新生儿早期基础保健对新生儿及其母亲的影响

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英文篇名：Influence of early essential newborn care on newborns and mothers 作者：干爱萍 ; 陶洁静 ; 曹晓丹 ; 王叶平 ; 王荷荷 ; 林央央 英文作者：GAN Aiping;TAO Jiejing;CAO Xiaodan;WANG Yeping;WANG Hehe;LIN Yangyang;Department of Obstetrics and Gynecology, People's Hospital of Wenzhou City; 关键词：生命早期 ; 基础保健措施 ; 母婴皮肤接触 ; 体温 ; 母乳喂养 ; 产后出血 英文关键词：early life;;health care measures;;skin contact between mother and infant;;body temperature;;breastfeeding;;postpartum hemorrhage 中文刊名：SANE 英文刊名：Chinese Journal of Woman and Child Health Research 机构：温州市人民医院妇产科; 出版日期：2019-05-25 出版单位：中国妇幼健康研究 年：2019 期：v.30;No.169 语种：中文; 页：SANE201905006 页数：4 CN：05 ISSN：61-1448/R 分类号：30-33

摘要

目的探讨新生儿早期基础保健措施对新生儿及其母亲的影响。方法将2017年7月至12月于温州市人民医院正常分娩的产妇及新生儿各200例随机分为观察组和对照组,每组产妇和新生儿各100例。对照组采用常规新生儿处理,观察组采用新生儿早期保健措施。比较两组产妇产后2h的出血量及新生儿出生后的体温变化。结果两组新生儿出生时的体温差异无统计学意义(t=1.246,P>0.05),观察组新生儿出生后1h、2h、4h的体温均显著高于对照组(t值分别为2.594、2.760、2.429,均P<0.05)。观察组新生儿出生2h内的啼哭次数显著少于对照组,啼哭时间显著短于对照组,差异均有统计学意义(t值分别为14.270、25.680,均P<0.05)。观察组新生儿觅食出现时间、开始含接时间显著短于对照组,而首次母乳喂养持续时间均显著长于对照组(t值分别为5.301、2.781、2.906,均P<0.05)。观察组产妇的产后2h出血量显著少于对照组(t=4.641,P<0.05)。结论新生儿早期基础保健措施可提高新生儿出生后4h内的体温,促进早期母乳喂养启动,减少产后出血量。
        Objective To explore the effect of early essential newborn care(EENC) measures on neonates and mothers. Methods A total of 200 parturients and 200 newborns delivered normally in People's Hospital of Wenzhou City from July to December 2017 were selected and divided into observation group and control group with 100 cases of neonates and parturients in each group. The control group was treated with routine neonatal care, while the observation group was treated with EENC measures. Two groups were compared in the amount of bleeding 2 h after delivery and the temperature changes of newborns after birth. Results There was no statistically significant difference in the body temperature at birth between two groups(t=1.246, P>0.05). The body temperature of the observation group at 1 h, 2 h, and 4 h after birth was significantly higher than that of the control group(t value was 2.594, 2.760 and 2.429, respectively, all P<0.05). The times of crying in the observation group was significantly less than that in the control group within 2 h of birth, and the crying time was shorter with statistically significant differences(t value was 14.270 and 25.680, respectively, both P<0.05). The time of foraging and initial feeding were significantly earlier in the observation group, and the duration of first breastfeeding was significantly longer in the observation group than in the control group(t value was 5.301, 2.781 and 2.906, respectively, all P<0.05). The amount of postpartum bleeding in the observation group was significantly less than that in the control group(t=4.641,P<0.05). Conclusion EENC measures can increase the body temperature of newborns within 4 hours after birth, promote the initiation of early breastfeeding and reduce postpartum hemorrhage.

引文

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