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| Effect of systematic management of breastfeeding on breast feeding in hospitalized preterm infants |
| CAI Haiyan MIAO Xiaoxia CHEN Ning DAI Shufang LIU Fang ZHU Yanping YAN Aixia GAO Caiyun |
| Department of Pediatrics, Maternal and Child Health Care Hospital of City, Hebei Province, Qinhuangdao 066000, China |
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Abstract Objective To observe the effect of systematic management of breastfeeding on breast feeding in hospitalized preterm infants. Methods A total of 77 premature infants delivered in obstetrics department of Qinhuangdao Maternal and Child Health Hospital in Hebei Province ("our hospital" for short) from January to December 2016 was selected as control group, routine breastfeeding and postpartum routine management were used in control group, 79 premature infants delivered in our hospital from January to December 2017 were selected as observation group, systematic management of breastfeeding was used in observation group. The breastfeeding, complications, growth and development of premature infants were compared between two groups. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores before and after maternal management were compared between two groups. Results The first breastfeeding age of observation group was significantly less than that of control group, the breastfeeding rate at 1 week of observation group was higher than that of control group, the amount of breast milk at 1 week of observation group was significantly more than that of control group, the breastfeeding rate at 2 weeks of observation group was significantly higher than that of control group, the amount of breast milk at 2 weeks of observation group was significantly more than that of control group, and the rate of exclusive breastfeeding in observation group was significantly higher than that in control group during hospitalization. There were significant differences between two groups (P < 0.05 or P < 0.01). The incidence rate of complications of premature infants during hospitalization in observation group was significantly lower than that in control group, the difference was highly statistically significant (P < 0.01). The growth of length, weight and head circumference of preterm infants in observation group were significantly higher than those in control group during hospitalization, the differences were highly statistically significant (P < 0.01). At admission, there was no significant difference in SAS and SDS scores between two groups (P > 0.05). Before discharge, SAS and SDS scores of parturients in two groups were significantly lower than those at admission, the scores of SAS and SDS in observation group were significantly lower than those in control group, the differences were highly statistically significant (P < 0.01). Conclusion Systematic management of breastfeeding in hospitalized premature infants can significantly improve the rate of exclusive breastfeeding, increase the amount of breast milk, reduce the complications of premature infants during hospitalization, improve the growth and development of premature infants, and reduce the anxiety and depression of postpartum women.
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