Ngo Thj v a n Huyen vi Dig Tap chi KHOA HQC & CONG NGH$ 177(01): 177 - 182
THU'C TRANG KIEN THU'C VE T A C TIA S C A CUA BA ME SAU SINH TAI KHOA SAN BENH VIEN TRUNG UONG THAI NGUYEN
Ngo Thj Van HuySn' , Ho&ng Thj Mai Nga , Tran Thj H u ^ g 'Tnrcmg Dai hoc Y Duac - DH Thai Nguyen,
Binh vien Trung uong Thai NguySn TOM T A T
Tdc tia sfta la mgt vdn dl phi biin d bd me sau sinh trong thii ky hdu sdn. N I U vdn dl nay khong dugc phat hien va dieu trj diing cdch nfi cfi the dnh hudng den sy tilt sila va co the dan den dp xe vii. Nhan thiic sfim vd cfi kiln thilc vl tic tia sua se giiip cdc ba m? ngdn ngira duoc van de ve -vii.
Nghien ciiu ndy ddnh gid kiln thiic vd tim hieu mgt so yeu to lien quan den tac tia sila ciia cdc bd me sau sinh. Thiit ke mo td cdt ngang da dugc su dyng trong nghien ciiu nay. So lieu dugc thu thdp tir 245 bd me sau sinh tai khoa San Benh vi?n Trung ucmg Thai Nguyen (BVTWTN), phong vdn tren bfi cdu hoi co sin.
Ket qua nghien ciiu cho thdy co 79,2% cdc bd me cfi sfi dilm kiln thdc dgt, vd 20,8% cdc ba me co sd diem kien thiic khong dat ve tdc tia sfta. Khfing cfi sy liSn quan gifta mfii, nghi nghiep, thu nhap, nai d cua cac ba me vd kiln thuc v l tie tia sfta (P >0,05). Cfi su lien quan gifta trinh do hgc vdn, sfi ldn sinh ciia cdc bd me c6 lien quan din kiln thiic vl tdc tia sfta cua ba me sau sinh. Su khde biet cfi y nghTa thfing kS (P <0,05).
Tu' khoa: Tdc tia siia, kiin thicc, chdm soc vit, sdn phu sau de, sica me DAT V A N D E
Chdm sdc vu la mpt khia cgnh hay bj bfi quen nhat trong cham sdc hdu sdn. Tac tia siia la mpt van de pho bien d cac ba me sau sinh trong thdi ky hgu san.
Sua dupc tao ra d nang sua theo cdc ong dan dd ve xoang chiia siia d phia sau quang vu con dupc gpi Id cac tia sira, dudi tdc dung kich thich cua dpng tdc bii miit ciia tre, sua se chdy ra ngoai. Tren ddng chay vi mfit li do nao dd ma Idng fing dan bi hep bit Igi (chen ep tii ngoai vao hay bit tdc trong Idng ong), sfta se khflng the thodt ra ngoai d u p c . Tgi chfi tac se dan tao thanh hdn cyc do hien tupng sua dfing k i t . Trong liic dd, s&a van tiep tyc dugc tao ra, Iam cho cac ong dan trudc cho tdc ngay cang bj cang gidn. Hign t u p n g nay gay chen ep cac ong dan s&a khac, tao ra mdt vfing xodn benh ly, Iam tinh trgng tac sira ngay cdng nang them [ I ] .
