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分娩过程中疼痛、压力和皮质醇对母乳喂养成功的影响。

The effect of pain, stress, and cortisol during labor on breastfeeding success.

机构信息

Gebze Fatih State Hospital, Kocaeli, Turkey.

Department of Midwifery, Faculty of Health Science, Atatürk University, Erzurum, Turkey.

出版信息

Dev Psychobiol. 2019 Nov;61(7):979-987. doi: 10.1002/dev.21873. Epub 2019 Jun 4.

Abstract

The aim of the study is to identify and compare the effect of pain, stress, and cortisol level during labor on breastfeeding success. The study was conducted with 51 pregnant women in the delivery room of Nenehatun Maternity Hospital between 15 August and 30 December 2016. The data were collected using the personal information form, visual analog scale (VAS), verbal category scale (VCS), perceived stress scale (PSS) and Breastfeeding Diagnostic and Assessment Scale (LATCH). It was determined that the total mean score of the mothers for the LATCH breastfeeding success scale was 6.56 ± 1.64, the perceived stress scale total mean score was 48.13 ± 4.09 in their active phase, and the perceived stress scale total mean score was 41.41 ± 5.78 in their postpartum period. A negative moderate significant correlation was observed between the LATCH breastfeeding success scale mean scores and the cortisol levels in the active phase and postpartum period. It was found that the LATCH had a significant correlation with the perceived stress and cortisol in the postpartum period. It was determined that the mothers had more stress in the active phase and this stress affected negatively the lactation and sucking behavior of the infant.

摘要

本研究旨在识别和比较分娩过程中疼痛、压力和皮质醇水平对母乳喂养成功的影响。该研究于 2016 年 8 月 15 日至 12 月 30 日在 Nenehatun 妇产医院的分娩室对 51 名孕妇进行。使用个人信息表、视觉模拟量表(VAS)、言语类别量表(VCS)、感知压力量表(PSS)和母乳喂养诊断和评估量表(LATCH)收集数据。结果表明,母亲在活跃期的 LATCH 母乳喂养成功量表总均分为 6.56±1.64,感知压力量表总均分为 48.13±4.09,产后阶段为 41.41±5.78。LATCH 母乳喂养成功量表的平均分与活跃期和产后皮质醇水平呈负中度显著相关。研究发现,LATCH 与产后感知压力和皮质醇显著相关。结果表明,母亲在活跃期的压力更大,这种压力对婴儿的哺乳和吮吸行为产生负面影响。

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