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Correlation between cognition degree of breastfeeding and lactation function in primipara |
WAN Li GU Yinyan▲ |
Department of Obstetrics, Nanjing Hospital Affiliated to Nanjing Medical University (Nanjing First Hospital), Jiangsu Province, Nanjing 210000, China |
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Abstract Objective To explore the correlation between breastfeeding cognition and lactation function in primipara. Methods A total of 128 women who gave birth successfully in Nanjing Hospital Affiliated to Nanjing Medical University from January to December 2019 were selected as the research subjects. All of them were investigated by the cognition scale of primiparas, according to the final score, they were divided into group A: high cognitive level of breastfeeding (56 cases); group B: general cognitive level (42 cases); group C: low cognitive degree (30 cases). The postpartum lactation function of primiparas with different cognitive levels (postpartum lactation start time, postpartum lactation volume score at 24 and 48 hours) were observed and compared, to examine the correlation between breastfeeding cognition and lactation function in primiparas. Results Comparison of general data of age and gestational week of primipara in each group showed no statistically significant difference (P > 0.05), the postpartum lactation start time of group C was longer than that of group A and B, while the time of group B was longer than that of group A, with statistically significant difference (P < 0.05); the lactation volume scores of group C at 24 and 48 h postpartum were lower than those of group A and B, and those of group B at 24 and 48 h postpartum were lower than those of group A, with statistically significant differences (P < 0.05). The results of bivariate Pearson linear correlation analysis showed that the cognitive level of breastfeeding of primipara was negatively correlated with the start time of lactation after delivery (r = -0.912, P < 0.001), and the cognitive level of breastfeeding of primipara was positively correlated with the score of lactation 24 and 48 h after delivery (r = 0.851, 0.848, P < 0.001). Conclusion The postpartum lactation function of primiparas is closely related to the cognitive level of breastfeeding, so clinical attention should be paid to the investigation of the cognitive function of breastfeeding of primiparas in the middle and third trimester of pregnancy, and targeted intervention measures should be carried out in time to those puerperas with low cognitive function, which is of great significance to improve the cognitive level of breastfeeding of primiparas and the success rate of breastfeeding after delivery.
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