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Erken Postpartum Dönemde Meme Başı Ağrısı Ve Çatlaklarının Önlenmesinde Anne Sütü Ve Zeytinyağının Etkisi

Yıl 2013, Cilt: 15 Sayı: 2, 17 - 34, 01.08.2013

Öz

Amaç: Bu çalışmanın amacı, erken postpartum dönemde meme başı ağrısı ve çatlaklarının önlenmesinde anne sütü AS ve zeytinyağının ZY etkisini karşılaştırmaktır. Yöntem: Araştırma, Aydın ilinde bir üniversite ve bir özel hastanede müdahale çalışması olarak yapılmıştır. Veriler, 29 Mayıs 2009-30 Haziran 2010 tarihleri arasında toplanmıştır. Örneklemi AS, ZY ve kontrol grubunda 13’er toplam 39 anne oluşturmuştur. Veriler, soru formları, izlem formu, emzirme gözlem formu ve Görsel Kıyaslama Ölçeği kullanılarak 1. gün hastanede, 3. gün hastanede ve/veya evlerinde yüz yüze görüşme yöntemi veannelerin öz bildirimleriyle toplanmış, Fisher Kesin Ki-kare, Kruskal Wallis Varyans Analizi, Friedman ve McNemar testi ile değerlendirilmiştir. Bulgular: En fazla AS 6-12 kez ve ZY 3-10 kez , en az kontrol grubu 5-8 kez uygulama yapmıştır p

