Obstetrics Department, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, China.
Ann Palliat Med. 2021 Mar;10(3):3078-3085. doi: 10.21037/apm-21-165.
Postpartum breastfeeding is an effective guarantee for the healthy growth of newborns. Vigorously promoting breastfeeding has substantial benefits for the physical and mental health of mothers and babies, and can also benefit the entire society. The purpose of this study was to explore the effect of multi-dimensional postpartum visits (MDPV) applied to parturients with inverted nipple on improving breastfeeding rates.
A total of 114 parturients with inverted nipples who gave birth in the Drum Tower Hospital Affiliated to Nanjing University School of Medicine from October 2018 to October 2019 and successfully breastfed in the hospital were selected. The patients were divided into two groups according to the random number table method, with 57 cases in each group. The control group received routine postpartum visits, while the observation group received MDPV. Breastfeeding knowledge, rate of exclusive breastfeeding, incidence of maternal mastitis, rate of infant hospitalization, and level of self-efficacy were compared between the two groups.
Breastfeeding knowledge and the rate of exclusive breastfeeding at 1, 3, and 6 months after discharge in the observation group were higher than those in the control group (P<0.05). The incidence of maternal mastitis and the rate of infant hospitalization in the observation group were lower than those in the control group (P<0.05). The self-efficacy scores of the observation group at 1 and 6 months after discharge were higher than those of the control group (P<0.05).
The application of MDPV to parturients with inverted nipples can improve the breast-feeding rate, enhance breastfeeding knowledge, reduce the incidence of maternal mastitis and infant hospitalization rate, and improve breastfeeding self-efficacy. Thus, it is worthy of promotion.
产后母乳喂养是新生儿健康成长的有效保障。大力推广母乳喂养对母婴身心健康有实质性益处，也有利于整个社会。本研究旨在探讨多维产后访视（MDPV）应用于乳头内陷产妇对提高母乳喂养率的效果。
选取 2018 年 10 月至 2019 年 10 月在南京大学医学院附属鼓楼医院分娩且成功院内母乳喂养的乳头内陷产妇 114 例，采用随机数字表法分为两组，每组 57 例。对照组给予常规产后访视，观察组给予 MDPV。比较两组产妇母乳喂养知识、纯母乳喂养率、产妇乳腺炎发生率、婴儿住院率、自我效能水平。
观察组产妇出院后 1、3、6 个月的母乳喂养知识、纯母乳喂养率均高于对照组（P<0.05）；观察组产妇乳腺炎发生率、婴儿住院率均低于对照组（P<0.05）；观察组产妇出院后 1、6 个月的自我效能评分均高于对照组（P<0.05）。
MDPV 应用于乳头内陷产妇可提高母乳喂养率，增强母乳喂养知识，降低产妇乳腺炎发生率和婴儿住院率，提高母乳喂养自我效能，值得推广。
