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Normal Gebelik Süresinde Doğum Yapan Annelerde Laktasyonun Başlamasında Gecikme ve Eşlik Eden Perinatal Faktörler

Yıl 2023, Cilt: 33 Sayı: 3, 342 - 346, 30.06.2023
https://doi.org/10.54005/geneltip.1275708

Öz

ÖZET
Amaç: Çalışmamızda normal gebelik haftası sonrası doğum yapan ve sağlık problemi olmayan annelerde laktasyonun başlamasının gecikmesi sıklığı ve eşlik eden perinatal faktörlerin incelenmesi amaçlandı.
Gereç ve Yöntem: Şanlıurfa Özel Şan Med Hastanesinde doğumu gerçekleştirilen ve Haziran 2017 ve Eylül 2017 tarihleri arasında Çocuk Sağlığı ve Hastalıkları polikliniğine sağlık kontrolleri için doğum sonrası 3-15 günler arasında başvuran anne-bebek çifti çalışmanın örneklemini oluşturdu. Veriler IBM-SPSS 22.0 paket programı ile analiz edildi.
Bulgular: Bebeklerin %30,6’sında süt üretiminde gecikme bildirildi. İlk bebeklerde ve sezaryen ile doğanlarda gecikmiş laktasyonun daha fazla olduğu görüldü (p<0,001, p=0,044).
Ten-tene temas (p=0,010), ilk bir saatte emzirmeye başlamada (p<0,001) gecikmiş laktasyon yüzdesinin diğer gruplara göre daha düşük olduğu görüldü. İlk gün içinde ya da takip eden dönemde anne sütü dışında besin/su verilme durumunda gecikmiş laktasyon yüzdesinin daha yüksek olduğu görüldü (p<0,001).
Sonuç: Gecikmiş laktasyon riskinin azaltılabilmesi için ilk doğumunu yapan annelere daha yakın emzirme danışmanlığı, tüm doğumlarda ten-tene temasın desteklenmesi ve sezaryan doğum ile prelakteal besin verilme durumlarının önlenmesi girişimlerine ihtiyaç vardır.

Anahtar kelime: emzirme, sezaryen doğum, gecikmiş laktasyon

Destekleyen Kurum

yok

Proje Numarası

GO 17/515

Kaynakça

  • Nguyen PH, Kim SS, Tran LM, Menon P, Edward A Frongillo EA. Early breastfeeding practices contribute to exclusive breastfeeding in Bangladesh, Vietnam and Ethiopia. Matern Child Nutr. 2020 Oct;16(4):e13012.
  • TNSA-2018 (2018 Türkiye Nüfus ve Sağlık Araştırması) Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. 11.2.1:143.
  • Liu P, Qiao L, Xu F, Zhang M, Wang Y, Binns CW. Factors associated with breastfeeding duration: a 30-month cohort study in northwest China. J Hum Lact. 2013 May;29(2):253-9.
  • Kondolot M, Yalçın SS, Yurdakök K. Sadece anne sütü alım durumuna etki eden faktörler. Çocuk Sağlığı ve Hastalıkları Dergisi 2009;52(3):122-7.
  • Gölbaşı Z, Tugut N, Karataş M, Çetin A. Kısa Mesaj ve Telefon Aramaları ile Desteklenen Postpartum Emzirme Danışmanlığının İlk Altı Aydaki Emzirme Davranışına Etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019; 10(1):33-41.
  • Atar Gürel S. Doğum öncesi bakım almada Türkiye’deki sorunlar ve çözümleri. Perinatoloji Dergisi 2005;13(5):215-20.
  • Souza LH, Soler ZASG , Santos MLSG, Dos Santos Sasaki NSGM. Puerperae bonding with their children and labor experiences. Invest Educ Enferm. 2017 Oct;35(3):364-371.
  • Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013 Apr 20;13:59.doi: 10.1186/1471-2431-13-59.
  • Yu X, Li J, Lin X, Luan D. Association between Delayed Lactogenesis Ⅱ and Early Milk Volume among Mothers of Preterm Infants. Asian Nurs Res (Korean Soc Nurs Sci). 2019 May;13(2):93-98.
  • Dong D, Ru X , Huang X, Sang T, Li S, Wang Y et al. A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants. Int Breastfeed J. 2022 Jan 10;17(1):6.
  • Stevens J , Schmied V, Burns E, Dahlen H. Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature. Matern Child Nutr. 2014 Oct;10(4):456-73.
  • Dos Santos Neto CH, Oliveira FS, Gomes GF , Junior EA, Nakamura MU, De Souza E. Type of Childbirth and its Association with the Maternal-Filial Interaction. Rev Bras Ginecol Obstet. 2020 Oct;42(10):597-606.
  • Kronborg H, Harder I, Hall EOC. First time mothers’ experiences of breastfeeding their newborn. Sex Reprod Healthc, 6 (2) (2015), pp. 82-87.
  • Kılcı H, Çoban A. The Correlation Between Breastfeeding Success in the Early Postpartum Period and the Perception of Self-Efficacy in Breastfeeding and Breast Problems in the Late Postpartum. Breastfeed Med. 2016 May;11:188-95.
  • Feenstra MM, Kirkeby MJ, Thygesen M, Danbjorg DB, Kronborg H. Early breastfeeding problems: A mixed method study of mothers' experiences. Sex Reprod Healthc. 2018 Jun;16:167-174.
  • Huang C, Hu L, Wang Y, Luo B. Effectiveness of early essential newborn care on breastfeeding and maternal outcomes: a nonrandomized controlled study. BMC Pregnancy Childbirth. 2022 Sep 14;22(1):707.
  • Sandhi A, Lee GT, Chipojola R, Huda MH, Kuo SY. The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study. Int Breastfeed J. 2020 Jul 17;15(1):65.
  • Chantry CJ, Dewey KG, Peerson JM, Wagner EA, Nommsen-Rivers LA. In-hospital formula use increases early breastfeeding cessation among first-time mothers intending to exclusively breastfeed. J Pediatr. 2014 Jun;164(6):1339-45.e5.
  • Khanal V, Lee AH, Karkee R, Binns CW. Prevalence and factors associated with prelacteal feeding in Western Nepal. Women Birth. 2016 Feb;29(1):12-7.
  • Gümüşsoy S, Çelik NA, Güner Ö, Kıratlı D, Atan ŞÜ, Kavlak O. Investigation of the Relationship Between Maternal Attachment and Breastfeeding Self-Efficacy and Affecting Factors in Turkish Sample. J Pediatr Nurs. 2020 Sep-Oct;54:e53-e60.
  • Pramono A, Smith J, Desborough J, Bourke S. Social value of maintaining baby-friendly hospital initiative accreditation in Australia: case study. Int J Equity Health. 2021 Jan 7;20(1):22.
  • Nagel EM, Howland MA, Pando C, Stang J, Mason SM, Fields DA, et al. Maternal Psychological Distress and Lactation and Breastfeeding Outcomes: a Narrative Review. Clin Ther. 2022 Feb;44(2):215-227.

