母婴皮肤接触时长对妊娠糖尿病产妇新生儿血糖及母乳喂养的影响

李晓芬; 徐萌艳; 徐捷; 吴清清

doi:10.16766/j.cnki.issn.1674-4152.003554

母婴皮肤接触时长对妊娠糖尿病产妇新生儿血糖及母乳喂养的影响

doi: 10.16766/j.cnki.issn.1674-4152.003554

杭州市妇产科医院产科，浙江杭州 310008

基金项目:

浙江省医药卫生科技计划项目 2023KY204

详细信息

通讯作者:
李晓芬，E-mail：lbhz0712@163.com

中图分类号: R714.256R722
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- 文章访问数: 37
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- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2023-11-09
- 网络出版日期: 2024-07-22

Effect of mother-infant skin contact duration on blood glucose and breast feeding of newborns of diabetic mother

Department of Obstetrics, Hangzhou Women' s Hospital, Hangzhou, Zhejiang 310008, China

摘要

摘要: 目的探讨延长母婴皮肤接触持续时间对改善妊娠糖尿病(GDM)产妇新生儿血糖水平、维持体温稳定性及促进母乳喂养的效果。方法选取2023年2—4月在杭州市妇产科医院自然分娩的90例妊娠糖尿病产妇足月分娩新生儿为研究对象，采用随机数字表法分为观察组(45例，新生儿出生后母婴皮肤接触持续90 min)和对照组(45例，母婴皮肤接触持续30 min)。比较2组新生儿出生即刻、出生30 min、90 min、2 h时的体温、血糖水平及母乳喂养情况。结果观察组新生儿出生90 min、2 h时体温均高于对照组(P＜0.05)；观察组新生儿出生90 min、2 h时血糖值均高于对照组(P＜0.05)；观察组出生2 h低血糖发生率为2.22%(1/45)，低于对照组的15.56(7/45)，但差异无统计学意义(χ²=3.430，P＞0.05)。观察组新生儿首次母乳喂养成功率、吸吮持续时间及母乳喂养量表得分均高于对照组(P＜0.05)。结论妊娠糖尿病产妇新生儿出生后给予持续90 min的母婴皮肤接触有利于维持新生儿血糖和体温的稳定，促进纯母乳喂养。
- 妊娠糖尿病 /
- 皮肤接触 /
- 新生儿 /
- 血糖 /
- 母乳喂养
Abstract: Objective To explore the effects of extended mother-infant skin contact on improving blood sugar levels in newborns of mothers with diabetes mellitus (GDM), stabilizing body temperature, and promoting breast feeding. Methods A total of 90 full-term newborns of diabetic pregnant women who gave birth naturally in Hangzhou Women' s Hospital from February to April 2023 were selected for this study. The newborns were randomly divided into an observation group (45 cases, 90-min skin contact) and a control group (45 cases, 30-min skin contact). The body temperature, blood glucose levels, and breastfeeding status of two groups were compared at birth, 30 minutes, 90 minutes, and 2 hours. Results The body temperature of newborns in the observation group were higher than that in the control group at 90 minutes and 2 hours of birth (P < 0.05). The blood glucose levels of newborns in the observation group were also higher than those in the control group at these times (P < 0.05). The incidence of 2-hour hypoglycemia in the observation group was 2.22% (1/45), lower than the control group (15.56%, 7/45), but the difference was not statistically significant (χ²=3.430, P > 0.05). The success rate of the first breastfeeding, duration of sucking, and the breastfeeding scale scores of newborns in the observation group were higher than those in the control group (P < 0.05). Conclusion Ninety minutes of mother-infant skin contact after birth for newborns of diabetic mothers is conducive to maintaining the stability of blood sugar and temperature of newborns, and promoting exclusive breastfeeding.
- Gestational diabetes /
- Skin contact /
- Newborns /
- Blood glucose /
- Breast feeding

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表 1 2组GDM产妇及新生儿一般资料比较

Table 1. Comparison of general information between two groups of GDM mothers and newborns

项目	观察组(n=45)	对照组(n=45)	统计量	P值
产妇年龄(x ± s, 岁)	30.45±3.18	31.30±3.75	1.160^a	0.249
分娩孕周(x ± s, 周)	39.10±2.11	39.38±2.40	0.587^a	0.558
产次[例(%)]			0.413^b	0.520
初产妇	28(62.22)	25(55.56)
经产妇	17(37.78)	20(44.44)
总产程(x ± s, min)	483.7±209.2	519.3±218.6	0.787^a	0.433
产妇空腹血糖(x ± s, mmol/L)	5.59±0.83	5.47±0.79	0.703^a	0.484
产妇餐后2 h血糖(x ± s, mmol/L)	7.30±0.96	7.15±0.91	0.761^a	0.449
破膜时间[例(%)]			1.353^b	0.245
＜12 h	40(88.89)	36(80.0)
≥12 h	5(11.11)	9(20.0)
产时发热[例(%)]	4(8.89)	3(6.67)	0.155^b	0.694
产时出血量(x ± s, mL)	279.5±101.3	301.7±125.0	0.926^a	0.357
无痛分娩[例(%)]	27(60.0)	29(64.44)	0.189^b	0.664
新生儿体重(x ± s, g)	3 383.7±326.5	3 411.5±330.6	0.401^a	0.689
新生儿1 min Apgar评分(x ± s, 分)	9.93±0.30	9.91±0.20	0.372^a	0.711
注：^a为t值，^b为χ²值。

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表 2 2组新生儿不同时间点体温比较(x ± s, ℃)

Table 2. Comparison of body temperature within 2 hours of birth between two groups of newborns(x ± s, ℃)

组别	例数	出生时	出生30 min	出生90 min	出生2 h	F值	P值
观察组	45	36.40±0.22	36.46±0.17	36.53±0.18^a	36.60±0.20^a	9.008	＜0.001
对照组	45	36.43±0.25	36.48±0.21	36.27±0.20^a	36.15±0.22^a	21.069	＜0.001
F值		0.332	0.511	6.048	10.153
P值		0.705	0.610	0.001	＜0.001
注：与同组出生时比较，^aP＜0.05。

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表 3 2组新生儿母乳喂养情况比较

Table 3. Comparison of Breastfeeding Conditions between Two Groups of Newborns

组别	例数	首次母乳喂养成功[例(%)]	吸吮持续时间(x ± s, min)	母乳喂养量表得分(x ± s, 分)
观察者	45	42(93.33)	21.40±4.92	10.16±1.45
对照组	45	31(68.89)	10.36±4.50	7.99±2.08
统计量		8.775^a	11.107^b	5.741^b
P值		0.003	＜0.001	0.001
注：^a为χ²值，^b为t值。

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表 4 2组新生儿不同时间点血糖水平比较(x ± s, mmol/L)

Table 4. Comparison of blood glucose levels within 2 hours of birth between two groups of newborns(x ± s, mmol/L)

组别	例数	出生时	出生30 min	出生90 min	出生2 h	F值	P值
观察组	45	4.23±0.74	3.78±0.79	3.67±0.63	3.95±0.70^b	5.501	0.001
对照组	45	4.26±0.83	3.82±0.95^a	3.31±0.86^a	3.16±0.79^a	13.889	＜0.001
F值		0.181	0.216	2.265	5.021
P值		0.856	0.829	0.026	0.001
注：与同组出生时比较，^aP＜0.05；与同组出生90 min时比较，^bP＜0.05。

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