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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (7): 49-52.doi: 10.16460/j.issn1008-9969.2021.07.049

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Current Status of Delayed Onset of Lactogenesis II of High-risk Pregnant Women in Maternal Intensive Care Unit and Its Influence Factors: A 229-case Study

XIE Xiao-xing1,2, ZHAO Min-hui1   

  1. 1. Dept. of Nursing Administration, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200000, China;
    2. Maternal Intensive Care Unit, Ningbo Women and Children’s Hospital, Ningbo 315010, China
  • Received:2020-06-05 Online:2021-04-10 Published:2021-05-12

Abstract: Objective To investigate the status quo of delayed onset of lactogenesis Ⅱ(DOL Ⅱ) and its influence factors of high-risk pregnant women in maternal intensive care unit (MICU). Methods Totally 229 parturients admitted to MICU immediately after termination of pregnancy in a tertiary grade-A maternal and child healthcare hospital in Zhejiang Province from May to October 2019 were selected by convenient sampling method. General information questionnaire, lactation log, the Edinburgh Postpartum Depression Scale (EPDS) and the Chinese version of the Fatigue Rating Scale (FS-14) were used to investigate the influence factors of DOL Ⅱ and binary logistic regression analysis was performed for data analysis. Results Of the total, 97 cases suffered DOL Ⅱ, with an incidence of 42.4%. Binary logistic regression analysis showed that aged ≥35 (OR=2.523, P=0.003), with hypertensive disease during pregnancy (OR=2.523, P=0.003), and late secretion of colostrums (OR=0.924, P=0.025) were risk factors for DOL Ⅱ. Conclusion High-risk pregnant women in MICU have a higher rate of DOL Ⅱ. Special attention should be paid to high-risk pregnant women aged ≥35 years, those with hypertensive disease during pregnancy, and those with late secretion of colostrums. Pregnancy healthcare and health education, lactation intervention, nutrient absorption, and maternal lactation knowledge are beneficial to reducing the rate of DOL Ⅱ.

Key words: maternal intensive care unit, high-risk parturient, parturient, delayed onset of lactogenesis Ⅱ

CLC Number: 

  • R473.71
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