喂养方式于笔者所在医院实施，能够有效降低24 h阴道出血量，改善母亲的焦虑情绪，进一步提升母婴健康，培养良好的母婴感情，该模式值得推广。

【关键词】 乳房爬行 母乳喂养 母婴健康

doi：10.14033/j.cnki.cfmr.2020.13.061 文献标识码 B 文章编号 1674-6805（2020）13-0-03

Clinical Study on the Influence of Breast Crawling on Maternal and Infant Health/ZHONG Guiying， MA Jianfen， LIN Caihong， LIU Jiasi， TAN Jialing. //Chinese and Foreign Medical Research， 2020， 18（13）： -149

[Abstract] Objective： To explore the influence of breast crawling on maternal and infant health. Method： The 100 parturients admitted to Foshan Chancheng District Central Hospital from January to December 2019 were selected as the research objects. All of them were primiparas who gave birth smoothly and were divided into different groups according to their nursing methods. Fifty cases in the study group received breast crawling nursing. Twenty-five cases in the control group 1， newborns were given routine obstetric care and skin contact with their mothers within 1 h after birth and helped complete early sucking with nipple. Twenty-five cases in the control group 2， the newborn was only given routine obstetric care， and the newborn began sucking 30 min later. The crying time， first meconium excretion time， 24 h vaginal bleeding volume， 24 h lactation volume， anxiety score and breast feeding success rate of the two groups were observed. Result： After different breast-feeding methods were applied， the comparison showed that the crying time and the first defecation time of newborn in the study group were all lower than those in the control group and， with statistical significance （P<0.05）. The 24-hour vaginal bleeding volume and anxiety score of puerpera were lower than that of control group and， the success rate of breastfeeding and 24-hour lactation volume were higher than that of control group and， with statistical significance （P<0.05）. Conclusion： Crawl breast milk feeding way in our implementation， can effectively reduce vaginal haemorrhage amount， 24 hours a day to improve his mothers anxiety， reduce the risk of postpartum depression， further improve maternal and child health， develop good maternal affection and the model is worth promoting.

[Key words] Breast crawling Breastfeeding Maternal and child health

First-authors address： Foshan Chancheng District Central Hospital， Foshan 528000， China

乳房爬行是指产妇在顺利分娩后，由医护人员将新生儿立即放置于母亲身体上，让新生儿自行寻找母亲的乳房，激发新生儿的本能，让其自行完成第一次母乳喂养[1]。在新生儿出生后，让新生儿自行爬行找到母亲的乳房，能够让新生儿完成从子宫内到子宫外的過渡，尽早地让新生儿与母亲之间建立感情枢纽，在新生儿循证乳房的过程中，能够促进胃肠道的蠕动，促进第一次排便，有利于新生儿的生长发育[2]。同时，产妇可在身体上直观感受新生儿的动作，让产妇感受到初为人母的喜悦，同时可以提升新生儿的安全感，缩短新生儿的哭泣时长，在爬行的过程中，产妇的乳房是身体上凸出的部位，极易寻找，新生儿在自行寻找乳房时，可与母亲亲密接触，促进催产素及泌乳素的释放，能够提升母乳喂养成功率，提升新生儿的免疫力[3]。……