孕足月不同周期乳房按摩对宫颈成熟、产程、泌乳的影响

发布时间：2018-04-02 08:53

本文选题：乳房按摩　切入点：37周　出处：《青海大学》2017年硕士论文

【摘要】：目的:通过观察孕足月不同周期乳房按摩对宫颈成熟度、产程、泌乳的影响,探讨乳房按摩的安全性与有效性,寻找对乳房进行干预的合适时间。方法:将2015年12月—2016年12月来青海省人民医院常规产检的孕足月初产妇105例随机分成2个观察组和1个常规组共3个组(每组各35例)。常规组孕妇来我院进行定期孕期的产检、母乳宣教及进行产后的常规护理,观察组在常规组的基础上施行由我院专人指导的乳房按摩,从孕37w开始施行乳房按摩直至分娩为观察1组,从孕38w开始按摩直至分娩为观察2组。观察三组临产后宫颈成熟度(bishop评分)、总产程、分娩孕周、自然宫缩情况、剖宫产率、产前血清泌乳素值、初次泌乳时间。结果:(1)三组孕妇在宫颈成熟方面的比较,临产时的宫颈评分由高到低依次为观察1组(8.14±1.76)、观察2组(7.20±1.47)、常规组(5.66±1.60),各组组间比较有意义(P0.05)。(2)三组间的产程时间由短到长的顺序为观察1组(8.01±3.75)h、观察2组(10.24±4.30)h、常规组(13.33±3.65)h,三组组间比较(P0.05),差异有显著性。(3)三组分娩孕周比较,观察组早于常规组(P0.05)。(4)三组发动自然宫缩率的比较(P0.05),观察1组(80%)高于常规组(51.4%),差异有显著性。(5)三组剖宫产率及新生儿结局比较,差异无显著性(P0.05)。(6)三组血清泌乳素值比较(P0.05),观察1组(215.86±54.29)ng/ml、观察2组(205.8±57.25)ng/ml均高于常规组(165.4±54.03)ng/ml(P0.05)。(7)初次泌乳时间比较(P0.05),观察1组(8.29±3.64)h和观察2组(8.93±3.98)h均比常规组(14.19±4.28)h短(P0.05)。结论:1.乳房按摩可促宫颈成熟、促进发动自然规律宫缩、缩短产程、促进泌乳,安全、有效,值得推广。2.妊娠37周开始施行乳房按摩在促宫颈成熟、缩短产程方面效果更好,建议37周开始干预。
[Abstract]:Objective: to investigate the safety and efficacy of breast massage in different cycles of pregnancy on cervical maturity, labor and lactation. Methods: from December 2015 to December 2016 in Qinghai Provincial people's Hospital, 105 cases of pregnant and parturient who underwent routine birth examination in Qinghai Provincial people's Hospital were randomly divided into 2 observation groups and 1 routine group (each group). 35 cases each. The routine group of pregnant women came to our hospital for regular pregnancy examination. Breast milk education and postpartum routine nursing were carried out. The observation group received breast massage directed by our hospital on the basis of the routine group, and the observation group 1 received breast massage from 37 weeks of pregnancy until delivery. From the 38th week of gestation to delivery, we observed the cervix maturation rate, the total labor process, the gestational weeks, the natural uterine contraction, the cesarean section rate and the serum prolactin value in the three groups. Results comparison of three groups of pregnant women in cervix maturation, The cervix score was 8.14 卤1.76g in the first group, 7.20 卤1.47 in the observation group, 5.66 卤1.60 in the routine group. The order of labor process between the three groups was: observation group 1 8.01 卤3.75 hours, observation group 10.24 卤4.30hs, control group 13.33 卤3.65hs, and control group 13.33 卤3.65h. the order of labor process was as follows: observation group 1 (8.14 卤1.76) h, observation group 2 (10.24 卤4.30 min), control group (13.33 卤3.65) h, and control group (13.33 卤3.65) h. There was a significant difference among the three groups (P 0.05). Comparison of the rate of spontaneous uterine contraction in the three groups (P0.05, observation group 1) was higher than that in the routine group (51.4), the difference was significant (P < 0.05). The rate of cesarean section and neonatal outcome in the three groups were significantly higher than that in the control group. There was no significant difference in serum prolactin levels among the three groups (P 0.05, observation group 1: 215.86 卤54.29 ng / ml, observation group 2, 205.8 卤57.25)ng/ml, 165.4 卤54.03 ng / ml, P 0.05.7)) the first lactation time of group 1 was 8.29 卤3.64 h and the observation group 2 was 8.93 卤3.98 h shorter than that of the control group (P 0.05). Conclusion Breast massage can promote cervical maturation. Promote the initiation of natural contractions, shorten the labor process, promote lactation, safe, effective, worth promoting .2.The beginning of 37 weeks of pregnancy breast massage in the promotion of cervical maturation, shorten the labor process is more effective, it is recommended to start intervention at 37 weeks.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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