Delayed Onset of Lactation and Accompanying Perinatal Factors in Mothers Who Delivered at the End of A Normal Term Pregnancy

Yıl 2023, Cilt: 33 Sayı: 3, 342 - 346, 30.06.2023
https://doi.org/10.54005/geneltip.1275708

Öz

ABSTRACT
Objective: This study aimed to investigate the frequency of delayed onset of lactation and accompanying perinatal factors in mothers who gave birth after a normal gestational course without any health problems.
Methods: The study sample consisted of infants and their mothers who had given birth at Şanlıurfa Şan Med Hospital and then applied to the Pediatrics Health and Diseases Polyclinic for health check-ups within 3-15 days postpartum between June 2017 and September 2017. The data were analyzed with IBM SPSS Statistics 22.0.
Results: Delayed lactation was reported by 30.6% of mothers, being more common among primiparous mothers and those who delivered by cesarean section (p<0.001 and p=0.044, respectively). The rate of delayed lactation was lower among those who had skin-to-skin contact than those who did not (p=0.010), and among those who started breastfeeding in the first hour than those who did not (p<0.001). The rate of delayed lactation was higher if water or food other than breast milk was given on the first day or in the following period (p<0.001).
Conclusion: To reduce the risk of delayed lactation, there is a need for more personalized breastfeeding counseling and interventions for mothers who have given birth for the first time. Skin-to-skin contact should be ensured in all deliveries, and unnecessary cesarean deliveries and prelacteal feeding should be avoided.
Keywords: Breastfeeding, cesarean section, delayed lactation

