The Effects Of Fast Track Surgery On Lactation ? Initiation Of Primipara After Cesarean Section

PurposeTo research the effects of fast track surgery on lactation ? initiation of primipara after cesarean section.MethodsThis study in suzhou city of science and technology hospital in July 2017 to June 2018 full-term birth mothers as the research object,select 100 cases of primipara undergoing elective cesarean delivery,according to random number table method,were randomly divided into experimental group and control group 50 cases each.The experimental group(group A)maternal rapid rehabilitation surgery,the control group(group B)in accordance with the conventional cesarean section surgery treatment and care.Were performed before the operation,1,two groups of maternal cesarean section before the operation of conventional preparation,specific include:comprehensive assessment and proposed the introduction of operation,improve the preoperative routine inspection and examination project,the postoperative complications prevention guidance,patience to answer doubts,complete skin,do not use the sedative drugs.In addition,A group of mothers told FTS scheme,specific considerations,preoperative normal light digestible food,late night eating at 10 to 2 bottles of 355 ml,2 hour before eating can 1 bottle of 355 ml,group B maternal preoperative fasting 12 h,4 h ban water(i.e.,preoperative after 10 p.m.,fasting,ban drink A day).Two groups of women are lower uterine segment cesarean section surgery way,for the waist hard joint anesthesia way,maternal implementation of indwelling urethral catheterization after anesthesia in group A and group B maternal indwelling catheter before anaesthesia in the operating room,surgeons,director of the maternity doctor at or above the subtropical high titles.Operating time for 30 to 60 minutes,smooth operation,intraoperative no postpartum hemorrhage and other abnormal situation occurred,intraoperative unused abdominal cavity drainage tube.Operating room temperature(24-26)?,humidity(45%75%),intraoperative by visiting nurse to give two groups of maternal conventional heat preservation measures,A group of maternal individualized rehydration,pay attention to the control of venous transfusion speed,temperature and amount of group B routine use room temperature rehydration,specific to 1 bag+500 ml 500 ml electrolyte balance fluid+100 ml saline with antibiotics,A total of 1100 ml.Back to the room after the nurse to give the two groups after ChanFushu routine monitoring vital signs,Press the bottom of the palace,were given intravenous analgesia pump and continuous analgesia to 48 hours after pulling.ChanFuShu group A after 6 hours by nurses to assist the bedside stand and move slowly,catheter indwelling out 24 hours,encourage eating liquid 50 ml,3 hour after 6 hours last in semifluid,postoperative 1 day at first,as long as the maternal gastrointestinal tolerance is good,no abdominal distention,nausea,vomiting and other adverse reactions.Group B ChanFuShu to pillow recumbent,within 6 hours after 6 h to roll over,after 48 hours of urethral catheter,abstain fasting drink 6 hours,6 hours last in desire to pledge,semifluid after the anus exhaust,then transition in 1 days to eat.Two groups of the newborn themselves in the operating room immediately after giving early contact,and sucking,maternal and child together back to the ward,after back to the room after the nurse also guiding breastfeeding,skin contact and on-demand feeding.Observe two groups of maternal lactation ? period start time.ResultsFTS group maternal lactation ? period starts the average time was(45.94±13.29)hours,the control maternal lactation ? period starts the average time was(55.76±14.70)for hours.Two group by t test were significant differences(P<0.05),A group of lactation ? period start time is shorter than group B.Conclusionsfast track surgery concept corresponding optimization measures can make cesarean section primipara lactation ? period normal boot.