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新生儿乳房爬行成功情况及其影响因素分析

Expression of neonatal breast crawling and its influencing factors

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目的 了解新生儿乳房爬行成功情况,并分析导致爬行失败的影响因素.方法 采用便利抽样法,纳入2022年1-10月于我院分娩的163例产妇及其新生儿为研究对象,查阅文献自制调查表进行调查.结果 新生儿爬行成功94例(57.7%),失败69例(42.3%).多因素logistic分析显示,总产程过长、破膜距分娩时间过长、使用防治产后出血药物(卡贝/欣母沛)是爬行失败的危险因素.结论 新生儿爬行成功率有待提高,产时因素易导致爬行失败,提示助产人员应及早识别危险因素,严密观察产程进展,严格遵守医疗干预指征,为新生儿自主寻乳提供更多可能.
Objective To understand the success of neonatal breast crawling and analyze the influencing factors that lead to the failure of breast crawling.Methods Using convenience sampling,a total of 163 women and their new-borns who gave birth in the Women's and Children's Hospital Affiliated to University of Electronic Science and Tech-nology of China between January and October 2022 were included as the research objects according to the inclusion and exclusion criteria,and a self-made questionnaire was consulted for investigation by searching the literature.Re-sults Out of the total cases,94 cases(57.7%)were successful in neonatal breast crawling while 69 cases(42.3%)were failed.The results of multivariate logistic analysis showed that the risk factors for crawling failure were exces-sive total labor time,excessive interval between membrane rupture and delivery,and the use of drugs(Carbetocin injection/Carboprost tromethamine injection).Conclusion The success rate of newborn crawling needs to be im-proved,and intrapartum factors can easily lead to crawling failure.Midwives should identify risk factors early,closely observe labor progress,and strictly follow medical intervention indications to provide more opportunities for newborns to autonomously search for breast milk.

newbornvaginal birthbreast crawlingautonomous milk seekinginfluencing factorsnursing

庞艳、付金竹、柏丽、杜娟、任晓玲、李慧敏、王鑫

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电子科技大学医学院附属妇女儿童医院/成都市妇女儿童中心医院,四川成都 611731

新生儿 阴道分娩 乳房爬行 自主寻乳 影响因素 护理

成都市医学科研项目

2022144

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(10)
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