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新生儿出生后两小时内的母乳喂养行为与其母亲分娩时所用药物之间的关联

Association between Newborns' Breastfeeding Behaviors in the First Two Hours After Birth and Drugs Used For Their Mothers in Labor.

作者信息

Hemati Zeinab, Abdollahi Mehri, Broumand Saba, Delaram Masoumeh, Namnabati Mahboobeh, Kiani Davood

机构信息

Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Child Neurol. 2018 Spring;12(2):33-40.

Abstract

OBJECTIVE

Use of narcotics to relieve pain in labor affects neurobehavioral and nutritional conditions of newborns after birth. However, there are inadequate data on the effects of drugs currently used in labor. This study was performed to examine the association between newborns' breastfeeding behaviors in the first two hours after birth and drugs used for their mothers in labor in Isfahan, central Iran, from 2014 to 2016.

MATERIALS & METHODS: In this descriptive-analytical study, 300 women were selected who had vaginal delivery in the Labor and Gynecology Wards of Al-Zahra and Shahid Beheshti hospitals, Isfahan, Iran from 2014 to 2016. Data were collected by a demographic questionnaire and the Newborn Breastfeeding Behaviors Tool completed by the researcher as she observed the newborns during breastfeeding after birth. The data were analyzed by one-way ANOVA, chi-square test and Kruskal-Wallis test in SPSS 20.

RESULTS

There was no significant difference between demographic characteristics of the studied groups (>0.05). In addition, there was significant difference in breastfeeding behaviors between groups. More clearly, breastfeeding ability was higher in the infants of the women administered with no drug than those of the women in the group (=0.000).

CONCLUSION

Physicians, nurses, and midwives can be informed about the side effects of the drugs used in labor on the newborns' breastfeeding, and improve their breastfeeding outcomes by decreasing the dose of used drug and the duration of the women's treatment with these drugs.

摘要

目的

使用麻醉药品减轻分娩时的疼痛会影响新生儿出生后的神经行为和营养状况。然而,目前关于分娩时所用药物影响的数据并不充分。本研究旨在调查2014年至2016年伊朗中部伊斯法罕地区新生儿出生后两小时内的母乳喂养行为与其母亲分娩时所用药物之间的关联。

材料与方法

在这项描述性分析研究中,选取了2014年至2016年在伊朗伊斯法罕的阿尔-扎赫拉医院和烈士贝赫什提医院妇产科顺产的300名妇女。数据通过一份人口统计学调查问卷以及研究人员在新生儿出生后母乳喂养期间观察并填写的新生儿母乳喂养行为工具收集。数据在SPSS 20中通过单因素方差分析、卡方检验和克鲁斯卡尔-沃利斯检验进行分析。

结果

各研究组的人口统计学特征之间无显著差异(>0.05)。此外,各组之间的母乳喂养行为存在显著差异。更确切地说,未用药妇女所生婴儿的母乳喂养能力高于用药组妇女所生婴儿(=0.000)。

结论

可以让医生、护士和助产士了解分娩时所用药物对新生儿母乳喂养的副作用,并通过减少用药剂量和缩短妇女使用这些药物的治疗时间来改善母乳喂养结果。

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Epidural analgesia and lactation.硬膜外镇痛与哺乳
Eurasian J Med. 2011 Apr;43(1):45-9. doi: 10.5152/eajm.2011.09.
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Oxytocin administered during labor and breast-feeding: a retrospective cohort study.分娩和母乳喂养期间使用缩宫素:一项回顾性队列研究。
J Matern Fetal Neonatal Med. 2014 Oct;27(15):1598-603. doi: 10.3109/14767058.2013.871255. Epub 2014 Jan 13.

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