Effect of mother-infant skin contact duration on blood glucose and breast feeding of newborns of diabetic mother
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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。 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. -
Key words:
- 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 1.160a 0.249 分娩孕周(x ± s, 周) 39.10±2.11 39.38±2.40 0.587a 0.558 产次[例(%)] 0.413b 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 0.787a 0.433 产妇空腹血糖(x ± s, mmol/L) 5.59±0.83 5.47±0.79 0.703a 0.484 产妇餐后2 h血糖(x ± s, mmol/L) 7.30±0.96 7.15±0.91 0.761a 0.449 破膜时间[例(%)] 1.353b 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) 0.155b 0.694 产时出血量(x ± s, mL) 279.5±101.3 301.7±125.0 0.926a 0.357 无痛分娩[例(%)] 27(60.0) 29(64.44) 0.189b 0.664 新生儿体重(x ± s, g) 3 383.7±326.5 3 411.5±330.6 0.401a 0.689 新生儿1 min Apgar评分(x ± s, 分) 9.93±0.30 9.91±0.20 0.372a 0.711 注:a为t值,b为χ2值。 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±0.18a 36.60±0.20a 9.008 <0.001 对照组 45 36.43±0.25 36.48±0.21 36.27±0.20a 36.15±0.22a 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。 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 8.775a 11.107b 5.741b P值 0.003 <0.001 0.001 注:a为χ2值,b为t值。 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±0.70b 5.501 0.001 对照组 45 4.26±0.83 3.82±0.95a 3.31±0.86a 3.16±0.79a 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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