Proje Numarası

GO 17/515

Kaynakça

  • Nguyen PH, Kim SS, Tran LM, Menon P, Edward A Frongillo EA. Early breastfeeding practices contribute to exclusive breastfeeding in Bangladesh, Vietnam and Ethiopia. Matern Child Nutr. 2020 Oct;16(4):e13012.
  • TNSA-2018 (2018 Türkiye Nüfus ve Sağlık Araştırması) Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. 11.2.1:143.
  • Liu P, Qiao L, Xu F, Zhang M, Wang Y, Binns CW. Factors associated with breastfeeding duration: a 30-month cohort study in northwest China. J Hum Lact. 2013 May;29(2):253-9.
  • Kondolot M, Yalçın SS, Yurdakök K. Sadece anne sütü alım durumuna etki eden faktörler. Çocuk Sağlığı ve Hastalıkları Dergisi 2009;52(3):122-7.
  • Gölbaşı Z, Tugut N, Karataş M, Çetin A. Kısa Mesaj ve Telefon Aramaları ile Desteklenen Postpartum Emzirme Danışmanlığının İlk Altı Aydaki Emzirme Davranışına Etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019; 10(1):33-41.
  • Atar Gürel S. Doğum öncesi bakım almada Türkiye’deki sorunlar ve çözümleri. Perinatoloji Dergisi 2005;13(5):215-20.
  • Souza LH, Soler ZASG , Santos MLSG, Dos Santos Sasaki NSGM. Puerperae bonding with their children and labor experiences. Invest Educ Enferm. 2017 Oct;35(3):364-371.
  • Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013 Apr 20;13:59.doi: 10.1186/1471-2431-13-59.
  • Yu X, Li J, Lin X, Luan D. Association between Delayed Lactogenesis Ⅱ and Early Milk Volume among Mothers of Preterm Infants. Asian Nurs Res (Korean Soc Nurs Sci). 2019 May;13(2):93-98.
  • Dong D, Ru X , Huang X, Sang T, Li S, Wang Y et al. A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants. Int Breastfeed J. 2022 Jan 10;17(1):6.
  • Stevens J , Schmied V, Burns E, Dahlen H. Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature. Matern Child Nutr. 2014 Oct;10(4):456-73.
  • Dos Santos Neto CH, Oliveira FS, Gomes GF , Junior EA, Nakamura MU, De Souza E. Type of Childbirth and its Association with the Maternal-Filial Interaction. Rev Bras Ginecol Obstet. 2020 Oct;42(10):597-606.
  • Kronborg H, Harder I, Hall EOC. First time mothers’ experiences of breastfeeding their newborn. Sex Reprod Healthc, 6 (2) (2015), pp. 82-87.
  • Kılcı H, Çoban A. The Correlation Between Breastfeeding Success in the Early Postpartum Period and the Perception of Self-Efficacy in Breastfeeding and Breast Problems in the Late Postpartum. Breastfeed Med. 2016 May;11:188-95.
  • Feenstra MM, Kirkeby MJ, Thygesen M, Danbjorg DB, Kronborg H. Early breastfeeding problems: A mixed method study of mothers' experiences. Sex Reprod Healthc. 2018 Jun;16:167-174.
  • Huang C, Hu L, Wang Y, Luo B. Effectiveness of early essential newborn care on breastfeeding and maternal outcomes: a nonrandomized controlled study. BMC Pregnancy Childbirth. 2022 Sep 14;22(1):707.
  • Sandhi A, Lee GT, Chipojola R, Huda MH, Kuo SY. The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study. Int Breastfeed J. 2020 Jul 17;15(1):65.
  • Chantry CJ, Dewey KG, Peerson JM, Wagner EA, Nommsen-Rivers LA. In-hospital formula use increases early breastfeeding cessation among first-time mothers intending to exclusively breastfeed. J Pediatr. 2014 Jun;164(6):1339-45.e5.
  • Khanal V, Lee AH, Karkee R, Binns CW. Prevalence and factors associated with prelacteal feeding in Western Nepal. Women Birth. 2016 Feb;29(1):12-7.
  • Gümüşsoy S, Çelik NA, Güner Ö, Kıratlı D, Atan ŞÜ, Kavlak O. Investigation of the Relationship Between Maternal Attachment and Breastfeeding Self-Efficacy and Affecting Factors in Turkish Sample. J Pediatr Nurs. 2020 Sep-Oct;54:e53-e60.
  • Pramono A, Smith J, Desborough J, Bourke S. Social value of maintaining baby-friendly hospital initiative accreditation in Australia: case study. Int J Equity Health. 2021 Jan 7;20(1):22.
  • Nagel EM, Howland MA, Pando C, Stang J, Mason SM, Fields DA, et al. Maternal Psychological Distress and Lactation and Breastfeeding Outcomes: a Narrative Review. Clin Ther. 2022 Feb;44(2):215-227.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Bülent Güneş 0000-0001-8221-208X

S. Songül Yalçın 0000-0001-9061-4281

Proje Numarası GO 17/515
Erken Görünüm Tarihi 30 Haziran 2023
Yayımlanma Tarihi 30 Haziran 2023
Gönderilme Tarihi 3 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 33 Sayı: 3

Kaynak Göster

Vancouver Güneş B, Yalçın SS. Delayed Onset of Lactation and Accompanying Perinatal Factors in Mothers Who Delivered at the End of A Normal Term Pregnancy. Genel Tıp Derg. 2023;33(3):342-6.