Abstract：Objective To explore the effect of breast seamless management on first lactation time and lactation volume after maternal delivery. Methods A total of 82 parturients who delivered in the Lianyungang Second People’s Hospital, Jiangsu Province from July 2018 to June 2021 were selected as the research objects, puerpera were divided into control group and observation group by envelope method, with 41 cases in each group. The control group was given routine postpartum care, and the observation group was given seamless breast management on this basis. The differences of the first lactation time, serum prolactin, and milk production before intervention, 24 and 48 h after intervention, and the incidence of postpartum breast complications between the two groups were observed and compared. Results The first lactation time in the observation group was better than that in the control group, the difference was statistically significant (P ＜ 0.05). Overall analysis showed that there were significant differences in serum prolactin level and milk production between the two groups, time points and interaction (P ＜ 0.05); further pairwise comparison and intra-group comparison: the serum prolactin and milk production of the two groups at 24 and 48 h after intervention were higher than those before intervention, and the levels at 48 h after intervention were higher than those at 24 h after intervention, and the differences were statistically significant (P ＜ 0.05); comparison between groups: there were statistically significant differences between the two groups at each time point (P ＜ 0.05). The total incidence of the breast complications in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Breast seamless management after delivery can shorten the first lactation time, improve lactation volume, and reduce the incidence of breast complications.
胡真荣 孙莉莉 张建梅▲. 产妇分娩后乳房无缝隙管理对首次泌乳时间及泌乳量的影响[J]. 中国医药导报, 2022, 19(31): 170-172，封三.
HU Zhenrong SUN Lili ZHANG Jianmei▲. Effect of breast seamless management on first lactation time and lactation volume after maternal delivery. 中国医药导报, 2022, 19(31): 170-172，封三.
[1] 祝琴，唐艳，田策，等.基于共同养育理论的母乳喂养干预方案在初产妇早期母乳喂养中的应用效果[J].中华现代护理杂志，2021，27（4）：457-463.
[2] Sun S，Li H，Chen J，et al. No Longer an Inert and End- Product of Glycolysis [J]. Physiology （Bethesda），2017，32（6）：453-463.
[3] 莫建英，杨丽萍，徐志芳.产后不同时间乳房配合穴位按摩对乳汁分泌与母乳喂养的影响[J].中国护理管理，2017， 17（2）：184-187.
[4] 丁婷婷，罗碧如.妊娠期母乳喂养意愿及其影响因素研究进展[J].中华现代护理杂志，2018，24（2）：230-234.
[5] Huang N，Li F，Zhang M，et al. An Upstream Open Reading Frame in Phosphatase and Tensin Homolog Encodes a Circuit Breaker of Lactate Metabolism [J]. Cell Metab，2021，33（1）：128-144.
[6] 张贵清，刘俊俐，李雪，等.全媒体健康教育对初产妇母乳喂养自信心及主观幸福感的影响[J].中国健康教育，2020，36（2）：163-166.
[7] Conde-Agudelo A，Romero R，Jung EJ，et al. Management of clinical chorioamnionitis：an evidence-based approach [J]. Am J Obstet Gynecol，2020，223（6）：848-869.
[8] Cahan T，Levin G，Moran O，et al. Successful vaginal delivery after external cephalic version （ECV）：does time interval from ECV to delivery make a difference? A multicenter study [J]. Arch Gynecol Obstet，2020，302（6）：1361-1367.
[9] 郭梅，张海燕，叶瑞珍，等.医院-社区-家庭三联动延续护理模式对初产妇母乳喂养自我效能的影响[J].中华现代护理杂志，2017，23（7）：898-901.
[10] 王甜，熊伟，熊渊丽.健康教育在剖宫产术后母乳喂养护理中的应用及对产妇并发症发生的影响[J].中国医学创新，2020，17（8）：104-107.
[11] 曾彩贤，王富海，曾柯红，等.产前、产后综合护理对初产妇母乳分泌及喂养方式的影响[J].中国当代医药，2020， 27（5）：250-252.
[12] Royce CS，Everett EN，Craig LB，et al. To the Point：advising students applying to Obstetrics and Gynecology residency in 2020 and beyond [J]. Am J Obstet Gynecol，2021， 224（2）：148-157.
[13] 袁瑞芳，马锦琪.同伴指导干预对初产妇产前母乳喂养技术，自我效能及产后母乳喂养的影响[J].检验医学与临床，2017，14（22）：3-5.
[14] 陈燕，蒙莉萍，张娇娇，等.产前手挤奶对初产妇产后3d纯母乳喂养的影响[J].重庆医学，2021，50（9）：42-46.
[15] Douglas Wilson R，Dy J，Barrett J，et al. Revisiting the Care Pathway for Trial of Labour After Cesarean：The Decision-to-Delivery Interval Is Key [J]. J Obstet Gynaecol Can，2020，42（12）：1550-1554.
[16] 万丽，顾银燕.初产妇母乳喂养认知程度与泌乳功能的相关性[J].中国医药导报，2020，17（25）：180-183.
[17] Konda M，Inoue S，Naito Y，et al. Life-threatening airway obstruction caused by angioedema in a morbidly obese postoperative patient：a case report [J]. JA Clin Rep，2021， 7（1）：1.
[18] Atashi H，Asaadi A，Hostens M. Association between age at first calving and lactation performance，lactation curve，calving interval，calf birth weight，and dystocia in Holstein dairy cows [J]. PLoS One，2021，16（1）：0244825.DOI：10. 1371/journal.pone.0244825.
[19] Choi EC，Wong SBJ，Ho SJ. Idiopathic Granulomatous Mastitis and Erythema nodosum - A Unifying Pathophysiology? [J]. Australas J Dermatol，2021，62（1）：e149-e153.
[20] 高海霞，陈京立，高洪莲.早产儿母乳喂养的研究进展[J].护理研究，2007，21（15）：1317-1319.
[21] 王艳芽，陆柳雪，陈承美，等.雷火灸配合穴位按摩对母婴分离初产妇泌乳影响的研究[J].中国妇幼保健，2019， 34（6）：1401-1403.
[22] 黄璟，蒋盘华，陆浩雅，等.责任亲情交互护理模式对初产妇母乳喂养及自我效能的影响[J].护理研究，2018， 32（16）：2588-2590.
[23] 许敏，邹容，杨志超，等.催乳方联合穴位、乳房按摩对初产妇乳汁分泌与母乳喂养的影响[J].现代医学，2017， 45（10）：1471-1474.
[24] 李玲，赵雪，王晓敏.膳食指导联合个人性格特色护理对剖宫产术后产妇母乳喂养成功率及早期恢复的影响[J].贵州医药，2017，41（1）：99-100.
[25] 田晓红，薛卉.产后早期乳房无缝隙护理对产妇母乳喂养情况的影响[J].检验医学与临床，2020，17（21）：3213-3215.
[26] 李莹，肖红娜，姚赛男，等.穴位按摩对产后奶涨产妇血清E2、PRL影响的研究[J].现代中西医结合杂志，2019， 28（35）：3941-3943，3985.
[27] Maier GU，McNabb B，Pereira R，et al. Effect of continued metabolic acidification into the first 3 days of lactation on blood calcium status in postpartum dairy cattle：A randomized controlled trial [J]. J Dairy Sci，2020，103（12）：11762- 11768. DOI：10.3168/jds.2020-18655.
[28] Van Eetvelde M，de Jong G，Verdru K，et al. A large-scale study on the effect of age at first calving，dam parity，and birth and calving month on first-lactation milk yield in Holstein Friesian dairy cattle [J]. J Dairy Sci，2020，103（12）：11515-11523.
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