王远芳

【摘 要】目的：研究剖宫产术后泌乳启动延迟的独立危险因素，并对泌乳启动延迟患者实施针对性护理干预并评价干预效果。方法：选取我院2020年1月至2021年6月间行剖宫产分娩的150例产妇，依据术后是否发生泌乳启动延迟分为未延迟组100例、延迟组50例，采用Logistic回归分析法检验剖宫产术后泌乳启动延迟的独立危险因素，对延迟组实施针对性护理干预，分析其干预效果。结果：多因素Logistic回归结果显示：高龄产妇、焦虑、抑郁为剖宫产术后泌乳启动延迟的独立影响因素（P<0.05）；干预后延迟组产妇的焦虑评分、抑郁评分显著降低（P<0.05），新生儿出院后第7d的母乳喂养率66.00%、第42d的母乳喂养率88.00%。结论：高龄产妇、焦虑、抑郁是剖宫产术后泌乳启动延迟的独立影响因素，针对性护理干预可取得良好的干预效果，值得推广。

【关键词】剖宫产；泌乳启动延迟；影响因素；母乳喂养率

Study on the influencing factors of delayed lactation initiation after cesarean section and evaluation of the effect of targeted nursing intervention

Wang Yuanfang

Department of Obstetrics， People’s Hospital of Jiawang District， Xuzhou City， Jiangsu Xuzhou 221011， China

【Abstract】Objective：To study the independent risk factors of delayed initiation of lactation after cesarean section， and implement targeted nursing intervention for patients with delayed initiation of lactation and evaluate the effect of intervention. Methods：A total of 150 parturients who underwent cesarean section in our hospital between January 2020 and June 2021 were selected and divided into non-delayed group of 100 cases and delayed group of 50 cases according to whether there was delayed lactation initiation after operation. Logistic regression analysis was used to examine the independent risk factors of delayed lactation initiation after cesarean section. Implementing targeted care intervention for the delayed group， and analyzing its intervention effects.Results：Multivariate logistic regression results showed that elderly parturients， anxiety， and depression were independent factors influencing the delay of lactation initiation after cesarean section （P<0.05）；The anxiety and depression scores of the pregnant women in the delayed group were significantly reduced after intervention（P<0.05），the breastfeeding rate of newborns on the 7th day after discharge was 66.00%， and the breastfeeding rate on the 42nd day was 88.00%.Conclusion：Elderly parturients， anxiety， and depression are independent factors influencing the delay of lactation initiation after cesarean section.Targeted nursingintervention can achieve good intervention effects and is worthy of promotion.

【Key？Words】Cesarean Section； Delayed Initiation of Lactation； Influencing Factors； Breastfeeding Rate

剖宫产为当前临床中十分常用的分娩手段之一，对于挽救母婴生命安全起到了至关重要的作用[1]。然而，剖宫产属于有创性分娩，不可避免地对产妇机体功能带来损伤，使其术后需要较长时间恢复[2]。根据调查显示，中国6个月内纯母乳喂养率不足30%，较国际平均水平的43%差距甚远，泌乳启动延迟在其中扮演着至关重要的角色[3]。我国是全球范围内剖宫产率居高不下的国家之一，时至今日依然超过国际警戒线水平，而随着人口生育政策的转变，剖宫产术后泌乳启动延迟已经引起了臨床的高度重视[4]。因此，总结剖宫产术后泌乳启动延迟的独立影响因素以及干预措施，对于提高我国纯母乳喂养率具有重要意义。……