Influence of “koala style”position on breast feeding in puerpera with caesarean section

Chen Shaoping

doi:10.3969/j.issn.1674-4748.2016.27.014

Abstract：Objective:To probe into the influence of“koala style”position on breast feeding in puerpera with cae-sarean section.Methods:A total of 200 puerpera with caesarean section were randomly divided into control group and observation group,100 cases in each.The seat horizontal holding position was used in control group and the koala position was used in observation group.The visual analogue scale (VAS)score,cracked nipple rate,galactostasis rate,lactation volume and breast feeding rate were compared between both groups.Results:On the postoperative 1st day,3rd day and 5th day,the VAS score of observation group was respectively(4.3±0.8), (3.2±0.7)and(2.8±0.6),that in control group was respectively(5.7±1.0),(4.4±0.5)and (3.4±0.5),the difference showed statistically significant(P <0.05).The cracked nipple rate and galactostasis rate of observa-tion group was respectively 5.0%(5/100)and 4.0%(4/100),that in control group was respectively 26.0%(26/100)and 18.0%(18/100),the difference showed statistically significant(P <0.05).On postoperative 1st day, 3rd day and 5th day,the lactation volume of observation group was respectively (28.4±2.2)ml/d,(42.3±3.4) ml/d and (282.3±24.6)ml/d,that in control group was respectively(17.3 ±2.5)ml/d,(57.6 ±3.5)ml/d and (207.6±30.0)ml/d,the difference showed statistically significant(P <0.05).On postoperative1st day,3rd day and 5th day,the breast feeding rate of observation group was respectively 75.0%(75/100),80.0%(80/100)and 82.0%(82/100),that in control group was respectively 62.0%(62/100),67.0%(67/100)and 69.0%(69/100), the difference showed statistically significant(P <0.05).Conclusion koala position on breast feeding in puer-pera with caesarean section could effectively reduce wound pain,decrease the incidence of cracked nipple and galactostasis ,increase the lactation volume and breast feeding rate.