Hien tupng nay t h u d n g xdy ra d cac san phy trong nhiing ngay dau sau sinh va trong thdi ky nudi con bdng siJa mg, N l u bj tdc tia siJa khong dieu trj kip thdi va diing p h u a n g phap ' Tel: 0912 381116, Email. vanhuyen79@yahoo c<
ngudi me cd the bi viem tuyen vii, dp-xe tuyen vu, Idu dan trd thanh cac dai x o hoa hay u x o tuyen vii, Ngodi ra, tdc tia sila cfin Iam cho qua trinh tgo sua bj dnh huong, dan dan ngudi me it sira hogc se mat sua. [ I ] . Hign tugng tac tia sua cd rat nhieu nguyen nhan nhu ngudi me khfing cho tre bii som va t h u o n g xuyen, cho con bii khfing ve sinh sgch se tgo dilu kign cho vi khuan xdm nhap t u ngodi vao thdng qua ddu vu rfii dan den hg thdng ong dan sua nhiem khudn se bj hgp gay can trd sfl'a thodt ra ngoai, d i l u nay gay ra viec tac tia sQ'a [2].
Ddc bigt, d nhftng ba me khdng cho tre bfi khflng deu cung la mdt frong nhiing nguyen nhan gay tdc tia sua [2],
Tdc tia sQ'a khdng nhtrng anh hudng den siic khde ciia cdc ba me md cdn anh huong true t i i p d i n tre s o sinh Iam cho tre so sinh khdng CO siia m g d l bii [ I ] ,
Vi vay cham sfic sau sinh som ddc bi^t Id cham sfic vii la dieu can thiet de phong ngtia viem tdc tia sUa. Do vdy nghien cuu nay se danh gid thuc trgng kien thuc v l tdc tia sua ciia ba m? sau sinh d Benh vign Trung uong Thai Nguyen.
177
Ngo Thj Van Huyen vd Dtg Tap chi KHOA HQC & CONG NGH$ 177(01): 177-182 M u c tieu nghien ciru
1. Md ta thyc trang kien thuc v l tac tia sfta ciia bd me sau sinh tgi khoa Sdn (BVTWTN) 2. Tim hieu mpt sfl yeu tfl lien quan den kien thiic ve tdc tia sua ciia bd me sau sinh tgi khoa san (BVTWTN),
DOI T U O N G V A P H U O N G P H A P NGHIEN c i r u
Boi tirgng nghien cuu
Cac ba me sinh con tgi khoa San ( B V T W T N ) . Tieu chudn chon doi tucmg nghien ciru:
+ Sau de it nhdt 24 gid.
-I- Cdc bd me de dii thang.
+ Khdng cd bgnh va cac bien chiing trudc, trong vd sau khi sinh.
+ Ddng y tham gia vdo nghien cuu.
Phucmg phdp nghien ciru: Mo td cat ngang Chgn mdu: Dugc tinh theo cong thirc
p q n 7- \.oa Trong dd:
n: Cd mau toi thieu can cho nghien ciiu Z V a/2 : L^ gia fri tuong ling ciia h? sfl gioi ban tin cay, dfl tin cay 95%o ( 2 i^^ =1,96) p: Ty le ba me trd Idi sai, udc tinh p = 0,2 q = l-p
d: Dp chinh xdc mong mudn, d= 0,05 Vdi cflng thiic tren, cd mau n = 245 T h i r d c d o v a b o cong cu
Bg cau hfii dupc nhdm nghien ciiu xdy d y n g dya tren tai lieu nufli con bdng sfta me va tdi lieu H u o n g dan qudc gia v e cac djch vu cham sfic siic khde sinh san. Eg Y te (2009). K i l n thiic ciia cac ba me dugc ddnh gia bang bp cau hdi gdm 17 cau trd ldi diing/sai, moi cau tra ldi diing dupc I diem, tra Idi sai dupc 0 diem.
Tinh gid trj ciia bp cau hdi dupc danh gia bdi cac chuyen gia trong lmh vyc san phy khoa va nii hg sinh khoa sdn. Do tin cay cua bfl cau hdi dugc kiem tra bang nghien cuu thu nghigm 178
tren 30 ddi tugng. Ngudi nghien cuu gap tnrc tiip doi tupng va phdng van tai phong benh ciia khoa Sdn ( B V T W T N ) .
