Journal of Developmental Medicine(Electronic Version)  2023, Vol. 11 Issue (1): 25-31 DOI: 10.3969/j.issn.2095-5340.2023.01.005 |
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| Effect of prenatal intervention with breast pump on the quality to postpartum breast-feeding |
| Zhang Hui, Luan Jun, Li Yan, et al
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Obstetrics Ward, Faculty of Obstetrics andGynecology, First Medical Center, the Chinese PLA General Hospital, Beijing 100853, China
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Abstract 【Abstract】 Objective To explore the feasibility of prenatal breast pump intervention in lactation and
the effect on the quality of postpartum breast-feeding. Method A total of 90 full-term pregnant women
hospitalized in the Obstetrics Ward, First Medical Center, the Chinese PLA General Hospital from May 2019
to May 2021 were selected as the research objects, and divided into study group (n=45) and control group
(n=45) according to random number table method. The control group was only received usual breast-feeding nursing measures. For the study group, on the basis of routine breast-feeding nursing measures, the research team intervened lactation for 20 minutes with the massage mode of breast pump in the morning and afternoon every day under the condition of electronic fetal monitoring. The outcomes of delivery and quality of breastfeeding were compared between the two groups. Statistical methods performed by t test, rank sum test, χ2test or Fisher exact probability method, trend χ2 test and Pearson correlation analysis. Result There wasno significant difference in delivery outcome between the two groups (all P>0.05). There was no significantdifference in the proportion of lactation at 6 h postpartum between the two groups (P>0.05). The proportionof adequate lactation on the 3rd day after delivery [86.0% (37/43) vs 64.3% (27/42), χ2=4.435, P=0.035]and the satisfaction of breast-feeding at discharge [10 (9, 10) vs 9 (8, 10) points, Z=-0.222, P=0.026] in thestudy group were higher than those in the control group, and the differences were statistically significant. There was nosignificant difference between the two groups in proportion of the decrease for the 3rd day celestial body mass >7%(P>0.05). The value of transcutaneous bilirubin in the study group was lower than that in the control groupat the 3rd day of birth [(168±37) vs (190±34) μmol/L, t=-2.833, P=0.006], and the proportion of stoolcolor turning yellow was higher than that in the control group [95.3% (41/43) vs 78.6% (33/42), χ2=5.308,P=0.021], the number of adding formula milk was less than that of the control group [0 (0, 2) vs 0 (0, 5),Z=-2.178, P=0.029], and the proportion of exclusive breast-feeding at 6 months was higher than that ofthe control group [95.3% (41/43) vs 78.6% (33/42), χ2=5.308, P=0.021], the differences were statistically
significant. In addition, with the increase of intervention times, the number of adding formula milk on the 3rdday of birth showed a decreasing trend (χ2=12.481, P<0.001; r=-0.308, P<0.001), the value of transcutaneousbilirubin showed a decreasing trend (χ2=7.230, P=0.007; r=-0.293, P=0.006), the lactation rate on the 3rdday after delivery showed an increasing trend (χ2=5.121, P=0.024; r=0.247, P=0.023), the rate of exclusivebreast-feeding at the 6th month of birth showed an increasing trend (χ2=3.866, P=0.049; r=0.215, P=0.049).Conclusion During full-term pregnancy, the use of breast pump for prenatal intervention can improve thequality of postpartum breast-feeding and increase the rate of exclusive breast-feeding
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Received: 11 July 2022
Published: 30 January 2023
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