Kaynakça

  • Kearney MH, Cronenwett LR, Barret JA. Breastfeeding problems in the first week postpartum. J Nurs Res 1990; 39(2): 90-94.
  • Fraser DM, Cullen L. Postnatal management ve breastfeeding. Obstet Gynaecol Reprod Med 2008; 19(1): 7-12.
  • Woolridge MW. The aetiology of sore nipples. Midwifery 1986; 2(4): 172-176.
  • Mert H, Şirin A. Postpartum erken dönemde görülen meme sorunları ve bunu etkileyen faktörlerin incelenmesi. Ege Üniv Hemşire YO Derg 2010: 26(Ek): 299.
  • Ziemer M, Pigeon J. Skin changes and pain in the nipple during the first week of lactation. JOGNN 1993; 22(3): 247-255.
  • Akkuzu G, Taşkın L. Impacts of breast-care techniques on prevention of possible postpartum nipple problems. Prof Care Mother Child 2000; 10(2): 38-41.
  • Tait P. Nipple pain in breastfeeding women: causes, treatment and strategies. JMWH 2000; 45(3): 212-217.
  • Gadsden J, Hart S, Santos A. Post-cesarean delivery analgesia. Anesthesia & Analgesia 2005; 101(5): 62-69.
  • Carlander AK, Edman G, Christensson K, Andolf E, Wiklund I. Contact between mother, child and partner and attitudes towards breastfeeding in relation to mode of delivery. Sexual and Reproductive Health Care 2010; 1: 27-34.
  • Schultz KM, Hill PD. Prevention of and therapies for nipple pain: a systematic review. JOGNN 2005; 34(4): 428-437.
  • Henderson A, Stamp G, Pincombe J. Postpartum positioning and attachment education for increasing breastfeeding: A randomized trial. Birth 2001; 28(4): 236-242.
  • WHO/UNICEF. (Online) The World Health Report 2005: Make Every Mother and Child Count Available from: http://www.who.int/whr/2005/whr2005_en.pdf, (Accessed 2012 December 15).
  • Buchko B, Pulgh L, Bishop BA, Cochran JF, Smith LR, Lerew D. Comfort measures in breastfeeding, primiparous women. JOGNN 1994; 23(1): 46-52.
  • Mohammadzadeh A, Farhat A, Esmaeily H. The effect of breast milk and lanolin on sore nipples. Saudi Med J 2005 Aug; 26(8): 1231-1234.
  • Api M, Sivri D, Api O, Görgen H, Çetin A, Yayla M. Emziren lohusalarda meme başı çatlaklarının önlenmesinde gayazulen ve anne sütünün etkinliğinin karşılaştırılması: randomize, kontrollü, çift-kör çalışma. J Turk Ger Gynecol Assoc 2005; 6(4): 279-284.
  • Cadwell K, Turner-Maffei C, Blair A, Brimdyr K, Maja McInerney Z. Pain reduction and treatment of sore nipples in nursing mothers. J Perinat Educ 2004 Winter; 13(1):29-35.
  • Centuori S, Burmaz T, Ronfani L, Fragiacomo M, Quintero S, Pavan C, Davanzo R, Cattaneo A. Nipple Care, Sore Nipples, and Breastfeeding: A Randomized Trial. J Hum Lact 1999 15: 125-130.
  • Pugh LC, Buchko BL, Bishop BA, Cochran JF, Smith LR, Lerew D. A comparison of topical agents to relieve nipple pain. Birth 1996; 23(2): 88-93.
  • Letitia B, Robinson LT. Olive oil: a natural treatment for sore nipples?. AWHONN Lifelines 2002; 6(2): 110-112.
  • Kranke B, Komerion P, Aberer W. Olive oil-contact sensitizer or irritant?. Contact Dermatitis 1997; 36(1): 5-10.
  • Bravo J. Zeytinyağı Kalitesinin İyileştirilmesi. İzmir: Aracılar Matbaacılık; 1991.
  • Kohlendorfer UK, Berger C, Inzinger R. The Effect of daily treatment with an olive oil/lanolin emollient on skin integrity in preterm infants: a randomized controlled trial. Pediatric Dermatology 2008; 25(2): 174-178.
  • Stoukides C. The galactopharmacopedia: topical medications and breastfeeding. J Hum Lact 1993; 9(3): 185-187.