P h u o n g p h a p p h a n tich so lieu So lieu dupc phdn tich bang phdn m i m SPSS 17.0 KET Q U A N G H I E N C U U
M d t a t h u c t r a n g kien thurc ve tac tia sua c u a Bd m e sau sinh tai khoa San ( B V T W T N )
Sfic diim cua doi tuffng nghien cuu Bang 1. Ddc diim ve tuoi vd trinh do hoc vdn cua
doi tugng nghien cdu
Nh6m tu5i Trinh do hoc van
Dac diem
<20 20-29 30-35
>35 Cap III Tnmgca|ycB/DH Sau dai hoc
n 18 160 59
8 65 159
21
(%)
7,365,3 24,1 3,3 26,5 64,9 8,6 Nhdn xet:
- Da sfi cac bd me deu trong dp tufli tir 20-29 chilm 65,3%>. Sd ba me cd do tudi tii 30 - 35 chiem 24,l%i, cdn lai la dudi 20 tufli vd fren 35 tudi.
- Cac ba m? cd trinh dp hpc van trung cdp/cao dang/dai hpc chiem 64,9% va Idn lupt la cap III c h i l m 26,5%i, va chi cd 8,6% cd trinh dg sau dai hpc.
Bang 2, Dgc diim vi nghe nghiip, nai sinh song cua ddi tugng
Dac dilm Can bo Ngh^ Cong nhan nghiep U r n ruong/
nSng dan Kh4c Noi Thinh ph6 song Cac huyen
n 80 65 40 60 96 149
32,7
(%)
26,5 16,3 24,5 39,2 60,8 Nhgn xet:
- v l n g h i nghigp: Co 3 2 , 7 % cdc ba me la can bg, 2 6 , 5 % cdc ba me lam cfing nhan, lam cac cdng viec khac la 24,5%i, va cd 16,3% cdc ba me lam rupng.
- v l nai d: Da sd cac ba me sdng d nflng thfin chiem 60,8%, cdn Igi 39,2%i cac ba me sfing cr thanh phd.
NgS Thi VSn HuySn vo Dig Tap chi KHOA HOC & CONG NGH$ 177(01): 177-182
I I
Hinh 1, So ldn sinh Nhgn xet: Cd 48,6%. cac ba me la sinh con ldn ddu, 48,2% cac ba mg sinh con lan 2, chi cd 3,3% cdc ba me sinh can lan thii 3.
Kien thuc ve tdc tia sira cua cdc bd me Cac cau hdi la cau hdi dung sai, neu tra Idi dung se d u p c I diem, neu trd Idi sai se d u g c khdng diem, d u p c phan thdnh cac nhdm kien thiic chuyen bigt n h u sau:
Bdng 3. Klin thicc cda bd me vi vi sinh vu khi cho Ire bu
Ngi dung VS vii tnrdc VS vii sau
Tra ldi ddng n (%) 138 56,3 153 62,4
Tra [bi sai n (%) 107 43,7 92 • 37,6 Nhgn xet: Vdi kien thuc ve vg sinh vii khi cho tre bii: Da sfi cdc ba me deu tra Idi diing ve ve sinh vii trudc va sau khi cho tre bii chiem lan lugt Id 5 6 , 3 % va 62,4 %.
Bang 4. Kien thicc cua bd me vi cdch cho Ire bu N^i dung
Tre chi nggm niim vu trengdmndm
vii va qudng thdm cua vu khong vdt bo sfta ddu thay doi ben vii
lien tuc Khfing cdn vdt
sfta khi con nhilu sfta Bd hit mgt ben rli cho bu ben con lai Tre ngam vii m?
