Olgu Sunumu
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I Adopted, I Want to Breastfeed: A Case Report

Yıl 2020, Cilt: 20 Sayı: 3, 120 - 123, 29.12.2020

Öz

Breastfeeding has numerous health benefits for both the mother and the baby. Apart from mothers wanting the best for their babies, breastfeeding symbolizes motherhood in the society. Thus, mothers are urged to breastfeed. In addition, breastfeeding has a positive effect on the motherbaby bond, which also encourages adoptive mothers to breastfeed. Breastfeeding is achieved with induced lactation in adoptive mothers. In this article, the application of a mother who adopted a 10-week-old baby to the breastfeeding outpatient clinic for breastfeeding support was evaluated. Domperidone was started for the mother who had no pregnancy or breastfeeding history. Consequently, skin contact, milking every 3 h, and formula feeding with the finger-feeding method were recommended. The mother, who started milk secretion 1 week later and continued milking, stated that the baby started sucking while sleeping. Thus, the requirement for formula milk decreased. On the 45th day of the process, skin contact, regular milking, and use of domperidone were recommended to the mother whose milk decreased after domperidone cessation. Conversely, the baby whose mother did not use domperidone was also supported with complementary feeding because the baby refused to suck. The mother’s milk secretion stopped after 1 month, and continued pumping was recommended. It was found that the mother breastfed her 20-month-old baby for 5 months. In this case report, a mother with no pregnancy and breastfeeding history was able to feed her baby with breast milk. The baby’s age being younger than 3 months and the mothers’ strong motivation and being closely monitored and supported are few of the most important factors in being successful with the process of induced lactation. Thus, health professionals having information about induced lactation and relactation are integral in starting and continuing with the process.

Kaynakça

  • 1. Bode L, Raman AS, Murch SH, Rollins NC, Gordon JI. Understanding the mother-breastmilk-infant “triad”. Science 2020;367(6482):1070-2.
  • 2. World Health Organization. Infant and young child fedingmodel chapter for textbooks for medical students and allied health professionals. Geneva: WHO Press; 2009: 1-2. Available at https://apps.who.int/iris/bitstream/handle/1066 5/44117/9789241597494_eng.pdf?ua=1 Accessed on Sep 1 2020
  • 3. Gibbs BG, Forste R, Lybbert E. Breastfeeding, parenting, and infant attachment behaviors. Matern Child Health J 2018;22(4):579-88.
  • 4. Marshall JL, Godfrey M, Renfrew MJ. Being a ‘good mother’: managing breastfeeding and merging identities. Soc Sci Med 2007;65(10):2147-59.
  • 5. Afflerback S, Carter SK, Anthony AK, Grauerholz L. Infant-feeding consumerism in the age of intensive mothering and risk society. J Consum Cult 2013;13(3):387-405.
  • 6. Sarparast L, Farhadi R, Sarparast M, Shafai S. The effect of kangaroo mother care on neonatal outcomes in Iranian hospitals: A review. J Pediatr Rev 2015; 3:1952.
  • 7. Gribble KD. The influence of context on the success of adoptive breastfeeding: developing countries and the west. Breastfeed Rev 2004;12:5-13.
  • 8. Goldman AS. The immune system in human milk and the developing infant. Breastfeed Med 2007;2:195-204.
  • 9. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016;387(10017):475-90.
  • 10. Auerbach KG, Avery JL. Induced lactation, a study of adoptive nursing by 240 women. Am J Dis Child 1981;135:340-3.
  • 11. Szucs KA, Axline SE, Rosenman MB. Induced lactation and exclusive breast milk feeding of adopted premature Twins. J Hum Lact 2010;26:309-13.
  • 12. Bryant CA. Nursing the adopted infant. J Am Board Fam Med 2006;19(4):374-9.
  • 13. Farhadi R, Philip RK. Induction of lactation in the biological mother after gestational surrogacy of twins: a novel approach and review of literature. Breastfeed Med 2017;12:373-6.
  • 14. Lawrence R. Induced Lactation and Relactation (Including Nursing an Adopted Baby) and Cross-Nursing, Breastfeeding. In Lawrence Ruth, Lawrence Robert eds. A Guide For Medical Profession. 8th ed. Atlanta, United States of America: Elsevier, 2015:667-687.
  • 15. Wittig SL, Spatz DL. Induced lactation: gaining a better understanding. MCN Am J Matern Child Nurs 2008;33(2):76-83.
  • 16. Asztalos EV, Campbell-Yeo M, da Silva OP, Ito S, Kiss A, Knoppert D, EMPOWER Study Collaborative Group. Enhancing human milk production with domperidone in mothers of preterm infants. J Hum Lact 2017;33(1):181-7.
  • 17. Brodribb W. ABM Clinical Protocol #9: Use of galactogogues in initiating or augmenting maternal milk production, second revision 2018. Breastfed Med 2018;13:307-12.
  • 18. Nemba K. Induced lactation: a study of 37 non-puerperal mothers. J Trop Pediatr 1994;40(4):240-2.
  • 19. Banapurmath CR, Banapurmath S, Kesaree N. Successful induced non-puerperal lactation in surrogate mothers. lnd J Pediatr 1993;60(5):639-43.
  • 20. Thearle, MJ, Weissenberger R. Induced Lactation in Adoptive Mothers. Aust N Z J Obstet Gynaecol 1984;24(4):283-6.
  • 21. Hoover, K. Feeding methods. In Breastfeeding and Human Lactation, K. Wambach, J. Riordan eds. 5th ed. Jones and Bartlett Publishers, 2014;247-50.
  • 22. Torrence H. 2014 Nov. (review 2017 Nov.) A guide to finger-feeding, information for parents and carers. Avaliable to https://www. ouh.nhs.uk/patient-guide/leaflets/files/11016Pfingerfeeding.pdf Accessed on Sep 1, 2020.

Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu

Yıl 2020, Cilt: 20 Sayı: 3, 120 - 123, 29.12.2020

Öz

Anne sütü ile beslenmenin bebek ve anne sağlığı üzerine pek çok olumlu etkisi olduğu bilinmektedir. Annelerin bebeği için en iyisini istemesi dışında emzirmenin toplumda anne kimliğini sembolize etmesi de anneleri emzirmeye yönlendirir. Ayrıca anne sütü ile beslenmenin anne-bebek bağı üzerine olumlu etkisi evlat edinen anneleri emzirmeye motive eder. Evlat edinmiş annelerde anne sütü ile besleme uyarılmış laktasyonla sağlanır. Bu yazıda on haftalık erkek bebeği evlat edinen annenin emzirme konusunda destek almak için emzirme polikliniğine başvurusu değerlendirilmiştir. Gebelik ve emzirme öyküsü olmayan anneye domperidon başlanarak ten teması, 3 saat arayla sağım yapması ve parmakla besleme yöntemiyle formül sütle beslenme önerildi. Bir hafta sonra süt sekresyonu başlayan ve sağımlara devam eden anne, bir sonraki kontrolde bebeğin uykuda emmeye başladığını, formül süt ihtiyacının azaldığını ifade etmiştir. Sürecin 45. gününde domperidonun kesilmesiyle sütü azalan anneye ten teması, düzenli sağım ve domperidon kullanımı önerildi. Annesi domperidon kullanmayan bebek emmeyi de reddettiğinden tamamlayıcı beslenme ile desteklendi. Pompalamaya devam etmesi önerilen annenin 1 ay sonra süt salgılaması durdu. Şu anda 20 aylık olan bebeğini toplam 5 ay boyunca emzirdiği tespit edildi. Olgumuzda gebelik ve emzirme öyküsü olmayan anne bebeğini anne sütü ile beslemeyi başardı. Bebeğin yaşının 3 aydan küçük olması, annenin güçlü motivasyonu ile yakın takip ve destek uyarılmış laktasyon sürecinin başarıya ulaşmasında en öneli etkenlerdir. Sağlık profesyonellerinin uyarılmış laktasyon ve relastasyon konusunda bilgi sahibi olması bu süreci başlatma ve sürdürmede önem taşımaktadır.