  • Erenel A, Vural G, Efe Ş, Özkan S, Özgen S, Erenoğlu R. Comparison of olive oil and dry-clean keeping methods in umbilical cord care as microbiological. Matern Child Health J 2010; 14(6): 999-1004.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (HÜNEE). Türkiye Nüfus ve Sağlık Araştırması, 2008.Ankara, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Başbakanlık Devlet Planlama Teşkilatı Müsteşarlığı ve TÜBİTAK, 2009. 26. T.C. Sağlık Bakanlığı. (İnternet). Emzirme Danışmanlığı El Kitabı Ulaşım (Ulaşım tarihi: http://www.mersinsaglik.gov.tr/Download%5C83_8_36_emzirme-danismanligi--uygulayici-kitabi.pdf, 30.05.2013).
  • Aslan FE. Ağrı değerlendirme yöntemleri. C.Ü. HYO Derg 2002; 6 (1): 9-16.
  • Atan ŞÜ, Şirin A. Prevention of nipple problems in primipara breastfeeding mothers: a pilot study. Health Med 2012; 6 (12): 4258- 4266.
  • Örün E, Yalçın SS, Madendağ Y, Üstünyurt Eras Z, Kutluk Ş, Yurdakök K. Factors associated with breastfeeding initiation time in a baby- friendly hospital. Turk J Pediatr 2010; 52(1): 10-16.
  • Demirel NB, Taşpınar A, Ulufer FÖ. Manisa il merkezindeki hastanelerde doğum yapan annelerin emzirme tutumunun değerlendirilmesi. Hemş Forumu Derg 2001; 4(6): 62-66.
  • Özer A, Taş F, Ekerbiçer HÇ. Knowledge and behaviour of the mothers having 0-6 month old babies about the breast milk and breastfeeding. TAF Prev Med Bull 2010; 9 (4): 315-320.
  • Eker A, Yurdakul M. Annelerin bebek beslenmesi ve emzirmeye ilişkin bilgi ve uygulamaları, STED 2006; 15(9): 158-163.
  • Strong GD. Provider management and support for breastfeeding pain. JOGNN 2011; 40(6): 753-764.
  • Cooke M, Schmied V, Sheehan A. A description of the relationship between breastfeeding experiences, breastfeeding satisfaction and weaning in the first 3 months after birth. J Hum Lact 2003; 19(2): 145-156.
  • Vural G, Akan N. Annelerin doğum sonu ev ortamında kendi bakımları ve bebek bakımı ile ilgili karşılaştıkları sorunlar ve bu sorunlara yönelik uygulamalar. Hacettepe Üniv HYO Derg 1995; 2(1): 37-45.
  • Blair A, Cadwell K, Turner-Maffei C, Brimdry K. The relationship between positioning, the breastfeeding dynamic, the latching process and pain in breastfeeding mothers with sore nipples. Breastfeed Rev 2003; 11(2): 5-10.
  • Abd-Elsalam S; Hamido S, Abd el Hameed HS. Effect of Using Pharmacological versus Alternative Therapy on Traumatic Nipples for Lactating Mothers. J Am Sci 2011; 7(11): 485-496.
  • Melli MS, Rashidi MR, Nokhoodchi A, Tagavi S, Farzadi L, Sadaghat K, Tahmasebi Z, Sheshvan MK. A randomized trial of peppermint gel, lanolin ointment and placebo gel to prevent nipple crack in primiparous breastfeeding women. Med Sci Monit 2007; 13(9): 406-411.
  • Porter J, Schach B. Treating sore possibly infected nipples. J Hum Lact 2004; 20(2): 221-222.
  • Page T, Lockwood C, Guest K. Management of nipple pain and/or trauma associated with breast-feeding. JBI Reports 2003; 1: 127–147.
  • Lavergne N. Does application of tea bags to sore nipples while breastfeeding provide effective relief?. JOGNN 1997; 26(1): 53-58.
  • Dodd V, Chalmers C. Comparing the use of hydrogel dressings to lanolin ointment with lactating mothers. JOGNN 2003; 32(4): 486-494.
  • Kronborg H, Vaeth M. How are effective breastfeeding technique and pacifier use related to breastfeeding problems and breastfeeding duration? Birth 2009; 36(1): 34-42.
  • Giugliani ERJ. Common problems during lactation and their management. J Pediatr 2004; 80(5 suppl): 147-154.
  • Spangler A, Hildebrandt E. The effect of modified lanolin on nipple pain/damage during the first ten days of breastfeeding. ICEA 1993; 8(3): 15-19.

