Maternal bedside care on early development of newborn and maternal depression and anxiety, lactation

Abstract

Objective To investigate the influence of maternal and child care bedside on early development of newborns and maternal depression and anxiety, lactation. Methods From January 2013 to June 2015, 120 cases of healthy full-term newborns and maternal admitted in our hospital were randomly divided into control group and observation group, 60 cases in each group.The two groups of newborns and mothers were given routine care, including care and neonatal umbilical buttocks care, maternity care, including genital or abdominal incision dressing, newborns were routinely vaccinated.In the control group, the newborns were taken to a public bath chamber concentrated bath.The observation group was implemented maternal and child care bedside manner Based on this, at the bedside of the newborn bathing and massage, swimming daily with newborns.Anxiety score (SAS) and depression scale score (SDS) for depression and anxiety were evaluated before and after the two groups of mothers nursing, and maternal milk yield variation were observed at different time, measured neonatal neurological assessment score (NBNA) and height, body mass index, head circumference growth. Results After treatment, the SAS and SDS scores of mothers of the two groups were decreased compared with before treatment, which in the observation group decreased more significantly, the differences were statistically significant (t=3.46, 4.21, all P<0.05). After care, the maternal milk productions of the two groups started to grow, which of the observation group were always increased better than the control group, the differences were statistically significant (χ2=9.34, 4.53, 6.79, all P<0.05). The newborn NBNA scores, head circumference, height, improvement in the quality index of growth in the observer group were better than the control group, the differences were statistically significant (t=1.98, 1.65, 2.73, 3.63, all P<0.05). Conclusion Maternal and child bedside care can significantly improve maternal depression and anxiety scores, increase maternal lactation, and has a certain role in promoting early neonatal development, it is worth clinical application. Key words: Maternal-child nursing; Lactation; Infant, newborns; Depression and anxiety; Early development