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剖宫产与阴道分娩产后早期使用LATCH评分及产妇血清催乳素水平对母乳喂养的比较研究

Comparative Study of Breastfeeding in Caesarean Delivery and Vaginal Delivery Using LATCH Score and Maternal Serum Prolactin Level in Early Postpartum Period.

作者信息

Lamba Indira, Bhardwaj Manish Kumar, Verma Asha, Meena Ekta

机构信息

Dept of Obstetrics and Gynaecology, SMS Medical College, JLN marg, Jaipur, Rajasthan 302004 India.

出版信息

J Obstet Gynaecol India. 2023 Apr;73(2):139-145. doi: 10.1007/s13224-022-01698-9. Epub 2022 Nov 17.

DOI:10.1007/s13224-022-01698-9
PMID:37073235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10105808/
Abstract

INTRODUCTION

Practice of starting and sustaining breastfeeding is affected by many conditions, mode of delivery is one of the major factor influencing it. Purpose of the study was to see if the mode of delivery affects the subsequent lactation in early postpartum period and to raise awareness among the community about the importance of mode of delivery in early initiation of breast feeding.

MATERIALS AND METHODS

Present study was a hospital based observational, comparative prospective study. A sample size of 120 subjects in each group (caesarean delivery CD Group and vaginal delivery VD group) was required. Serum prolactin and LATCH score both at 1 hour and 24 hour were compared in both groups.

RESULTS

Mean LATCH score at 1 hour and 24 hour of CD Group was 5.44 ± 0.68 and 7.12 ± 0.95, respectively. The mean LATCH score at 1 hour and 24 hour of VD Group was 7.12 ± 0.94 and 8.1 ± 1, respectively. Mean serum prolactin level at 1 hour and 24 hour of CD Group was 259.68 ± 33.99 and 309.99 ± 42.27, respectively. Mean serum prolactin level at 1 hour and 24 hour of VD Group was 304.91 ± 42.07 and 333.34 ± 42.65, respectively. The mothers delivered by caesarean had main problem with latch () and hold () of the baby as compared to mothers delivered vaginally.

CONCLUSION

Mode of delivery has a direct impact on early initiation of breast feeding. Caesarean delivery is a cause for delay in initiation of breastfeeding.

摘要

引言

开始并维持母乳喂养的行为受多种因素影响，分娩方式是其中一个主要影响因素。本研究的目的是观察分娩方式是否会影响产后早期的后续泌乳情况，并提高社区对分娩方式在早期母乳喂养启动中的重要性的认识。

材料与方法

本研究是一项基于医院的观察性、比较性前瞻性研究。每组（剖宫产组和阴道分娩组）需要120名受试者作为样本量。比较两组在1小时和24小时时的血清催乳素水平和LATCH评分。

结果

剖宫产组在1小时和24小时时的平均LATCH评分分别为5.44±0.68和7.12±0.95。阴道分娩组在1小时和24小时时的平均LATCH评分分别为7.12±0.94和8.1±1。剖宫产组在1小时和24小时时的平均血清催乳素水平分别为259.68±33.99和309.99±42.27。阴道分娩组在1小时和24小时时的平均血清催乳素水平分别为304.91±42.07和333.34±42.65。与阴道分娩的母亲相比，剖宫产分娩的母亲在婴儿的含接和握持方面存在主要问题。

结论

分娩方式对早期母乳喂养启动有直接影响。剖宫产是母乳喂养启动延迟的一个原因。

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Assessment of Factors Affecting Breastfeeding Performance and Latch Score: A Prospective Cohort Study.评估影响母乳喂养表现和含接评分的因素：一项前瞻性队列研究。
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Oxytocin, Vasopressin and Prolactin in New Breastfeeding Mothers: Relationship to Clinical Characteristics and Infant Weight Loss.新母乳喂养母亲的催产素、血管升压素和催乳素：与临床特征和婴儿体重减轻的关系。
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LATCH Score as a Predictor of Exclusive Breastfeeding at 6 Weeks Postpartum: A Prospective Cohort Study.LATCH评分作为产后6周纯母乳喂养预测指标的前瞻性队列研究
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Early postpartum lactation effects of cesarean and vaginal birth.剖宫产与顺产对产后早期泌乳的影响
Ginekol Pol. 2016;87(6):426-30. doi: 10.5603/GP.2016.0020.
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The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum.剖宫产对产后前四个月母乳喂养开始、持续时间及困难情况的影响。
BMC Pregnancy Childbirth. 2016 Apr 26;16:90. doi: 10.1186/s12884-016-0876-1.
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Elective cesarean delivery: does it have a negative effect on breastfeeding?选择性剖宫产：它会对母乳喂养产生负面影响吗？
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