The effects of breast milk and olive oil on prevention of nipple pain and nipple cracks at early postpartum period

Yıl 2013, Cilt: 15 Sayı: 2, 17 - 34, 01.08.2013

Öz

Objective: The aim of the study was to compare the effects of breast milk and olive oil on protection of nipple pain and nipple cracks in early postpartum period. Method: The study was carried out as an experimental study at a private hospital and at a university hospital. Data were collected between May 29, 2009 and June 30, 2010. Study sample included a total of 39 mothers; 13 mothers each in breast milk, olive oil, or control groups. Data were collected using the questionnaires, follow-up form, breastfeeding observation form, and Visual Analog Scale at the hospital at day one, and at the hospital or at home on day three via self-reports of mothers or by face-to-face interviews and evaluated by descriptive statistics, Fisher’s exact test, Kruskal-Wallis one-way analysis variance, and Friedman and McNemar tests. Result: Applications were practiced the most by the mothers the breast milk 6-12 times and olive oil 3-10 times groups, and the least the control group 5-8 times p

Kaynakça

  • Kearney MH, Cronenwett LR, Barret JA. Breastfeeding problems in the first week postpartum. J Nurs Res 1990; 39(2): 90-94.
  • Fraser DM, Cullen L. Postnatal management ve breastfeeding. Obstet Gynaecol Reprod Med 2008; 19(1): 7-12.
  • Woolridge MW. The aetiology of sore nipples. Midwifery 1986; 2(4): 172-176.
  • Mert H, Şirin A. Postpartum erken dönemde görülen meme sorunları ve bunu etkileyen faktörlerin incelenmesi. Ege Üniv Hemşire YO Derg 2010: 26(Ek): 299.
  • Ziemer M, Pigeon J. Skin changes and pain in the nipple during the first week of lactation. JOGNN 1993; 22(3): 247-255.
  • Akkuzu G, Taşkın L. Impacts of breast-care techniques on prevention of possible postpartum nipple problems. Prof Care Mother Child 2000; 10(2): 38-41.
  • Tait P. Nipple pain in breastfeeding women: causes, treatment and strategies. JMWH 2000; 45(3): 212-217.
  • Gadsden J, Hart S, Santos A. Post-cesarean delivery analgesia. Anesthesia & Analgesia 2005; 101(5): 62-69.
  • Carlander AK, Edman G, Christensson K, Andolf E, Wiklund I. Contact between mother, child and partner and attitudes towards breastfeeding in relation to mode of delivery. Sexual and Reproductive Health Care 2010; 1: 27-34.
  • Schultz KM, Hill PD. Prevention of and therapies for nipple pain: a systematic review. JOGNN 2005; 34(4): 428-437.
  • Henderson A, Stamp G, Pincombe J. Postpartum positioning and attachment education for increasing breastfeeding: A randomized trial. Birth 2001; 28(4): 236-242.
  • WHO/UNICEF. (Online) The World Health Report 2005: Make Every Mother and Child Count Available from: http://www.who.int/whr/2005/whr2005_en.pdf, (Accessed 2012 December 15).
  • Buchko B, Pulgh L, Bishop BA, Cochran JF, Smith LR, Lerew D. Comfort measures in breastfeeding, primiparous women. JOGNN 1994; 23(1): 46-52.
  • Mohammadzadeh A, Farhat A, Esmaeily H. The effect of breast milk and lanolin on sore nipples. Saudi Med J 2005 Aug; 26(8): 1231-1234.
  • Api M, Sivri D, Api O, Görgen H, Çetin A, Yayla M. Emziren lohusalarda meme başı çatlaklarının önlenmesinde gayazulen ve anne sütünün etkinliğinin karşılaştırılması: randomize, kontrollü, çift-kör çalışma. J Turk Ger Gynecol Assoc 2005; 6(4): 279-284.
  • Cadwell K, Turner-Maffei C, Blair A, Brimdyr K, Maja McInerney Z. Pain reduction and treatment of sore nipples in nursing mothers. J Perinat Educ 2004 Winter; 13(1):29-35.
  • Centuori S, Burmaz T, Ronfani L, Fragiacomo M, Quintero S, Pavan C, Davanzo R, Cattaneo A. Nipple Care, Sore Nipples, and Breastfeeding: A Randomized Trial. J Hum Lact 1999 15: 125-130.
  • Pugh LC, Buchko BL, Bishop BA, Cochran JF, Smith LR, Lerew D. A comparison of topical agents to relieve nipple pain. Birth 1996; 23(2): 88-93.
  • Letitia B, Robinson LT. Olive oil: a natural treatment for sore nipples?. AWHONN Lifelines 2002; 6(2): 110-112.
  • Kranke B, Komerion P, Aberer W. Olive oil-contact sensitizer or irritant?. Contact Dermatitis 1997; 36(1): 5-10.
  • Bravo J. Zeytinyağı Kalitesinin İyileştirilmesi. İzmir: Aracılar Matbaacılık; 1991.
