新生儿乳房爬行对母乳喂养的影响：一项前瞻性队列研究。
Effect of neonatal breast crawl on breastfeeding: a prospective cohort study.
作者信息
Pang Yan, Wang Xin, Li Huimin, Tu Suhua
机构信息
Department of Nursing, Chengdu Women and Children's Central Hospital, Chengdu, China.
Department of Obstetrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
出版信息
Front Pediatr. 2023 Jun 8;11:1186585. doi: 10.3389/fped.2023.1186585. eCollection 2023.
AIM
To analyse the effect of breast crawl on neonatal breastfeeding within 5 months of delivery.
DESIGN
Prospective Cohort Study.
METHODS
Neonates were divided into successful and failed groups, according to whether the newborn crawled to the breast and began sucking for the first time within 1 h after delivery. The initiation of lactation and breastfeeding duration of the two groups were analysed at 24 h, 48 h, 72 h, the feeding practices were followed-up on the 7th day, 42nd day, and 5th month in order to explore the long-term benefits of breast crawl on breastfeeding.
RESULTS
A total of 163 neonates were included. The initiation time and the duration of first feeding, the lactation initiation in the successful group was earlier, the scores of first and in-hospital breastfeeding scales were higher.
PUBLIC CONTRIBUTION
Breast crawl is the preferred method for mothers to begin breastfeeding. The delivery room is the place where the first breast crawl occurs immediately after delivery. The midwife is the key person to protect this valuable behavior. Therefore, the midwife needs provide valuable opportunities for the breast crawl of the newborn and promote this behavior.
目的
分析产后5个月内母婴皮肤接触对新生儿母乳喂养的影响。
设计
前瞻性队列研究。
方法
根据新生儿在出生后1小时内是否爬到乳房并开始首次吸吮，将新生儿分为成功组和失败组。分析两组在出生后24小时、48小时、72小时的泌乳启动情况和母乳喂养持续时间，并在第7天、第42天和第5个月对喂养方式进行随访，以探讨母婴皮肤接触对母乳喂养的长期益处。
结果
共纳入163例新生儿。成功组的首次喂养开始时间和持续时间、泌乳启动时间更早，首次和住院期间母乳喂养量表得分更高。
公众贡献
母婴皮肤接触是母亲开始母乳喂养的首选方法。产房是分娩后立即进行首次母婴皮肤接触的场所。助产士是保护这一宝贵行为的关键人物。因此，助产士需要为新生儿的母婴皮肤接触提供宝贵机会并促进这一行为。
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