中华全科医学2024,Vol.22Issue(6) :1005-1007,1080.DOI:10.16766/j.cnki.issn.1674-4152.003554

母婴皮肤接触时长对妊娠糖尿病产妇新生儿血糖及母乳喂养的影响

Effect of mother-infant skin contact duration on blood glucose and breast feeding of newborns of diabetic mother

李晓芬 徐萌艳 徐捷 吴清清
中华全科医学2024,Vol.22Issue(6) :1005-1007,1080.DOI:10.16766/j.cnki.issn.1674-4152.003554

母婴皮肤接触时长对妊娠糖尿病产妇新生儿血糖及母乳喂养的影响

Effect of mother-infant skin contact duration on blood glucose and breast feeding of newborns of diabetic mother

李晓芬 1徐萌艳 1徐捷 1吴清清1
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作者信息

  • 1. 杭州市妇产科医院产科,浙江杭州 310008
  • 折叠

摘要

目的 探讨延长母婴皮肤接触持续时间对改善妊娠糖尿病(GDM)产妇新生儿血糖水平、维持体温稳定性及促进母乳喂养的效果.方法 选取2023年2-4月在杭州市妇产科医院自然分娩的90例妊娠糖尿病产妇足月分娩新生儿为研究对象,采用随机数字表法分为观察组(45例,新生儿出生后母婴皮肤接触持续90 min)和对照组(45例,母婴皮肤接触持续30 min).比较2组新生儿出生即刻、出生30 min、90 min、2 h时的体温、血糖水平及母乳喂养情况.结果 观察组新生儿出生90 min、2 h时体温均高于对照组(P<0.05);观察组新生儿出生90 min、2 h时血糖值均高于对照组(P<0.05);观察组出生2 h低血糖发生率为2.22%(1/45),低于对照组的15.56(7/45),但差异无统计学意义(x2=3.430,P>0.05).观察组新生儿首次母乳喂养成功率、吸吮持续时间及母乳喂养量表得分均高于对照组(P<0.05).结论 妊娠糖尿病产妇新生儿出生后给予持续90 min的母婴皮肤接触有利于维持新生儿血糖和体温的稳定,促进纯母乳喂养.

Abstract

Objective To explore the effects of extended mother-infant skin contact on improving blood sugar levels in newborns of mothers with diabetes mellitus(GDM),stabilizing body temperature,and promoting breast feeding.Meth-ods A total of 90 full-term newborns of diabetic pregnant women who gave birth naturally in Hangzhou Women's Hospi-tal from February to April 2023 were selected for this study.The newborns were randomly divided into an observation group(45 cases,90-min skin contact)and a control group(45 cases,30-min skin contact).The body temperature,blood glucose levels,and breastfeeding status of two groups were compared at birth,30 minutes,90 minutes,and 2 hours.Results The body temperature of newborns in the observation group were higher than that in the control group at 90 minutes and 2 hours of birth(P<0.05).The blood glucose levels of newborns in the observation group were also high-er than those in the control group at these times(P<0.05).The incidence of 2-hour hypoglycemia in the observation group was 2.22%(1/45),lower than the control group(15.56%,7/45),but the difference was not statistically signif-icant(x2=3.430,P>0.05).The success rate of the first breastfeeding,duration of sucking,and the breastfeeding scale scores of newborns in the observation group were higher than those in the control group(P<0.05).Conclusion Ninety minutes of mother-infant skin contact after birth for newborns of diabetic mothers is conducive to maintaining the stability of blood sugar and temperature of newborns,and promoting exclusive breastfeeding.

关键词

妊娠糖尿病/皮肤接触/新生儿/血糖/母乳喂养

Key words

Gestational diabetes/Skin contact/Newborns/Blood glucose/Breast feeding

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基金项目

浙江省医药卫生科技计划(2023KY204)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
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