Study on the effect of electric breast pump and manual milking on promoting milk production and reducing breast swelling
With the development of society, people pay more attention to the process of nurturing new life. At the same time, they will encounter various difficult problems and need accurate, timely and meticulous health guidance. This also reflects the support of modern people for medical care. Demand direction. At the same time, it also allows medical staff to recognize that the needs of modern people are more delicate and personalized. Breast milk is the ideal food for babies. It provides the nutrients necessary for the growth and development of infants. The colostrum in breast milk is rich in antibodies, many white blood cells, laxative growth factors, and rich vitamin A. The mother and baby are separated after childbirth. How to maintain and promote the mother's milk secretion has become a concern at this time. At present, the main intervention methods are traditional manual milking and modern electric breast pump to suck breast milk. Which kind of promotion of lactation is good, and maternal is more willing to accept, is the focus of this study, this article compares the two methods, It is reported as follows.
1 .data and methods
1.1 General Information
I chose 100 women in the maternal and child compartments. Age 24-35 years old; no pregnancy complications and complications, behavioral cognitive ability are normal; have the willingness to breastfeed and have indications of breastfeeding. All women were randomly divided into observation group and control group, 50 cases in each group. There was no significant difference in the general data between the two groups (fP>0.05).
1.2 Methods The observation group began to use the Kemai hospital-grade breast pump for breast-feeding 6 hours after delivery. Specific methods: guide maternal operation, clean hands and breasts with warm water before breast pumping, clean and disinfect the breast pump accessories, first adjust the negative pressure to 0, open the breast pump switch, and gradually adjust to the adaptation Suitable maternal negative pressure frequency (usually 2 to 3), using electric breast pump for breast suction for 5 min each time, alternating on both sides, cumulative breast pumping 30 min, 8 times/d, extruded milk The amount of milk was measured using a sterile syringe. The pregnant women in the control group used traditional techniques to milk, and the professional obstetric nurses guided the maternal milking techniques and feedback. After the maternal proficiency was correctly mastered, the mothers were instructed to alternate breasts on each side of the milk, 30 min/time, 8 Times/d. Milking method: first clean the hands and breasts with warm water, respectively, the thumb and forefinger are opposite, placed 2 cm from the root of the nipple, the two fingers are opposite, the other three fingers hold the breast. Use the side of the first and second knuckles to press gently in the direction of the chest wall, in the direction of the nipple, gently squeeze out the milk, repeatedly press and release, the operation should not cause pain. The maternal milk Place in a pediatric-specific storage bottle and measure the amount of milk with a sterile syringe.
1.3 Observation indicators and assessment criteria
Total milk secretion at 24 hours postpartum: 15～50 ml is less, 51~ 100 ml is medium, 101～150 ml is more; total milk secretion is less than 151 ml at 48 hours postpartum, 151～200 ml is medium, 201～ 250 ml is large ; the total amount of milk secretion <301 ml at 72 h postpartum was less, 301-350 ml was medium, and >350 ml was more. The swelling of the breast is divided into 3 degrees: I degree touches the lips, which is normal or mild pain; II degree touches the tip of the nose, which is moderate pain; III degree touches the forehead, which is severe pain. Statistical analysis was performed using SPSS 1 1 software for statistical analysis. The measurement data were expressed as mean ± standard deviation ± s, and the test was used for comparison. The count data was expressed as rate (%) and compared with the test. P<O. 05 is statistically significant.
- Compared with the control group, the milk secretion of the maternal women in different time periods was better than that of the control group.
The difference between the two groups was statistically <0.05. The breast swelling degree in the two groups was significantly better than that in the control group after 48 h and 72 h. The differences between the two groups were statistically significant.
