澳大利亚妇女在剖腹产产后建立母乳养的经验
Sharon L Perrella1,2,3, Sarah G Abelha1,4, Philip Vlaskovsky5
1School of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, Australia.
概括
剖腹产后的母乳养是具有挑战性的,因为临床护理和流动性问题. 改善支持和不急于照顾可以提高手术分娩后母亲的母乳养成功.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和儿童的健康
- 哺乳期科学 哺乳期科学
背景情况:
- 剖腹产后的母乳养率较低,导致的因素不太清楚.
- 剖腹产产可能会给建立和维持母乳养带来独特的挑战.
- 了解这些挑战对于改善母亲和婴儿健康结果至关重要.
研究的目的:
- 确定澳大利亚妇女剖腹产后母乳养的促进因素和障碍.
- 检查与母乳养开始,分娩经验和配方奶粉使用相关的因素.
- 为改善剖腹产产后哺乳母亲的临床护理和支持提供见解.
主要方法:
- 混合方法研究使用匿名在线问卷.
- 定量分析包括描述性统计和多变量模型.
- 用感应性主题分析分析了定性数据.
主要成果:
- 不到50%的妇女在开始母乳养期间报告皮肤与皮肤接触.
- 障碍物包括临床护理方面和减少流动性;促进者包括不加急的护理和合作伙伴支持.
- 非选择性剖腹产与早期开始母乳养的几率较低和负面分娩经历的几率较高有关. 商业配方奶粉的使用率在初产妇和在私人医院分娩的妇女中更高.
结论:
- 疼痛,流动性下降和急需的临床护理会对剖腹产后的母乳养产生负面影响.
- 非选择性剖腹产与延迟开始,疼痛增加和负面的分娩经历相关.
- 应调整临床护理和人员,以支持剖腹产后的母乳养妇女,确保伴侣获得支持.
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