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| Influence of Swanson′s theory of care on the milk secretion of mothers separated from their mothers |
| FENG Ling CHEN Ya▲ |
| Department of Obstetrics, Chongqing Maternal and Child Health Care Hospital (Ran Jia Ba Hospital District), Chongqing 401147, China |
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Abstract Objective To analyze the influence of Swanson′s care theory on the milk secretion of maternal and child separation. Methods From January 2017 to December 2018, 327 cases of Department of Obstetrics in Chongqing Maternal and Child Health Care Hospital were separated. Swanson group (163 cases) and control group (164 cases) were divided according to the random number table method. The control group received routine nursing, and Swanson group reeeived nursing based on Swanson′s care theory. The general information, milk secretion and milk volume within 72 h postpartum were compared between the two groups. According to the maternal milk secretion within 72 h, the patients were divided into two groups, ≥50 mL and ＜ 50 mL, the factors influencing milk secretion were compared and Logistic analysis was conducted. Results There was no significant difference in general information between the two groups (all P ＞ 0.05). The milk starts in time, postpartum 3 d breast swelling pain number, status-trait anxiety questionnaire (STAI), Edinburgh postnatal depression scale (EPDS) score of Swanson group were significantly lower than the control group, the lactation volume at 24 h, >24-48 h and >48-72 h postpartum and the breastfeeding rate at 42 d postpartum were significantly higher than the control group (all P ＜ 0.05). The mode of delivery, sleep time 24 h postpartum, nipple stimulation 2 h postpartum, frequency of milking within 24 h, frequency of milking at night, time of milking each time and EPDS score all had significant effects on milk secretion (all P < 0.05). Logistic regression analysis showed that Swanson care theory was an independent protective factor for maternal milk secretion (OR = 0.454, 95%CI: 0.221-0.932, P = 0.031). Conclusion Swanson′s care theory can effectively increase the milk secretion of maternal and child separation, improve the rate of postpartum breastfeeding, and effectively improve maternal anxiety and tension.
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