dingu Trd Id
n 232 188
98 164 61
2CW
115 dung
(%)
94,7 76,740 66,9 24,9
83,3
46,9 Trd ldi sai n 13 57
147 81 184
41
130
(%)
5,323,3
60 33,1 75,1
16,7
53,1 Nhan xet: Kien t h d c ciia ba me ve each cho tre bii: Da sfl cdc ba m e deu trd Idi diing ve each ngam bat vii khi cho tre bii la 94,7% va 76,7%., nen cho tre bii thay ddi ben vii cung
cd 66,9% cac ba me trd Idi dung, 8 3 , 3 % cac ba m? biet each cho con bii het mgt ben rfii cho sang bfin cdn Igi. Nhimg cd hem 5 0 % cac bd mg trd Idi sai ve khfing can vdt bfi nhftng gigt sfta ddu chiem 60%, va cd tdi 7 5 , 1 % cac ba mg tra ldi sai la khdng can vdt sfta khi vdn cdn nhieu sua sau khi cho tre bii va cfi den 5 3 , 1 % cdc ba me trd ldi sai ve viec van tiep tuc cho tre ngam vti de ngu.
Bang S. Kien thuc cua bd me ve ddu hieu tdc tia sica Noi dung
dau a niim vii Num vii bi niit cang to va dau Bau Vij c9ng to va CO sot Bau Vii cuong Cilng BSU Vii c6 nhiing viing Cilng hon BSU Vii m€m sau Ichi tre bii Biu Vll kh6ng m^m sau Ichi tre bii
Trii loi diing n 124 221 115 224 185 68
196 82
50,6
(%)
90,2 46,9 91,4 75,5 27,8
80 33,5
Tra loi sai n 121 24
130 21 60 177
49 163
49,4
(%)
9,8 53,1 8,6 24,5 72,2
20 66,5
Nhgn xet: Hdu het cdc ba mg tra Idi dung tren 5 0 % ve cdc dau hieu bdt thudng ciia vii khi cho tre bii Ian lugt la: Khi cho tre bii thay dau d num vii chiem 50,6%., mim vii bi mit chiem 90,2%i, bau vu cang to va cd sdt chiem 91,4%, bau vii c u o n g ciing va khdng ra sfta chiem 75,5%), bau vu phdi mem sau khi cho tre bii c h i l m 80%), N h u n g cd tdi 53,1%) cac ba me tra ldi sai cho rang bau vii cdng to vd dau nhiic do la binh thudng, va 72,2% ciing cho rang bau VIJ CO nhftng chfi cung hon khi cho tre bu la binh thudng va cd 66,5% cac ba mg cho rdng blu vii khfing mem sau khi cho tre bii.
Bang 6, Kiin thuc chung ve lac Ha sica cua cdc bd me sau sinh
Ngi dung Dgt Khong dgt Tfing
194
T y i f ( % ) 79,2 20,8 100 Nhgn xet: Ket qud nghien ciiu cho thay cd 79,2%. cac bd mg cd sfl diem kien thiic dgt,
Ngo Thj Van Huyen vd Dig Tgp chi KHOA HQC & CONG NGHE 177(01): 177-1S2 vd 2 0 , 8 % cdc ba mg cd sd diem k i l n t h d c
khdng dat.
T i m hieu m g t so yeu to lien q u a n d i n k i l n t h u c ve tac tia s u a
Bang 7. Moi lien quan giica luoi vd kien thtic vi tdc Ua siia
Tuoi
Kiln thax v l tdc tia su-a Khfing dat Dat
33
<20 7 20-29 44 30-35 127
>35 16 2 Tong 194 51 OR, CI 9514, P OR =0,823; CI: 0,506-1,337,
P=0,43!
bien so s^nh
Nhgn xet: Ket qua t u bang 7 cho thay nhin chung khflng co su khde biet ve ty Ie dgt kien thiic tdc tia sUa vd tuoi ciia cac ba mg voi (P>
0,05).
