Doğum sonrası ev ziyareti eğitim programının yenidoğanlarda anne sütü ile beslenme üzerine etkisi: randomize klinik bir çalışma

Year 2017, Volume: 42 Issue: 3, 407 - 412, 30.09.2017

Parasto Amiri Marjan Vejdani Akram Malekkhahi Behnaz Alizadeh Maryam Goudarzian Seyyed Mohammadreza Vaziri Hamid Salehiniya , Maryam Mohseni

https://doi.org/10.17826/cutf.322869

Cited By: 3

Abstract

Amaç: Bu çalışma, doğum sonrası ev ziyaretinin etkisini değerlendirmek ve anne sütü ile besleme konusunda emzirme danışmanlığı hizmetleri sunmak amacıyla yapılmıştır.

Gereç ve Yöntem: Bu klinik çalışma, 2013 yılında Shahid Beheshti Üniversitesine bağlı hastanelerde bulunan 276 kadın üzerinde yürütülmüştür.Müdahale grubunda 92 kişi ve kontrol grubunda 184 kişi ardı ardına kayıt edildi. Müdahale grubu, evde bakım ve emzirme danışmanlığı hizmeti aldı ve kontrol grubu bu hizmetleri almadı. Sonuçlar her iki grupta da doğumun 60.gününde kaydedildi ve karşılaştırıldı. 

Bulgular: Yenidoğan beslenme türü açısından, doğumdan sonra evde hizmet alan grupta emzirme oranı %84.8, doğumdan sonra hizmet almayan gruptaki emzirme oranı ise %64.7'dir. İki grup arasında istatistiksel olarak anlamlı fark vardır.

Sonuç: Bu çalışmanın sonuçları, anne ve yenidoğanlar için evde bakımın sağlanması ve danışma ile anne sütüyle besleme oranının arttığını göstermiştir.

Keywords

Doğum sonrası bakım, özel emzirme, yenidoğan, randomize klinik araştırma

Effect of postpartum home visitation educational program on exclusive breastfeeding in newborns: a randomized clinical trial

Abstract

Purpose: This study was performed with the aim to evaluate the effect of postpartum home visitation and providing breastfeeding consultation services on exclusive breastfeeding.

Materials and Methods: This clinical trial study was conducted on 276 women who delivered in hospitals affiliated the Shahid Beheshti University in 2013. Consecutively, 92 people in the intervention group and 184 people in control group were enrolled. The intervention group at home received cares and breastfeeding consultation and the control group did not receive these services. The outcomes were recorded and compared in both groups at 60 days postpartum. 

Results: In terms of type of newborns feeding, the group who received services after delivery in the home had 84.8% exclusive breastfeeding and the rate in the group who did not receive services after delivery in the home was 64.7%. There was a statistically significant difference between the two groups 

Conclusion: This study showed that providing home care for mother and newborns and counseling increase the exclusive breastfeeding rate.

