[1]李姣姣,于秀荣,王云芳,等.母婴分离的早产产妇孕期体质量指数增幅与产后泌乳量的相关性研究[J].军事护理,2021,38(09):1-5.[doi:10.3969/j.issn.1008-9993.2021.09.001]
 LI Jiaojiao,YU Xiurong,WANG Yunfang,et al.Correlation Analysis Between the Changes of Body Mass Index during Pregnancy and the Volume of Postpartum Lactation among Preterm Parturients Separated from Their Infants[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(09):1-5.[doi:10.3969/j.issn.1008-9993.2021.09.001]
点击复制

母婴分离的早产产妇孕期体质量指数增幅与产后泌乳量的相关性研究
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年09期
页码:
1-5
栏目:
论著
出版日期:
2021-09-15

文章信息/Info

Title:
Correlation Analysis Between the Changes of Body Mass Index during Pregnancy and the Volume of Postpartum Lactation among Preterm Parturients Separated from Their Infants
文章编号:
1008-9993(2021)09-0001-05
作者:
李姣姣于秀荣王云芳刘文静
(滨州医学院附属医院 产科,山东 滨州 256600)
Author(s):
LI JiaojiaoYU XiurongWANG YunfangLIU Wenjing
(Department of Obstetrics,Affiliated Hospital of Binzhou Medical College,Binzhou 256600,Shandong Province,China)
关键词:
母婴分离 早产 孕期 BMI 泌乳量
Keywords:
mother-infant separation premature birth pregnancy body mass index lactation volume
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.09.001
文献标志码:
A
摘要:
目的 探讨母婴分离的早产产妇孕期体质量指数(body mass index,BMI)增幅与泌乳量的相关性。方法 便利抽样法选取2020年2-11月在山东省某三级甲等综合医院住院分娩并母婴分离的早产产妇110例进行调查,应用手法挤奶结合吸奶器吸奶连续跟踪测量其产后10 d的泌乳量,并详细记录孕期BMI的变化。 结果 母婴分离的早产产妇泌乳量不足发生率为48.18%(53例),影响其泌乳量的相关因素为孕期BMI增幅、妊娠糖尿病及泌乳II期启动时间; 孕期BMI增幅与产后4~10 d的泌乳量呈显著负相关(r=-0.303~-0.439,P<0.05); 孕期BMI增幅≥5.6 kg/m2的早产产妇产后4~10 d的泌乳量明显低于孕期BMI增幅<5.6 kg/m2的产妇(P<0.05),差值呈持续增长趋势。 结论 孕期BMI增幅是影响母婴分离的早产产妇产后泌乳量的重要因素,医护人员及孕妇应重视孕期BMI变化,及时控制孕期体质量增长幅度,以改善产后泌乳量。
Abstract:
Objective To explore the correlation between the changes of Body Mass Index(BMI)during pregnancy and the volume of lactation among preterm parturients separated from their infants.Methods Convenience sampling was used to select 110 preterm parturients who were separated from their infants after delivery in a tertiary hospital in Shandong Province from February to November,2020.The volume of lactation was measured continuously for 10 days after delivery using manual milking combined with milk-pump.The changes of BMI during pregnancy were recorded in detail.Results The incidence of insufficient lactation among preterm parturients separated from their infants was 48.18%(n=53).Influencing factors of lactation volume were the increasing range of BMI during pregnancy,gestational diabetes mellitus and the starting time of lactogenesis stage Ⅱ.The increasing range of BMI during pregnancy was significantly negatively correlated with the lactation volume at 4 to 10 days after delivery(r=-0.303~-0.439,P<0.05).The lactation volume at 4 to 10 days after delivery of the preterm parturients with the BMI increasing range during pregnancy ≥ 5.6 kg/m2 was significantly lower than that of those parturients with the BMI increasing range during pregnancy <5.6 kg/m2(P<0.05),and the difference showed a trend of continuous growth.Conclusions The BMI increasing range during pregnancy is an important factor affecting the postpartum lactation volume of preterm parturients separated from their infants.Medical staff and pregnant women should pay attention to the changes of BMI during pregnancy and timely control the BMI increasing range,so as to improve the postpartum lactation volume.

