两种剖宫产术和母乳喂养关系的探讨

王宇航

　　摘要：目的：观察纵切口剖宫产术及横切口新式剖宫产术对母乳喂养的影响。方法：剖宫产术分别采用纵切口剖宫产术式和横切口新式剖宫产术式，剖宫产术后产妇与新生儿进入母婴同室病房，按照母乳喂养要求进行早接触早吸吮，对比两组术中及术后情况。结果：横切口新式剖宫产术手术时间短，术中出血量少，术后排气早、开奶早，乳汁充足，母乳喂养率高，切口疼痛轻，住院时间短，与纵切口组比较有显著差异性(P<0.05)。结论：横切口剖宫产术手术时间短，操作方便，术后开奶早，乳汁充足，有利于剖宫产产妇实施母乳喂养，符合爱婴医院要求，值得推广。
　　关键词：剖宫产术；纵切口；横切口；母乳喂养
　　中图分类号：R719.8　　文献标识码：A
文章编号：1006－8716(2000)02－0091－03

Relationship between two cesarean sections and breastfeeding

WANG Yu-hang
(The Central Hospital of the Third Railway Engineering Bureau， Taiyuan 030006，China)

　　Abstract：Objective：To study the relationship between the vertical incision or transverse incision and Breastfeeding.Methods：the vertical incision adopted with methods of the vertical incision or transverse incision cesarean section，after the operation，puerperants and neonatal enter the same word， and perform the contact and feeding early according to the breastfeeding compare the situation before and after operation in two groups.Results：the transverse incision cesarean section had advantages of shorter operative time less blood loss during operation，breast earlier，the production of breast milk is full，full-breastfeeding rate in high，exhaust earlier，slight pain and low sickness rate after operation and fewer days in hospital.the difference was significant as compared with the control group.(P<0.05) Conclusion：The cesarean section of a transverse incision should be spread in clinic for its advantages of shorter operative time，simple methods，breast earlier，full breast milk，full-breastfeeding rats in high，less postoperative complications and less days in hospital.conformed with requests of beloved infant hospital.
　　Key words：cesarean section；vertical incision；transverws incisionl；breastfeeding

　　1997年8月起，开展了横切口新式剖宫产术，并与纵切口剖宫产术对母乳喂养的影响进行比较，报告如下：

1　资料与方法
1.1　一般资料　选自1997年8月以来我院有剖宫产指征的足月妊娠产妇，剖宫产术指征均为胎儿宫内窘迫、头盆不称、骨盆狭窄、臀位，手术原因无明显差异，随机分为两组，横切口新式剖宫产术103例作为横切口组，年龄在21岁～40岁间(平均年龄27.

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