剖宫产术后母婴同室时的产后单位摇篮类型：对母乳喂养和婴儿安全的影响。
Postnatal unit bassinet types when rooming-in after cesarean birth: implications for breastfeeding and infant safety.
机构信息
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
J Hum Lact. 2012 Nov;28(4):495-505. doi: 10.1177/0890334412452932. Epub 2012 Aug 22.
BACKGROUND
Postnatal unit rooming-in promotes breastfeeding. Previous research indicates that side-cars (3-sided bassinets that lock onto the maternal bed frame) facilitate breastfeeding after vaginal birth more than stand-alone bassinets (standard rooming-in). No study has previously investigated side-car bassinet use after cesarean, despite the constraints on maternal-infant interactions that are inherent in recovery from this birth mode.
OBJECTIVE
To test the effect of the side-car bassinet on postnatal unit breastfeeding frequency and other maternal-infant behaviors compared to a stand-alone bassinet following cesarean birth.
METHODS
Participants were recruited and prenatally randomized to receive the side-car or stand-alone bassinet for their postnatal unit stay between January 2007 and March 2009 in northeastern England. Mother-infant interactions were filmed over the second postpartum night. Participants completed face-to-face interviews before and after filming. The main outcome measures were infant location, bassinet acceptability, and breastfeeding frequency. Other outcomes assessed were breastfeeding effort, maternal-infant contact, sleep states, midwife presence, and infant risk.
RESULTS
Differences in breastfeeding frequency, maternal-infant sleep overlap, and midwife presence were not statistically significant. The 20 dyads allocated to side-car bassinets breastfed a median of 0.6 bouts/ hour compared to 0.4 bouts/hour for the 15 stand-alone bassinet dyads. Participants expressed overwhelming preference for the side-car bassinets. Bed sharing was equivalent between the groups, although the motivation for this practice may have differed. Infant handling was compromised with stand-alone bassinet use, including infants positioned on pillows while bed sharing with their sleeping mothers.
CONCLUSIONS
Women preferred the side-car, but differences in breastfeeding frequency were not statistically significant. More infant risks were observed with stand-alone bassinet use.
背景
产后单元母婴同室可促进母乳喂养。先前的研究表明，与独立婴儿床（标准母婴同室）相比，侧床（三面婴儿床，可以锁定在产妇床架上）更有利于阴道分娩后的母乳喂养。尽管剖宫产恢复过程中母婴互动存在固有限制，但之前没有研究调查过剖宫产术后使用侧床婴儿床。
目的
与剖宫产术后使用独立婴儿床相比，测试侧床婴儿床对母婴同室单元母乳喂养频率和其他母婴行为的影响。
方法
2007 年 1 月至 2009 年 3 月，在英格兰东北部，参与者在产前被随机分配到侧床或独立婴儿床，用于母婴同室。在产后第二晚对母婴互动进行拍摄。参与者在拍摄前后完成面对面访谈。主要结局测量是婴儿位置、婴儿床可接受性和母乳喂养频率。评估的其他结局包括母乳喂养努力、母婴接触、睡眠状态、助产士存在和婴儿风险。
结果
母乳喂养频率、母婴睡眠重叠和助产士存在的差异无统计学意义。20 对分配到侧床婴儿床的母婴，每小时母乳喂养中位数为 0.6 次，而 15 对分配到独立婴儿床的母婴每小时母乳喂养中位数为 0.4 次。参与者对侧床婴儿床表示出压倒性的偏好。两组之间的床伴睡是相当的，尽管这种做法的动机可能不同。使用独立婴儿床会影响婴儿处理，包括婴儿与睡眠中的母亲床伴睡时放在枕头上的情况。
结论
女性更喜欢侧床，但母乳喂养频率的差异无统计学意义。使用独立婴儿床会增加婴儿风险。
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