参考文献/References:

[1] LUBBE W,TEN HAM-BALOYIM.When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician's guide[J].BMC Pregnancy Childbirth,2017,17(1):130.
[2] 栾丹丹.NICU住院早产儿母亲产后泌乳量及相关因素研究[D].滨州:滨州医学院,2018.
[3] WINKVIST A,BRANTS TER A L,BRANDHAGEN M,et al.Maternal prepregnant body mass index and gestational weight gain are associated with initiation and duration of breastfeeding among norwegian mothers[J].J Nutr,2015,145(6):1263-1270.
[4] MARSHALL N E,LAU B,PURNELL J Q,et al.Impact of maternal obesity and breastfeeding intention on lactation intensity and duration[J].Matern Child Nutr,2019,15(2):e12732.
[5] CAMPBELL T,SHACKLETON N.Pre-pregnancy body mass index and breastfeeding initiation,early cessation and longevity:evidence from the first wave of the UK millennium cohort study[J].J Epidemiol Community Health,2018,72(12):1124-1131.
[6] NOMURA K,MINAMIZONO S,NAGASHIMA K,et al.Maternal body mass index and breastfeeding non-initiation and cessation:a quantitative review of the literature [J].Nutrients,2020,12(9):2684.
[7] LAI C T,REA A,MITOULAS L R,et al.Short-term rate of milk synthesis and expression interval of preterm mothers [J].Arch Dis Child Fetal Neonatal Ed,2020,105(3):266-269.
[8] 黄俊.经辅助生殖技术妊娠后早孕期间泌乳素和雌二醇的变化及与妊娠结局的关系[D].合肥:安徽医科大学,2017.
[9] 杨怀洁,董琼,林文华,等.双胞胎母亲母乳喂养体验和需求的质性研究[J].中国护理管理,2015,15(9):1051-1054.
[10] 王宁宁.多胎妊娠发生的原因及母体并发症处理分析[J].中国当代医药,2015,22(20):57-59.
[11]陈敦金.降低中国单胎早产发生率任重道远[J].中华围产医学杂志,2018,21(6):362-366.
[12] CLOPPER C J,PEARSON E S.The use of confidence or fiducial limits illus- trated in the case of the binomial[J].Biometrika,1934,26(4):404- 413.
[13]CHAPMAN D J,P REZ-ESCAMILA R.Maternal perception of the onset of lactation is a valid,public health indicator of lactogenesis stage II [J].J Nutr,2000,130(12):2972-2980.
[14]RIDDLE S W,NOMMSEN-RIVERS L A.A case control study of diabetes during pregnancy and low milk supply[J].Breastfeed Med,2016,11(2):80-85.
[15]WHO.Report of a WHO consultation[J].World Health Organ Tech Rep Ser,2000,894(1):18-30.
[16]MESTROVIC Z,ROJE D,RELJA A,et al.Maternal body mass index change as a new optimal gestational weight gain predictor in overweight women[J].Croat Med J,2019,60(6):508-514.
[17]HILL P D,ALDAG J C,CHATTERTON R T,et al.Comparison of milk output between mothers of preterm and term infants:the first 6 weeks after birth[J].J Hum Lact,2005,21(1):22-30.
[18]ROBINSON D T,JOSEFSON J,VAN HORN L.Considerations for preterm human milk feedings when caring for mothers who are overweight or obese[J].Adv Neonatal Care,2019,19(5):361-370.
[19]MARTIN H,THEVENET-MORRISON K,DOZIER A.Maternal pre-pregnancy body mass index,gestational weight gain and breastfeeding outcomes:a cross-sectional analysis [J].BMC Pregnacy Chidbirth,2020,20(1):471.
[20]NORMAN R J,CLARK A M.Obesity and reproductive disorders:a review[J].Reprod Fertil Dev,1998,10(1):55-63.
[21]PIROLI G G,CASSATARO J,PIETRANERA L,et al.Progestin regulation of galanin and prolactin gene expression in oestrogen-induced pituitary tumours[J].J Neuroendocrinol,2001,13(3):302-309.
[22]HAILE Z T,CHAVAN B B,TEWELDEBERHAN A,et al.Association between gestational weight gain and delayed onset of lactation:the moderating effects of race/ethnicity[J].Breastfeed Med,2017,12(11):79-85.
[23]江薇,盛明燕,吴静娜,等.孕前体质指数及增重对妊娠结局的影响[J].中国妇幼保健,2020,35(21):3979-3982.
[24]柏婷,杨雅卉,付雪妹.产妇产后疲乏程度对泌乳发动时间的影响[J].中华护理杂志,2018,53(4):438-442.
[25]HILSON J A,RASMUSSEN K M,KJOLHEDE C L.Excessive weight gain during pregnancy is associated with earlier termination of breast-feeding among White women[J].J Nutr,2006,136(1):140-146.
[26]杨丽霞,王晓阳,潘琼,等.六步法乳房按摩促进母婴分离产妇泌乳Ⅱ期启动的效果观察[J].解放军护理杂志,2020,37(1):36-39.
[27]任敏,涂素华,邱敏,等.孕妇围生期健康素养水平与分娩方式的相关性分析[J].解放军护理杂志,2020,37(1):22-25.
(本文编辑:陈晓英)

备注/Memo

备注/Memo:
【 收稿日期 】 2021-05-07 【 修回日期 】 2021-07-10
【 作者简介 】 李姣姣,硕士在读,从事临床护理工作
【 通信作者 】 于秀荣,电话:0542-3256508
更新日期/Last Update: 2021-09-15