早期“肌肤接触”方法对母乳喂养的影响

Q4 Medicine Medicinski Casopis Pub Date : 2022-01-01 DOI:10.5937/mckg56-39515
Jelena Miolski, M. Raus, Milica Radusinović, V. Zdravković
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引用次数: 0

摘要

公共卫生的任务是鼓励母亲开始并保持对孩子的母乳喂养。早期母乳喂养的主要支持者应该是妇产医院的儿科医生和妇科医生。早期的“皮肤接触”是指出生后,在最初的十分钟内,新生儿与母亲密切接触。婴儿出生并啼哭后,就会被转移到母亲裸露的胸部,母亲舒服地躺在床上,抬起头来。孩子被放置在相对于她的纵向位置,在她的乳房之间和上面。孩子的头转向一边,并强制监测呼吸,两人都用干净干燥的床单覆盖。这种机制的基础是荷尔蒙。通过这种相互接触,母亲体内释放催产素,新生儿体内儿茶酚胺浓度增加。出生后的头两个小时,新生儿是清醒的,活跃的,对母亲的触觉、嗅觉和温度模拟很敏感,这就是为什么这个时期是开始母乳喂养的最佳时期。这种方法对母亲的好处是:分娩后更容易更快地止血,更早地排出胎盘,更平静和放松,以及更大的母乳喂养自我效能感。对新生儿的好处是:减少产后压力和焦虑,减少哭闹,更好地控制达到最佳体温,重要的是建立肠道菌群的微定植和更有效的母乳喂养,尽早出院回家。该方法应用简便,经济效益高,对母婴均有短期和长期的效果。
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The effect of the early "skin-to-skin" contact method on breastfeeding
The task of public health is to encourage the mother to initiate and maintain breastfeeding of her child. The main proponents of early breastfeeding should be pediatricians and gynecologists in maternity hospitals. Early "skin-to-skin" contact means that after birth, in the first ten minutes, the newborn is placed in close contact with the mother. After it is born and cries, it is transferred to the bare chest of the mother, who is comfortably placed in bed with her head elevated. The child is placed in a longitudinal position in relation to her, between and above her breasts. The child's head is turned to the side with mandatory monitoring of breathing, and both are covered with a clean, dry sheet. The basis of the mechanism is hormonal. With this kind of mutual contact, oxytocin is released in the mother, and catecholamine concentrations increase in the newborn. The first two hours after birth, the newborn is awake, active, sensitive to touch, smell and temperature simulations that he receives from the mother, which is why this period is the best for starting breastfeeding. The advantages of this method for the mother are: easier and faster stopping of bleeding after childbirth, earlier expulsion of the placenta, greater calmness and relaxation, as well as greater self-efficacy in breastfeeding. The advantages for the newborn are: reduction of postpartum stress and anxiety, less crying, better control of reaching optimal body temperature, importance in establishing microcolonization of the intestinal flora and more effective breastfeeding with earlier discharge from the hospital to home. The application of this method is simple and economically profitable, and short-term and long-term effects are achieved for both the mother and the child.
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Medicinski Casopis
Medicinski Casopis Medicine-Medicine (all)
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