  • Kohlendorfer UK, Berger C, Inzinger R. The Effect of daily treatment with an olive oil/lanolin emollient on skin integrity in preterm infants: a randomized controlled trial. Pediatric Dermatology 2008; 25(2): 174-178.
  • Stoukides C. The galactopharmacopedia: topical medications and breastfeeding. J Hum Lact 1993; 9(3): 185-187.
  • Erenel A, Vural G, Efe Ş, Özkan S, Özgen S, Erenoğlu R. Comparison of olive oil and dry-clean keeping methods in umbilical cord care as microbiological. Matern Child Health J 2010; 14(6): 999-1004.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (HÜNEE). Türkiye Nüfus ve Sağlık Araştırması, 2008.Ankara, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Başbakanlık Devlet Planlama Teşkilatı Müsteşarlığı ve TÜBİTAK, 2009. 26. T.C. Sağlık Bakanlığı. (İnternet). Emzirme Danışmanlığı El Kitabı Ulaşım (Ulaşım tarihi: http://www.mersinsaglik.gov.tr/Download%5C83_8_36_emzirme-danismanligi--uygulayici-kitabi.pdf, 30.05.2013).
  • Aslan FE. Ağrı değerlendirme yöntemleri. C.Ü. HYO Derg 2002; 6 (1): 9-16.
  • Atan ŞÜ, Şirin A. Prevention of nipple problems in primipara breastfeeding mothers: a pilot study. Health Med 2012; 6 (12): 4258- 4266.
  • Örün E, Yalçın SS, Madendağ Y, Üstünyurt Eras Z, Kutluk Ş, Yurdakök K. Factors associated with breastfeeding initiation time in a baby- friendly hospital. Turk J Pediatr 2010; 52(1): 10-16.
  • Demirel NB, Taşpınar A, Ulufer FÖ. Manisa il merkezindeki hastanelerde doğum yapan annelerin emzirme tutumunun değerlendirilmesi. Hemş Forumu Derg 2001; 4(6): 62-66.
  • Özer A, Taş F, Ekerbiçer HÇ. Knowledge and behaviour of the mothers having 0-6 month old babies about the breast milk and breastfeeding. TAF Prev Med Bull 2010; 9 (4): 315-320.
  • Eker A, Yurdakul M. Annelerin bebek beslenmesi ve emzirmeye ilişkin bilgi ve uygulamaları, STED 2006; 15(9): 158-163.
  • Strong GD. Provider management and support for breastfeeding pain. JOGNN 2011; 40(6): 753-764.
  • Cooke M, Schmied V, Sheehan A. A description of the relationship between breastfeeding experiences, breastfeeding satisfaction and weaning in the first 3 months after birth. J Hum Lact 2003; 19(2): 145-156.
  • Vural G, Akan N. Annelerin doğum sonu ev ortamında kendi bakımları ve bebek bakımı ile ilgili karşılaştıkları sorunlar ve bu sorunlara yönelik uygulamalar. Hacettepe Üniv HYO Derg 1995; 2(1): 37-45.
  • Blair A, Cadwell K, Turner-Maffei C, Brimdry K. The relationship between positioning, the breastfeeding dynamic, the latching process and pain in breastfeeding mothers with sore nipples. Breastfeed Rev 2003; 11(2): 5-10.
  • Abd-Elsalam S; Hamido S, Abd el Hameed HS. Effect of Using Pharmacological versus Alternative Therapy on Traumatic Nipples for Lactating Mothers. J Am Sci 2011; 7(11): 485-496.
  • Melli MS, Rashidi MR, Nokhoodchi A, Tagavi S, Farzadi L, Sadaghat K, Tahmasebi Z, Sheshvan MK. A randomized trial of peppermint gel, lanolin ointment and placebo gel to prevent nipple crack in primiparous breastfeeding women. Med Sci Monit 2007; 13(9): 406-411.
  • Porter J, Schach B. Treating sore possibly infected nipples. J Hum Lact 2004; 20(2): 221-222.
  • Page T, Lockwood C, Guest K. Management of nipple pain and/or trauma associated with breast-feeding. JBI Reports 2003; 1: 127–147.
  • Lavergne N. Does application of tea bags to sore nipples while breastfeeding provide effective relief?. JOGNN 1997; 26(1): 53-58.
  • Dodd V, Chalmers C. Comparing the use of hydrogel dressings to lanolin ointment with lactating mothers. JOGNN 2003; 32(4): 486-494.
  • Kronborg H, Vaeth M. How are effective breastfeeding technique and pacifier use related to breastfeeding problems and breastfeeding duration? Birth 2009; 36(1): 34-42.
  • Giugliani ERJ. Common problems during lactation and their management. J Pediatr 2004; 80(5 suppl): 147-154.
  • Spangler A, Hildebrandt E. The effect of modified lanolin on nipple pain/damage during the first ten days of breastfeeding. ICEA 1993; 8(3): 15-19.
Toplam 44 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Fadime Kirlek Bu kişi benim

Nevin Akdolun-balkaya Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 15 Sayı: 2

Kaynak Göster

APA Kirlek, F., & Akdolun-balkaya, N. (2013). Erken Postpartum Dönemde Meme Başı Ağrısı Ve Çatlaklarının Önlenmesinde Anne Sütü Ve Zeytinyağının Etkisi. Hemşirelikte Araştırma Geliştirme Dergisi, 15(2), 17-34. https://doi.org/10.69487/hemarge.695695