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| Effect of prenatal 5P prolactin method for treating primiparas on their postpartum milk volume and breastfeeding rate |
| Liuzhou Liutie Central Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, 545007 |
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Abstract To investigate the effects of prenatal 5P prolactin method for treating primiparas on their postpartum lactation volume and breastfeeding rate. Methods: From August 2022 to August 2023, 200 primiparas who had deliveried in hospital were selected and were randomly divided into two groups. 100 primiparas in the control group received conventional postpartum galactagogue. 100 primiparas in the study group recivied 5P prenatal prolactin method from 37 gestational weeks to delivery. The first lactation time, the lactation volume at postpartum 24h, 48h and 72h, the breast swelling degree, the adverse event rate, the breastfeeding rate of the primiparas, and the neonatal first fetal stool time and the stool turning yellow time were compared between the two groups. Results: The cervical ripening time, the time of near to labor, and the total labor duration of the primiparas in the study group were significantly shorter than those of the primiparas in the control group. The onset time of lactation(21.48±3.01h), and the proportions of grade Ⅱ(7.0%) and grade Ⅲ(5.0%) of the breast swelling of the primiparas in the study group were significantly lower than those(27.83±2.48 h, 15.0% and 29.0%) of the primiparas in the control group. The incidence of adverse events(17.0%) of the primiparas in the study group was significantly lower than that(57.0%) of the primiparas in the control group. The lactation volume of the primiparas at postpartum 24h, 48h, 72h(39.1±2.0ml, 80.6±5.3 ml and 148.3±28.5) ml), the breastfeeding rate(94.0%) of the primiparas in the study group were significantly higher than those(31.3±2.4 ml, 67.3±2.5 ml, 115.0±12.4 ml and 67.0%) of the primiparas in the control group. The neonatal first fetal stool time and stool turning yellow time in the study group were shorter than those in the control group(all P<0.05). Conclusion: Prenatal 5P prolactin method for the primiparas can promote their lactation, can improve their rate of breastfeeding, and can reduce their incidence of breast swelling and other adverse events.
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