Effect of postpartum rehabilitation therapy instrument combined with breast acupoint massage on postpartum uter-ine involution,lactation function and serum prolactin level in puerpera
Effect of postpartum rehabilitation therapy instrument combined with breast acupoint massage on postpartum uter-ine involution,lactation function and serum prolactin level in puerpera
Objective:To explore the effect of postpartum rehabilitation therapy instrument combined with breast acupoint massage on postpartum uterine involution,lactation function and serum prolactin(PRL)level.Methods A total of 124parturients who gave birth in our hospital from February 2021to December 2022were selected as the research objects.According to the random number table method,they were divided into observation group and control group,62cases in each group.The observation group received postpartum rehabilitation therapy combined with breast acupoint massage,and the control group received acupoint mas-sage.The postpartum uterine involution was evaluated by the time of uterus entering pelvis,the height of uterine fundus at 72hours after delivery and the duration of lochia.The initial time of lactation,lactation volume and serum PRL levels at 24h,48h and 72h after delivery were recorded.At 72hours after delivery,the degree of breast pain and breast hardness were evaluated.At 42days after delivery,the breastfeeding status of the two groups was counted.The edinburgh postnatal depression scale(EPDS)was used to evaluate the postpartum psychological status at 72h and 42d after delivery.Results The time of uterus entering pelvis and dura-tion of lochia in the observation group were shorter than those in the control group(P＜0.05),and the height of uterine fundus at 72h after delivery was lower than that in the control group(P＜0.05).The initial time of lactation in the observation group was earlier than that in the control group(P＜0.05),and the lactation volume and PRL levels at 24h,48h and 72h after delivery were higher than those in the control group(P＜0.05).At 72h after delivery,the degree of breast pain and breast hardness in the ob-servation group were lower than those in the control group(P＜0.05).At 42days after delivery,the exclusive breastfeeding rate in the observation group was higher than that in the control group(P＜0.05).At 72h and 42d after delivery,the EPDS scores of the observation group were lower than those of the control group(P＜0.05).Conclusion Postpartum rehabilitation therapy instrument combined with breast acupoint massage can promote maternal uterine involution,improve lactation function,relieve breast disten-ding pain,improve exclusive breastfeeding rate,and is conducive to maternal postpartum mental health.It is an effective means of postpartum rehabilitation and is worthy of popularization and application in clinical practice.
维普
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