Bang 8. Moi lien quan giUa nghe nghiip vd kiin thuc vi tdc tia sica
Nghe nghiep Can b o ' Cong nhan L^m rugng Khic Tong OR, Cl „./., 1-
Ki^n th&c vk tSc tia sita Dat
63 54 28 49 194 OR-0,994;C1;
P-0,963 OR-0,82SiCI:
P-0,531
KhSng d9t 17 11 12 11 51 0,763-1,294, 0,643-1,008, bien so sdnh
Nhgn xet: Ket qud t u bang 8 cho thay nhin chung khdng cd sy khac biet ve nghe nghigp vd kien thiic ciia ba mg ve tdc tia sua vdi k i t qua so sanh giiia cong nhan va can bg (OR=0,994; CI: 0,763-1,294, P=0,963), va k i t qua so sanh giira lam rugng vdi can bfi (OR=0,825; CI: 0,643-1,008, P=0,531).
Bdng 9. Moi liin quan liin quan giira nai a vd kiin thuc vi tdc tia sda
Kien thu-c ve tdc tia sft-a Khong dgt N o i d Dgt Thdnh pho' 73 23 Nfingthfin 121 28 Tfing 194 51 OR, Cl My..P OR=1362;a:0,730-23W.lH)^
* biin so sdnh
Nhan xet: K i t qua tii bang 9 cho thay nhin chung khong cd su khac biet giua noi sfing va kiln thiic tdc tia sfta vdi P>0,05.
Bdng 10. M6i liin quan giua trinh dg hgc vdn vd kien thiic
Trinh d? hoc van cap 111 tro xufing' Tning cap/ cao ding/DH Sau dai hoc
Tons
ve lac tia sua Kien thirc
Bat 46 128 20 194
v^ t i c tia sihi Khdng dat
19 31 1 51 OR=2,017; CI:
3,544, P=0,OI5 OR=2,011; C l : 3,623, P-0,032 bi€n so s^nh
Nhan xet: Ket qua t u bdng 10 cho thay frinh dp hgc vdn cua ba me cd lien quan den kien thiic ve tac tia sfta ciia ba me sau sinh. Ve trinh do hgc van cac bd me cfi trinh dg hgc vdn ttr trung cap/ cao dang, dgi hgc co ca hgi gap 2,0 lan cac ba mg cd trinh dg hgc van tir cdp III trd xudng. S g khac biet cd y nghia thdng ke (OR=2,226; CI: 1,395-3,552, P=0,015) va ( O R = 2 , 0 1 1 ; CI: 1,238-3,623, P=0,032).
Bang I I , Wd) lien quan giUa so ldn sinh vd kiin thuc vi tdc tia sua s l Ifin sinh
Kiln thii^ tdc tia sfta Khong flgt 87
100
32 Sinh lan ddu
Sinh ldn 2 Sinh lan 3
Tfing 194 51 OR, CI M%.P OR=I,942;CI:1,074-3,509,
P=0,028
OR=l,914;CI:l,321-3,612,
P-0,019 . bien so sdnh
Nhan xet: Ket qua tir bang 11 cho thay sd lan sinh cua bd mg co lien quan den kien thuc ve tdc tia sfta ciia bd mg sau sinh. Ve so lan sinh cac ba mg cd sd lan sinh con thu 2 co co hgi k i l n thuc gap 1,9 Ian cdc ba mg sinh con Ian ddu va cac ba m e sinh con Ian 3 cung co cff hpi kiln thuc gdp 1,9 ldn cdc ba me sinh con
Ngo Thj Van Huyin vd Dtg Tap chl KHOA HQC & CONG NGHE
177(01); 177-lan dau. Sy khac biet cd y nghia thdng ke vdi
P lan lupt la (OR=l,942; CI: 1,074- 3,109,P=0,028), (OR=l,9I4;CI:l,32I-3,612, P=0,019).
