Comparison of the application effect of postpartum rehabilitation instrument alone or combined with manual massage in primiparae undergoing cesarean section
LI Zhi-ping ZHANG Ying-zi LI Hui-jiao XIE Li-jing ZHOU Jian
Department of Obstetrics,Fuzhou Maternal and Child Health Hospital(the Second People′s Hospital of Fuzhou),Jiangxi Province,Fuzhou 344000,China
Abstract：Objective To compare and analyze the application effect of using postpartum rehabilitation instrument alone or combined with manual massage in primiparae undergoing cesarean section.Methods From June 2019 to August 2020,126 cases of cesarean section primiparae from Fuzhou Maternal and Child Health Hospital(the Second People′s Hospital of Fuzhou)were selected and divided into a study group(n=63)and a control group(n=63)according to the random number table method.Patients in the control group received postpartum rehabilitation equipment treatment alone,and in the study group,postpartum rehabilitation equipment combined with manual massage was adopted.The lactation initiation time,breastfeeding rate,feeding status,breast tenderness,breast stiffness,and postpartum uterine fundus height changes were compared between the two groups.Results The lactation initiation time of the study group was shorter than that of the control group.The lactation volume at 48 and 72 h postpartum in both groups was more than that at 24 h postpartum.The lactation volume at 24,48,and 72 h in the study group was more than that in the control group,the differences were statistically significant(P＜0.05).The breastfeeding rate of the study group was 96.83%(61/63),which was higher than 82.54%(52/63)of the control group,the differences were statistically significant(P＜0.05).The degree of breast tenderness and breast stiffness in the study group were better than those in the control group,the differences were statistically significant(P＜0.05).The height of the uterine fundus at 48 and 72 h postpartum in the two groups was lower than that at 24 h postpartum,and the height of the uterine fundus at 24,48,and 72 h postpartum in the study group was lower than that of the control group,the differences were statistically significant(P＜0.05).Conclusion Compared with the postpartum rehabilitation instrument alone,the postpartum rehabilitation instrument combined with manual massage for primiparae undergoing cesarean section can shorten the time of lactation initiation,enhance lactation,increase breastfeeding rate,reduce breast tenderness and hardness,and improve postpartum uterine fundus height.
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