Analysis of current status and influencing factors of lactation initiation delay in women with vaginal delivery
10.3760/cma.j.cn211501-20211228-03548
- VernacularTitle:经阴道分娩女性泌乳启动延迟现状及影响因素分析
- Author:
Fangxiang DONG
1
;
Li LI
;
Kehua ZHU
;
Shasha ZHANG
;
Yanna GUAN
;
Jing HAN
;
Ran MENG
;
Xi CHEN
Author Information
1. 济宁医学院附属医院家庭化温馨产房，济宁 272001
- Keywords:
Vaginal delivery;
Delayed initiation of lactation;
Delivery experience;
Delivery quality
- From:
Chinese Journal of Practical Nursing
2022;38(19):1496-1502
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate cases of delayed lactation initiation in women with transvaginal delivery and the influencing factors, in order to provide a basis for effective control of delayed lactation initiation and promotion of breastfeeding.Methods:Inpatients who were admitted to the obstetric ward of Affiliated Hospital of Jining Medical College from November 6, 2020 to January 16, 2021 were selected for the study using convenience sampling method and investigated by general information questionnaire and Chindbirth Experience Questionnaire (CEQ). Binary Logistic regression analysis was used to determine the factors influencing delayed lactation initiation.Results:The incidence of delayed lactation initiation in 622 women with transvaginal delivery was 38.75% (241/622). Binary Logistic regression analysis showed that age 20-35 years, full-term delivery, labor and delivery, use of labor analgesia, and good experience of transvaginal delivery were protective factors for delayed lactation initiation ( OR values were 0.012 to 0.868, all P<0.05); age >35 years, excessive weight gain during pregnancy, presence of pregnancy complications, use of induction of labor during delivery, long labor process, and damage to perineal skin after delivery were risk factors for delayed lactation initiation ( OR values were 1.097 to 13.235, all P<0.05). Conclusions:The high incidence of delayed lactation initiation in women with transvaginal delivery is influenced by a number of factors, which reminds the clinic that lactation in women after transvaginal delivery also needs to be taken into account, with priority assessment and prevention for those who are elderly (age≥35 years), primiparous, have other diseases during pregnancy, have gained too much weight during pregnancy, have preterm delivery, have a long duration of labor, have not received labor analgesia, have had a single or combined induction of labor, have had an episiotomy or perineal laceration during labor, and have a poor transvaginal delivery experience.