BAN LUAN
Mo ta thirc trang kien thuc ve tac tia sira cua ba me sau sinh tai Benh vien Trung irong Thdi Nguyen
Bgc diem cua doi tug'ng nghien ctru
Tdng so ddi tugng tham gia nghien cuu Id 245 doi tugng da dupc chpn trong nghien cuu nay, ve Ilia tuoi cua cdc dfli tugng tham gia nghifin Cliu thi phan Ion d nhdm tufii 20 - 29 tudi cd ty 1? cao nhat la 65,3%), day la lua tuoi phft hgp va la trong do tufii sinh de. Cung tuong dong vdi cac nghien ciiu ciia Bushra Najem, Lamia Dhia AI-Deen (2011) [3], Cordeiro, M. P. et al. (2015) [4], Sharma Poonam.
(2013) [6].
Thtrc trgng kien thuc ciia bd me ve tdc tia sua sau sinh
Kit qua nghien ciiu cho thay cd 79,2%i cac ba me cfi sfi diem kien thuc dgt, vd 20,8 %i cac ba me cd sd diem kien thiic khfing dgt. Kit qua nay cCing tuang duang vdi cdc ket qud ciia Sharma Poonam (2013) [6] nghien ciiu d IOO ba me sau sinh kien thiic tac tia sua cQng cfi ty le dat dugc la 64,16% cd kien thdc cao.
Cung chung ket qua ciing cd nghien ciiu Cordei M. P. et al. (2015.) [4], kit qua cua nghien ciiu nay cho thdy kiln thiic cua ba me cfi dugc khflng chi den bgnh vien mdi co ma cdc ba me da cd kien thuc td nhftng ngufln thong tin khac nhu: Qua kinh nghiem cua cac ba, cdc me, qua cac thflng tin truyen thflng dgi chiing, qua Intemet...
M9t so yeu to lien quan den kiln thirc cham sdc ba me va tre sau sinh
6 nghien ciin nay chiing toi thdy rdng khflngcd moi lien quan giua tuoi, nghi nghiep, va noi song vdi kiln thiic ve tac tia sfta ciia ba me vdi cac chi so ldn lupt la (OR=0,823;
CI:0,506-I,337, P=0,431), (OR=0,994; CI:
0,763-1,294, P=0,963), (OR=l ,362; CI:
0,730- 2,540, P=0,332). Ket qua nay gidng vdi nghien ciiu ciia Bushra Najem, Lamia Dhia AI-Deen (2011) [3] khdng cd su khac biet giua kien thuc tdc tia sfta va nghe nghiep ciia ba me.
Ket qua tu bdng 10 cho thay trinh do hgc van cua ba mg cd lien quan den kien thiic ve tdc tia sfta sau sinh ciia ba me. Ve trinh do hpc van cdc ba me cfi trinh dp hpc van tu trung cap/ cao dang, dai hgc cd co hgi kien thiic cao hon gap 2,0 Ian cac ba me co trinh do hgc van tu cap III trd xudng. Su khac biet cd y nghta thing ke (P <0,05). Ket qud tu bang 11 cho thay sd lan sinh ciia ba me cd lien quan den kien thiic ve tdc tia sfta sau sinh ciia ba me.
Cdc bd me sinh con lan 2, lan 3 cd co hpi kien thiic cao han gap 1,9 Ian cac ba me sinh con Ian ddu. Sir khac biet cd y nghTa thdng ke vdi (P < 0,05). Cung ciing ket qud cua Bushra Najem & Lamia Dhia AI-Deen (2011) [3] ve trinh dp hpc van co lien quan den kien thftc vfi tac tia sua cua cdc bd me. Nhftng bd me sinh con Idn 2, lan 3 da trdi qua mpt ky sinh de va hp cung da cd nhftng kinh nghiem trudc do, doi khi hp cung da tftng gap phdi nhftng van de ve tac tia sua ciia nhung lan sinh de trudc, do vgy hg cfi kien thuc nhieu han so vdi nhftng ba mg sinh con lan dau. Nhung bd me sinh con ldn dau hp phdi quen dan vdi mgt cudc sdng mdi, nhftng kien thiic mdi ma tu trudc tdi gid hg chua tiing duoc trdi qua vd chua cd mpt kinh nghigm nao [5].
