摘要
目的：探讨硬膜外麻醉分娩镇痛对泌乳始动的影响。方法选取2015年8月—2016年2月进行分娩的产妇155人，根据有无选择硬膜外分娩镇痛分为镇痛组和无镇痛干预组。采用自制量表收集产妇及新生儿一般资料和母乳喂养信息。两组产妇在3个不同时间点（宫口开3～4 cm；胎儿娩出后1 h；分娩后12 h）抽取外周静脉血检测泌乳素及催产素血清水平。结果硬膜外麻醉分娩镇痛组外周静脉血清催产素值在产后1 h较无镇痛干预组降低，差异有统计学意义（P＜0．01）；硬膜外麻醉分娩镇痛组产妇泌乳始动时间较无镇痛干预组延长5～6 h，差异有统计学意义（P＜0．05）；硬膜外麻醉分娩镇痛组的产妇与无镇痛干预组比较，出生72 h内添奶次数及添奶量较多，差异有统计学意义（ P＜0．05）。结论硬膜外麻醉分娩镇痛将导致泌乳始动延迟。
Objective To discuss the influence of epidural labor analgesia on the initial time of lactation.Methods From August 2015 to February 2016, a total of 155 puerperas were enrolled in the study , which were divided into labor analgesia group and non-intervention group .Self-made questionnaire was used to collect the general information of puerperas and neonates and breastfeeding data .Peripheral vein blood of puerperas was sampled to detect the serum levels of prolactin and oxytocin at three points in time （ 3-4 cm of cervical dilatation , 1 h after fetal delivery and 12 h after delivery ） .Results The serum level of oxytocin in labor analgesia group was lower than that in non-intervention group at 1 h after fetal delivery （P 〈0.01）. Compared with non-intervention group , the initial time of lactation in labor analgesia group was delayed by 5-6 h（P〈0.05）.The frequency and amount of formula milk feeding in labor analgesia group were more than those in non-intervention group （P〈0.05）.Conclusions Epidural labor analgesia delays the initial time of lactation.
出处
《中华现代护理杂志》
2016年第20期2841-2845,共5页
Chinese Journal of Modern Nursing
基金
湖州市科学技术局项目（2015GYB38）
关键词
母乳喂养
硬膜外麻醉
分娩镇痛
Breastfeeding
Epidural analgesia
Labor analgesia