The classification of breast swelling, breast swelling can be divided into two types of breast filling and breast swelling, which differs in terms of time, cause and performance. Breast filling can occur during the whole breastfeeding period, the skin temperature rises, and the skin surface is hot. The main reason is that after the breast is empty, the lactation fills the whole breast again, causing the breast to sink and increase in weight. The milk flows out smoothly and the maternal temperature is normal. Breast swelling can occur during the early period when the breast duct is not patency, which is manifested as pain, mainly because the breast is not sucked frequently, the breast tube is not smooth, the milk is deposited in the breast, and edema occurs. The breast skin temperature rises and the skin is tight, especially The nipple is distributed brightly, even red, the milk is not flowing smoothly, and may continue to heat for 24 hours.
Causes of swelling: (1) Breastfeeding begins late after the baby is born. (2) The baby's breasts are not properly attached. Did not release the milk in time when it was not fed as needed or when the mother and baby were separated. (4) The time for each feeding is insufficient, and the milk cannot be drained. After the delivery of maternal placenta, the progesterone level drops rapidly, and the inhibition of serum prolactin is relieved. The secretion of milk is mainly determined by serum prolactin. The sucking stimulation of the baby can rapidly increase the level of prolactin in the serum, each time sucking for more than 30 minutes. It will stimulate prolactin to reach a peak and return to pre-feeding levels around 3 h]. Therefore, it is necessary to ensure breastfeeding at least 8 times a day to slow down the prolactin level and promote lactation. The sooner the breast sucking stimulation is performed, the sooner and more the serum prolactin is secreted, the earlier the activation time of the milk secretion is, and the more the milk secretion is. Maternal and postpartum maternal postpartum breasts are fully and effectively stimulated by sucking, which can significantly increase the amount of milk secretion and promote the smoothness of the mammary duct, thereby facilitating the discharge of milk and reducing the occurrence of breast expansion. Breast milk is the best natural food for infants. It is good for infants' growth and development. Breast milk contains antibodies, which can increase the ability of infants to resist disease. Breast milk is good for infant brain development, enhance maternal and child feelings, and reduce metabolic diseases in adulthood. For the mother, it can prevent postpartum hemorrhage, promote the recovery of the mother's body and body shape, and promote family planning. Breast milk is sterile, economical and convenient, can reduce the labor of other members of the family, reduce breast cancer and The incidence of ovarian cancer. This study uses the Kemai hospital-grade breast pump. It is based on the principle of bionics. The operating mode simulates the sucking rhythm of the baby, that is, the rhythm of sucking and swallowing. In the case of postpartum mother-infant separation, nipple pulling stimulation can make the mother's lactation time advance, milk secretion increase, and reduce the incidence of maternal bloating.At the same time, it has a breast pump that reproduces the sucking frequency of the baby, can similarly stimulate the breast physiologically, and promote the function of milk secretion. It should be used within 6 hours after delivery, once every 3 hours, 3 to 5 minutes on each side of the breast, alternating on both sides, and the duration is 10 to 15 minutes. Maternal maternal postpartum due to mother and child separation more or less anxiety negative emotions, plus a series of changes in postpartum fatigue, pain, postpartum psychophy siology, on this basis if the implementation of manual milking on time, will inevitably increase maternal fatigue Feeling, low execution rate and compliance. In contrast, the use of electric breast pump is simple to operate, easy to use, maternal feeling relaxed and comfortable, more willing to be accepted, reducing the psychological burden on the maternal, and the negative pressure suction of the electric breast pump can also be a certain degree Helps correct nipple depressions and flat breast problems. In summary, for the maternal and child separation of the maternal, the analysis of two ways to maintain lactation intervention shows that the electric breast pump can simulate the baby sucking, giving the breast sufficient sucking stimulation. At 48 h and 72 h postpartum, the amount of lactation increased significantly compared with manual milking, which promoted the effect of milk secretion. The probability of breast swelling occurred 72 h after birth, the difference was statistically significant (fP>0.05).And because of its simple operation and convenient use, the item is unanimously recognized by the mother and is worthy of clinical promotion.