Zhou Guoxia, Han Jun, Zhao Wenling, Xu Xiaoqin
Department of Obstetrics and Gynecology, Jiaozhou Central Hospital of Qingdao Shandong 266300, China.
Department of Obstetrics and Gynecology, Qingdao Eighth People's Hospital Qingdao 266100, Shandong, China.
Am J Transl Res. 2021 Aug 15;13(8):9715-9721. eCollection 2021.
This study explored and analyzed the effects of bilateral and unilateral early sucking within 2 h after delivery on lactation.
From August 2019 to August 2020, 392 primiparas with full-term, singleton, natural delivery, and normal breast conditions were submitted to the Obstetrics Department of our hospital and were enrolled as the research subjects. The subjects were randomly divided into an experimental group and a control group, with 196 in each group. Both groups implemented early sucking with the assistance of a midwife within 2 h after delivery. The experimental group conducted bilateral breast sucking and the control group received unilateral sucking. The onset time of colostrum, the lactation volume, and the prolactin levels at 6 h, 24 h, 48 h, and 72 h after delivery, including neonatal urination and incidence of complications were compared between the two groups.
The onset time of colostrum in the experimental group was much earlier than that in the control group with a statistically significant difference (P<0.05). The postpartum filling time of the experimental group was shorter than that of the control group, with a statistically significant difference (P<0.05). There was a statistically insignificant difference in the distribution of lactation yield between the two groups at 6 h of postpartum (). The lactation yield distribution in the experimental group at 24 h, 48 h, and 72 h was critically superior to that in control group, with statistically significant difference (). The degree of prolactin in the experimental group was higher than that in the control group (). There was no significant difference in urination frequency and the incidence of complications between the two groups of neonates at 24 h, 48 h, and 72 h ().
The effect of bilateral early lactation within 2 h after delivery is superior to that of unilateral early lactation, which is worthy of clinical application.
本研究探讨并分析产后2小时内双侧和单侧早期吸吮对泌乳的影响。
选取2019年8月至2020年8月在我院产科分娩的392例单胎、足月、自然分娩且乳房条件正常的初产妇作为研究对象。将研究对象随机分为实验组和对照组，每组196例。两组均在产后2小时内由助产士协助进行早期吸吮。实验组进行双侧乳房吸吮，对照组进行单侧吸吮。比较两组产后初乳开始时间、泌乳量以及产后6小时、24小时、48小时和72小时的催乳素水平，包括新生儿排尿情况及并发症发生率。
实验组初乳开始时间比对照组早得多，差异有统计学意义（P<0.05）。实验组产后充盈时间短于对照组，差异有统计学意义（P<0.05）。产后6小时两组泌乳量分布差异无统计学意义（）。实验组产后24小时、48小时和72小时的泌乳量分布明显优于对照组，差异有统计学意义（）。实验组催乳素水平高于对照组（）。两组新生儿在产后24小时、48小时和72小时的排尿频率及并发症发生率差异无统计学意义（）。
产后2小时内双侧早期泌乳效果优于单侧早期泌乳，值得临床应用。
