Effect of early neonatal sucking guidance on breastfeeding behavior and breast complications
Objective To investigate the effect of early neonatal sucking guidance on breastfeeding behavior and breast complications.Methods A total of 194 pregnant women with successful delivery and breastfeeding enrolled in Northwest Women's and Children's Hospital from January 2022 to January 2023 were prospectively selected as the research objects,and were divided into a control group(97 cases)and an observation group(97 cases)by the random number table method.In the control group,the age of the pregnant women was(29.82±2.56)years old,and the gestational age was(39.66±0.47)weeks,including 74 primiparas and 23 multiparas.In the observation group,the age of the pregnant women was(30.20±2.78)years old,and the gestational age was(39.15±0.52)weeks,including 61primiparas and 36 multiparas.The control group received routine nursing,and the observation group received early neonatal sucking guidance from midwives on the basis of the control group.Both groups were intervened until the pregnant women were discharged from hospital and were followed up until 6 months after delivery.The breastfeeding status(initiation time of lactation and adequacy of milk supply before discharge),breastfeeding rate,and breastfeeding efficacy[Breastfeeding Self-Efficacy Scale-Short Form(BSES-SF)],and breast complications(mastitis,hypergalactosis,and nipple injury)within 6 months after delivery were compared between the two groups.Statistical methods used were t test and x2 test.Results The initiation time of lactation in the observation group was shorter than that in the control group[(1.22±0.31)d vs.(2.43±0.78)d],and the adequacy rate of milk supply was higher than that in the control group[91.75％(89/97)vs.79.38％(77/97)],with statistically significant differences between the two groups(both P＜0.05).The breastfeeding rates at postpartum 1 month,2 months,4 months,and 6 months in the observation group were 93.81％(91/97),88.66％(86/97),84.54％(82/97),and 78.35％(76/97),which were higher than those in the control group[81.44％(79/97),73.20％(71/97),64.95％(63/97),and 56.70％(55/97)],with statistically significant differences between the two groups(all P＜0.05).The scores of skills and inner activity of the breastfeeding efficacy in the observation group were(33.37±3.88)points and(26.63±2.43)points,which were higher than those in the control group[(29.60±2.46)points and(21.10±2.51)points],with statistically significant differences between the two groups(both P＜0.05).The incidence of breast complications in the observation group was lower than that in the control group[9.28％(9/97)vs.21.65％(21/97)],with a statistically significant difference between the two groups(P＜0.05).Conclusion Early neonatal sucking guidance can shorten the initiation time of lactation and increase the lactation volume,helps to improve the maternal breastfeeding rate,enhance the maternal breastfeeding self-efficacy,and reduce the incidence of breast complications.
万方数据
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