Effects of White Noise Combined with Breastfeeding Guidance on Exclusive Breastfeeding Success Rate and Anxiety Status in Primiparous Women with Delayed Lactation Onset.

IF 1.5 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Noise & Health Pub Date : 2026-05-01 Epub Date: 2026-06-30 DOI:10.4103/nah.nah_27_26

NaNa Gu, XiaoWei Xu

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引用次数: 0

Abstract

Objective: This study aimed to investigate the effects of white noise combined with breastfeeding guidance on the exclusive breastfeeding success rate, anxiety status, and lactation function in primiparous women with delayed lactation onset; neonatal stress levels; and infants' physical development.

Methods: A retrospective study was conducted on 120 primiparous women with delayed lactation onset admitted to Zhejiang Hospital from January 2023 to June 2024. The women were divided into a combination group ( n = 60; conventional breastfeeding guidance + white noise measure) and a conventional group ( n = 60; only conventional breastfeeding guidance), with a 4-week nursing period for both groups. The related indicators were compared between the two groups, including exclusive breastfeeding rate, LATCH (Latch, Audible swallowing, Type of nipple, Comfort, Hold/Positioning) score, self-rating anxiety scale (SAS) score, lactation indices, neonatal stress scale (NSS) score, and infant growth.

Results: After nursing, the combination group had significantly higher exclusive breastfeeding rate ( P = 0.009) and LATCH score, lower SAS score, shorter lactation onset, and greater residual milk volume than the conventional group (all P < 0.001 except for the breastfeeding rate). The combination group had significantly lower neonatal stress scores and greater grains in weight, length, and head circumference at 4 weeks (all P < 0.001). The combined intervention independently predicted exclusive breastfeeding success (OR = 2.68, 95% CI 1.25-5.76) and was associated with lower SAS (β = -7.28, P = 0.002), lower NSS scores (β = -2.45, P < 0.001), and shorter lactation onset (β = -10.25, P < 0.001).

Conclusion: White noise combined with breastfeeding guidance can effectively improve the exclusive breastfeeding success rate and lactation function of primiparous women with delayed lactation onset, alleviate maternal anxiety, reduce neonatal stress levels, and promote infant physical development.

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白噪声联合母乳喂养指导对延迟泌乳初产妇纯母乳喂养成功率及焦虑状态的影响

目的：探讨白噪声联合母乳喂养指导对延迟泌乳的初产妇纯母乳喂养成功率、焦虑状态和泌乳功能的影响；新生儿压力水平；以及婴儿的身体发育。方法：对2023年1月至2024年6月浙江医院收治的120例延迟泌乳的初产妇进行回顾性分析。将妇女分为联合组（n = 60，常规母乳喂养指导+白噪声测量）和常规组（n = 60，仅常规母乳喂养指导），两组均为4周的哺乳期。比较两组的相关指标：纯母乳喂养率、LATCH （LATCH、Audible吞咽、乳头类型、舒适度、抱位）评分、焦虑自评量表（SAS）评分、泌乳指标、新生儿应激量表（NSS）评分、婴儿生长发育。结果：护理后，联合组纯母乳喂养率（P = 0.009）、LATCH评分显著高于常规组，SAS评分低于常规组，泌乳起始时间较常规组短，残乳量显著高于常规组（除母乳喂养率外均P < 0.001）。联合组新生儿应激评分显著降低，4周时体重、体长和头围颗粒增大（均P < 0.001）。联合干预独立预测纯母乳喂养成功（OR = 2.68, 95% CI 1.25-5.76），并与较低的SAS （β = -7.28, P = 0.002）、较低的NSS评分（β = -2.45, P < 0.001）和较短的泌乳开始时间（β = -10.25, P < 0.001）相关。结论：白噪声结合母乳喂养指导可有效提高延迟泌乳起病的初产妇纯母乳喂养成功率和泌乳功能，缓解产妇焦虑，降低新生儿应激水平，促进婴儿身体发育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.