Keywords

Postpartum care, exclusive breastfeeding, newborn, randomized clinical tria

References

• 1. Islami Z, Razieh F, Golestan M, Shajaree A. Relationship between delivery type and successful breastfeeding. International Journal of Pediatrics. 2008;18:47-52.
• 2. Moravej H, Edraki M, Rambod M. The effect of home visitation educational program on the nutrition pattern and duration of exclusive breastfeeding in preterm newborns. Sadra Medical Sciences Journal. 2014;2:1-9 .
• 3. Napoli A, Lallo D, Fortes C, Franceschelli C, Armeni E, Guasticchi G. Home breastfeeding support by health professionals: findings of a randomized controlled trial in a population of Italian women. Acta Paediatrica. 2004;93:1108-14.
• 4. Johnson TS, Brennan RA, Flynn‐Tymkow CD. A home visit program for breastfeeding education and support. J Obstet Gynecol Neonatal Nurs. 1999;28:480-5.
• 5. Brown CR, Dodds L, Attenborough R, Bryanton J, Rose AE, Flowerdew G, et al. Rates and determinants of exclusive breastfeeding in first 6 months among women in Nova Scotia: a population-based cohort study. CMAJ Open. 2013;1:E9-E17.
• 6. Olang B, Heidarzadeh A, Strandvik B, Yngve A. Reasons given by mothers for discontinuing breastfeeding in Iran. Int Breastfeed J. 2012;7:7.
• 7. Mohammad BA, Mohammad SN, Bayati A. The pattern of exclusive breast feeding in referred neonatal to health centers of Arak. Journal of Guilan University of Medical Sciences. 2009;70:17-25.
• 8. Heydarpour S, Golboni F, Heydarpour F, Timareh M. Factors associated with exclusive breastfeeding in Kermanshah in 2007. Journal of Kermanshah University of Medical Sciences. 2011;15:227-30.
• 9. Ssenyonga R, Muwonge R, Nankya I. Towards a better understanding of exclusive breastfeeding in the era of HIV/AIDS: a study of prevalence and factors associated with exclusive breastfeeding from birth, in Rakai, Uganda. J Trop Pediatrics. 2004;50:348-53.
• 10. McDonald SD, Pullenayegum E, Chapman B, Vera C, Giglia L, Fusch C et al. Prevalence and predictors of exclusive breastfeeding at hospital discharge. Obstet Gynecol. 2012;119:119-71.
• 11. Olds DL. Prenatal and infancy home visiting by nurses: From randomized trials to community replication. Prev Sci. 2002;3:153-72.
• 12. World Health Organization. Home Visits for the Newborn Child: A Strategy to Improve Survival. Geneva, WHO, 2009.
• 13. Ghilarducci E, McCool W. The influence of postpartum home visits on clinic attendance. J Nurse Midwifery. 1993;38:152-8.
• 14. Ogbuanu CA, Jones CA, McTigue JF, Baker SL, Heim M, Baek J et al. A program evaluation of postpartum/newborn home visitation services in Aiken County, South Carolina. Public Health Nurs. 2009;26:39-47.
• 15. Donovan EF, Ammerman RT, Besl J, Atherton H, Khoury JC, Altaye M et al. Intensive home visiting is associated with decreased risk of infant death. Pediatrics. 2007;119:1145-51.
• 16. Sword WA, Krueger PD, Watt MS. Predictors of acceptance of a postpartum public health nurse home visit: findings from an Ontario survey. Can J Public Health. 2006;97:191-6.
• 17. Montazeri A, Torkan B, Omidvari S. The Edinburgh Postnatal Depression Scale (EPDS): translation and validation study of the Iranian version. BMC Psychiatry. 2007;7:11.
• 18. Mazhari S, Nakhaee N. Validation of the Edinburgh postnatal depression scale in an Iranian sample. Arch Womens Ment Health. 2007;10:293-7.
• 19. Gibson J, McKenzie‐McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand. 2009;119:350-64.
• 20. Veghari G, Rahmati R. breastfeeding status and some of its related factors in the Golestan province. Iran J Nurs . 2011;24: 8-18.
• 21. Naserpur F, Nouhjah S, Sharifat R. Pattern of exclusive breastfeeding and related factors in children attending health centers of Omidieh city in 2010. Jentashapir Journal of Health Research. 2011;3:118-24.
• 22. Sapna S, Ameya A, Rooma S, Aarti P, Rashid A, Narayan K. Prevalence of exclusive breastfeeding and its correlates in an urban slum in western India. International e-Journal of Science, Medicine & Education. 2009;3:14-8.
• 23. Ghanbarnejad A, Abedini S, Taqipoor L. Exclusive breastfeeding and its related factors among infants in Bandar Abbas City, Iran. Journal of Babol University of Medical Sciences. 2014;16:85-91.
• 24. Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self efficacy and perceived stress in primiparous mothers. Iran Journal of Nursing. 2008;21:9-24.
• 25. Ghaed MZ, Zafarmand MH, Heydari GR, Anaraki A, Dehghan A. Determination of effective factors in breast feeding continuity for infants less than 1 year old in urban area of Bushehr Province. Iranian South Medical Journal. 2004;7:79-87.
• 26. Ogbeide DO, Siddiqui S, Al Khalifa IM, Karim A. Breast feeding in a Saudi Arabian community. Profile of parents and influencing factors. Saudi Med J. 2004;25:580-4.
• 27. Pabarga F, Farivar KH, Kordi M, Khadivzadeh T, Mazloom SR. The effect of postpartum home visit on infant's feeding pattern. Journal of Nursing and Midwifery of Mashhad. 2003;5:24-31.
• 28. Forood A. The effect of postpartum home visit programs on continuation of breast. Journal of Rafsanjan University of Medical Sciences.. 2002;1:267-73.
• 29. Bashour HN, Kharouf MH, AbdulSalam AA, El Asmar K, Tabbaa MA, Cheikha SA. Effect of postnatal home visits on maternal/infant outcomes in Syria: a randomized controlled trial. Public Health Nurs. 2008;25:115-25.