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目的:对比分析剖宫产分娩者和阴道分娩者的泌乳时间及乳量。方法:2012年1月至3013年1月我科接收1010例分娩产妇,其中,805例属于自然分娩,从中抽选47例作分析对象,称为自然组,205例属于剖宫产分娩,从中抽选50例做分析对象,称为术产组。通过临床分析,对自然产和术产组产后泌乳时间及乳量的比较观察,并对自然产和术产组的出生体重.出生4天后体重变化。结果:自然组基本在产后24小时能泌乳.且乳量多,而术产组大部分都是产后48-72小时才能泌乳,通过两组泌乳时间的分析在术产组的50例中,14例为乳汁分泌不足者,概率:28.00%,自然组的47例中,3例为乳汁分泌不足者,概率:6.38%,显然自然组和术产组的乳汁分泌量无明显不同(P>0.05)。无论是自然组,还是术产组,在婴儿出生3-4天后体重都有变化,呈降低趋势,但是术产组比自然组降低更多,差异明显(P<0.05)。结论:自然分娩(阴道分娩)泌乳量相对更多,对婴儿哺乳更有利,可以提升母乳喂养的质量。
Objective: To compare and analyze the lactation time and milk yield of cesarean delivery and vaginal delivery. Methods: From January 2012 to January 3013, our department received 1010 cases of childbirth, of which 805 cases were natural childbirth. 47 cases were selected for analysis as natural group and 205 cases for cesarean delivery. Lot 50 to do the analysis of objects, known as the surgical group. Through clinical analysis, we compared the postpartum lactation time and milk yield between natural and surgical groups, and weighed the birth weights of natural and surgical groups. Results: The natural group can basically lactate 24 hours after birth, and the amount of milk, and most of the operative group is postpartum 48-72 hours to lactation, the two groups of lactation time analysis in 50 cases of the operative group, 14 Cases of milk secretion, the probability of: 28.00%, natural group of 47 cases, 3 cases of milk secretion, probability: 6.38%, obviously the natural group and surgical production of milk secretion was no significant difference (P> 0.05 ). No matter in the natural group or the operation group, the body weight changed after the baby was born for 3-4 days, showing a decreasing trend. However, the operation group decreased more than the natural group with significant difference (P <0.05). CONCLUSIONS: Natural delivery (vaginal delivery) produces relatively more milk, which is more beneficial to infants and improves the quality of breastfeeding.