協助一位剖腹產初產婦哺餵母乳之護理經驗

The Nursing Experience of Assisting a Primipara Breast Feeding after Caesarean Section

本篇個案報告為照護一位35歲初產婦於剖腹產後學習哺餵母乳的經驗。個案因胎位不正行剖腹生產後，在哺餵母乳時面臨許多問題及困境，筆者於2007年12月25日至2007年12月30日照護期間，以Gordon十一項功能性健康型態評估工具評估分析，確立個案住院期間的健康問題有：「傷口疼痛」、「低效性母乳哺餵」、「疲憊」，及「焦慮」等。筆者在照護個案期間，依個案需要滿足其基本生理需求外，同時提供哺乳及育嬰的相關知識與技巧，使個案對哺餵母乳感到興趣，並從中獲得成就感，且得到家屬支持哺餵母乳的肯定。筆者藉由此護理經驗，探討如何提供適切之護理，讓此類產婦得到更完整的照護，以作為護理人員日後照護此類產婦之參考。

This case report described the experience of caring a 35-year-old primipara and assisting her with learning of breast-feeding after the caesarean section. The mother faced a lot of difficulties while breastfeeding because of the caesarean section due to the malposition. From December 25, 2007 to December 30, 2007, according to the data analyzed by the assessment tool of Gordon 11 functional health patterns, the problems of the hospitalized case were identified as: “pain”, “ineffective breastfeeding”, “tired” and “anxiety”. During the period of caring, the author not only met her basic physiological needs, but also provided the knowledge of nursing and breast-feeding to increase the patient’s interest in breast-feeding. As a result, the patient received a great deal of sense of achievement. Her effort was also recognized by her family members. Through this nursing experience, the author realized the importance of providing proper care in order to achieve the completeness of post partum maternal care.