助产士的早期母乳喂养干预会影响乳头疼痛的发生率吗?一项观察性试点研究。

IF 1.7 4区 医学 Q2 NURSING
Yuki Takahashi, Kajsa Brimdyr, Karin Cadwell
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引用次数: 0

摘要

目的:描述助产士在新生儿出生后一小时内进行肌肤接触时动手打断新生儿行为的时间和特征,并阐明这些动手打断行为与产后 4 天内乳头疼痛发生率之间的关系:2016年至2018年,在日本一家爱婴®医院开展了一项观察性试点研究。对一项针对新生儿出生后一小时内与母亲肌肤接触行为的大型研究中的视频记录进行了迭代分析,发现有16名经阴道分娩的足月新生儿符合助产士动手干预(HOI)打断婴儿实现乳房自我附着的纳入标准。两名对医疗记录保密的研究助理记录了HOI的时间以及新生儿在维德斯特伦九阶段中的进展阶段。母乳喂养后乳头疼痛的程度由母亲在住院期间每天进行自我评估。所有数据均进行了统计分析:结果:助产士手把手 "帮助 "婴儿哺乳,打断了婴儿出生后一小时内的渐进行为,可能会增加婴儿出生后四天内的乳头疼痛。100%的母亲在产后报告乳头疼痛,其中第 4 天的疼痛报告最高:结论:使用HOI中断皮肤接触不会降低产后最初几天乳头疼痛的发生率。对新生儿进行HOI并不能支持产后早期的母乳喂养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does an early hands-on breastfeeding intervention by midwives affect nipple pain incidence? An observational pilot study

Aim

To describe the timing and characteristics of midwives' hands-on interruptions of newborns' behavior while in skin-to-skin contact during the first hour after birth and to elucidate the relationship between these hands-on interruptions and the incidence of nipple pain during the first 4 days postpartum.

Methods

An observational pilot study was conducted at a Baby-Friendly® hospital in Japan from 2016 to 2018. Iterative analysis of video recordings from a larger study of the behavior of newborns while skin-to-skin with their mothers in the first hour after birth found 16 full-term newborns who were born vaginally and that met the inclusion criteria of a midwife's hands-on intervention (HOI) interrupting the infant's progress toward breast self-attachment. The timing of the HOI and the stage of the newborn's progress through Widström's 9 Stages was noted by two research assistants who had been blinded to the medical records. The degree of nipple pain after breastfeeding was self-evaluated by mothers each day during their hospitalization. All data were statistically analyzed.

Results

Interrupting the infant's progressive behaviors in the first hour after birth by midwives' hands-on “help” to breastfeed,  may increase nipple pain during the 4 days after birth. One hundred percent of the mothers reported nipple pain in the postpartum with the highest pain reports occurring on day 4.

Conclusion

Interrupting skin-to-skin contact with HOI does not decrease the incidence of nipple pain during the first days postpartum. HOI for newborn infants was not shown to support breastfeeding in the early postnatal period.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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