KET LUAN
Ket qud nghien cuu chi ra rang cd 79,2% cac bd me cd sfi diem kiln thuc dat, va 20,8 % cac bd me cd sd diem kien thuc khfing dat.
6 nghien cuu nay chiing tdi thay rdng khdng cd mfli lien quan giua tudi, nghe nghigp, vd noi sdng vdi kien thuc ve tac tia sfta cua bd me sau sinh (P >0,05). Trinh do hgc vdn, sfi lan sinh ciia bd mg co lien quan den kiln thiic ve tdc tia sfta sau sinh, sy khac biet cfi y nghTa thfing ke (P <0,05).
KHUYEN NGH!
Cdn tien hdnh nghien ciiu danh gid ve thuc hanh chdm soc vii ciia cdc ba me sau sinh.
181
Ngfi Thj Vdn Huyin vd Dtg Tap chl KHOA HOC & CONG NGHE 177(01): 177 - 182 TAI LIEU T H A M K H A O problems among antenatal mothers in a selected 1. Duong Thj Cucmg (2016), Bdi gidng Sdn Phy hospital, mangaluru with a view to develop an
^/ioardp2, Nxb Y hgc. Ha N$i. information booklet". International Journal of 2. Bo Y te (2009), Hudng ddn Qudc gia ve cdc Recent Scientific Research. Vol. 6, Issue 9, pp.
dich vu chdm soc sice khoe sinh sdn (Ban hdnh 6228-6231.
kem theo Quyit dinh sS 4620/QD-BYT ngdy 5. Lundberg P. C , & Trieu T, N.
25/11/2009 cua Bp tncdng Bg Y le). (2010), "Viemamese women's culmral beliefs and 3. Bushra Najem & Lamia Dhia AI-Deen (2011), practices related to the postpartum period",
"Breast Feeding Problems in Primipara Mothers Midwifery, 27(5), pp. 131-136
in Early Posmatal Perio", Iraqi J Comm. Med. 6. Sharma Poonam (2013), A Study to Assess VM/^', 24(3), pp. 192-195. Knowledge of Posmatal Mothers Regarding 4. Cordeiro M, P., Manjima M. G., Gopinath R,, Breast Engorgement, Doi. IO.5958/J.0974- Tamrakar A. (2015), "Knowledge regarding breast 93375.2.079
S U M M A R Y
K N O W L E D G E R E G A R D I N G B R E A S T E N G O G E M E N T O F P O S T P A R T U M M O T H E R S A T O B S T E T R I C D E P A R T M E N T - T H A I N G U Y E N N A T I O N A L H O S P T T A L
Ngo T h | Van Huyen'*, Hoang Thi Mai Nga', Tran Thi Huong*
'TNU - University of Medicine and Farmacy, 'Thai nguyen national hospital Breast engorgement is a common problem of mothers in the postpartum period. If this problem is not detected and treated properly, it can affect the lactation and lead to breast abscess. Early perception and having knowledge about breast engorgement will help mothers preventing breast problems. This study assessed knowledge and explored factors related to breast engorgement of mothers. The cross - section design was used in this study. Data were collected from 245 postpartum mothers at Obstetric Department in Thai Nguyen National Hospital. Participants were interviewed through available questionnaires.
The findings of the study revealed that 79.2% of mothers who had knowledge and 20.8% of mothers who had no knowledge about breast engorgement. There was no correlation between age, occupation, income, residence and knowledge about breast engoi^ement of mothers (p -value >
0.05). There was a correlation between the level of education, the number of mothers' births and knowledge about breast engorgement of mothers. Significant differences were (p -value < 0.05).
Key word: Breast engorgement, kno-wledge, breast problems, posmatal mothers, lactation
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