Kaynakça

  • 1. Bode L, Raman AS, Murch SH, Rollins NC, Gordon JI. Understanding the mother-breastmilk-infant “triad”. Science 2020;367(6482):1070-2.
  • 2. World Health Organization. Infant and young child fedingmodel chapter for textbooks for medical students and allied health professionals. Geneva: WHO Press; 2009: 1-2. Available at https://apps.who.int/iris/bitstream/handle/1066 5/44117/9789241597494_eng.pdf?ua=1 Accessed on Sep 1 2020
  • 3. Gibbs BG, Forste R, Lybbert E. Breastfeeding, parenting, and infant attachment behaviors. Matern Child Health J 2018;22(4):579-88.
  • 4. Marshall JL, Godfrey M, Renfrew MJ. Being a ‘good mother’: managing breastfeeding and merging identities. Soc Sci Med 2007;65(10):2147-59.
  • 5. Afflerback S, Carter SK, Anthony AK, Grauerholz L. Infant-feeding consumerism in the age of intensive mothering and risk society. J Consum Cult 2013;13(3):387-405.
  • 6. Sarparast L, Farhadi R, Sarparast M, Shafai S. The effect of kangaroo mother care on neonatal outcomes in Iranian hospitals: A review. J Pediatr Rev 2015; 3:1952.
  • 7. Gribble KD. The influence of context on the success of adoptive breastfeeding: developing countries and the west. Breastfeed Rev 2004;12:5-13.
  • 8. Goldman AS. The immune system in human milk and the developing infant. Breastfeed Med 2007;2:195-204.
  • 9. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016;387(10017):475-90.
  • 10. Auerbach KG, Avery JL. Induced lactation, a study of adoptive nursing by 240 women. Am J Dis Child 1981;135:340-3.
  • 11. Szucs KA, Axline SE, Rosenman MB. Induced lactation and exclusive breast milk feeding of adopted premature Twins. J Hum Lact 2010;26:309-13.
  • 12. Bryant CA. Nursing the adopted infant. J Am Board Fam Med 2006;19(4):374-9.
  • 13. Farhadi R, Philip RK. Induction of lactation in the biological mother after gestational surrogacy of twins: a novel approach and review of literature. Breastfeed Med 2017;12:373-6.
  • 14. Lawrence R. Induced Lactation and Relactation (Including Nursing an Adopted Baby) and Cross-Nursing, Breastfeeding. In Lawrence Ruth, Lawrence Robert eds. A Guide For Medical Profession. 8th ed. Atlanta, United States of America: Elsevier, 2015:667-687.
  • 15. Wittig SL, Spatz DL. Induced lactation: gaining a better understanding. MCN Am J Matern Child Nurs 2008;33(2):76-83.
  • 16. Asztalos EV, Campbell-Yeo M, da Silva OP, Ito S, Kiss A, Knoppert D, EMPOWER Study Collaborative Group. Enhancing human milk production with domperidone in mothers of preterm infants. J Hum Lact 2017;33(1):181-7.
  • 17. Brodribb W. ABM Clinical Protocol #9: Use of galactogogues in initiating or augmenting maternal milk production, second revision 2018. Breastfed Med 2018;13:307-12.
  • 18. Nemba K. Induced lactation: a study of 37 non-puerperal mothers. J Trop Pediatr 1994;40(4):240-2.
  • 19. Banapurmath CR, Banapurmath S, Kesaree N. Successful induced non-puerperal lactation in surrogate mothers. lnd J Pediatr 1993;60(5):639-43.
  • 20. Thearle, MJ, Weissenberger R. Induced Lactation in Adoptive Mothers. Aust N Z J Obstet Gynaecol 1984;24(4):283-6.
  • 21. Hoover, K. Feeding methods. In Breastfeeding and Human Lactation, K. Wambach, J. Riordan eds. 5th ed. Jones and Bartlett Publishers, 2014;247-50.
  • 22. Torrence H. 2014 Nov. (review 2017 Nov.) A guide to finger-feeding, information for parents and carers. Avaliable to https://www. ouh.nhs.uk/patient-guide/leaflets/files/11016Pfingerfeeding.pdf Accessed on Sep 1, 2020.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Çocuk Sağlığı ve Hastalıkları
Bölüm Olgu Sunumu
Yazarlar

Muhammet Fatih Sebirli 0000-0001-6465-0449

Gülçin Canbeyli Bu kişi benim 0000-0003-2070-7014

Nalan Karabayır 0000-0002-8003-1952

Yayımlanma Tarihi 29 Aralık 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 20 Sayı: 3

Kaynak Göster

APA Sebirli, M. F., Canbeyli, G., & Karabayır, N. (2020). Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu. Journal of Child, 20(3), 120-123.
AMA Sebirli MF, Canbeyli G, Karabayır N. Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu. Journal of Child. Aralık 2020;20(3):120-123.
Chicago Sebirli, Muhammet Fatih, Gülçin Canbeyli, ve Nalan Karabayır. “Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu”. Journal of Child 20, sy. 3 (Aralık 2020): 120-23.
EndNote Sebirli MF, Canbeyli G, Karabayır N (01 Aralık 2020) Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu. Journal of Child 20 3 120–123.
IEEE M. F. Sebirli, G. Canbeyli, ve N. Karabayır, “Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu”, Journal of Child, c. 20, sy. 3, ss. 120–123, 2020.
ISNAD Sebirli, Muhammet Fatih vd. “Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu”. Journal of Child 20/3 (Aralık 2020), 120-123.
JAMA Sebirli MF, Canbeyli G, Karabayır N. Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu. Journal of Child. 2020;20:120–123.
MLA Sebirli, Muhammet Fatih vd. “Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu”. Journal of Child, c. 20, sy. 3, 2020, ss. 120-3.
Vancouver Sebirli MF, Canbeyli G, Karabayır N. Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu. Journal of Child. 2020;20(3):120-3.