Doğumda Anne-Bebek Ten Temasının Emzirme Üzerine Etkileri

Year 2017, Volume: 9 Issue: 1, 70 - 77, 23.03.2017

Nazan Karahan , Songül Şimsek

https://doi.org/10.18521/ktd.296559

Cited By: 4

Abstract

ÖZET

Amaç: Bu çalışma, doğum sonu erken dönem anne-bebek ten temasının emzirme üzerine etkilerini değerlendirmek amacıyla yapılmıştır.

Yöntem: Araştırmanın örneklemini basit rastgele örnekleme yöntemiyle belirlenen, doğumda ten teması uygulanan 50 çalışma grubu gebe ve uygulanmayan 50 kontrol grubu gebe oluşturmuştur. Çalışma grubunda yer alan tüm bebekler, doğumda annenin çıplak göğsüne kordon kesilmeden önce, prone pozisyonunda yerleştirilerek 45-60dk, ebe gözetiminde bekletilmiştir. Çalışma ve kontrol grubunda yer alan tüm gebeler, doğum sonu 12-24 saat içinde, en az 4 emzirme geçtikten sonra emzirme sırasında gözlenerek, LATCH Emzirme Tanılama Ölçeği doldurulmuştur.

Bulgular: Araştırmada çalışma ve kontrol grubu yaş, eğitim, çalışma durumu ve obstetrik özellikler açısından benzerlik göstermektedir. Çalışma ve kontrol grubu arasında ilk emzirmeye başlama zamanı, doğumdan sonra anne sütünün gelmesi, emzirmede sorun yaşama durumu, bebeğe anne sütü dışında yiyecek içecek verme, emzirme sıklığı değişkenleri açısından istatistiksel olarak anlamlı farklılıklar bulunduğu belirlenmiştir (p<0.001). Gruplar LACTH Emzirme Tanılama Ölçeğinden alınan puanlar açısından incelendiğinde; çalışma grubunun ortalama 9.70±0.64 puan, kontrol grubunun ortalama 7.80±1.29 puan aldığı ve gruplar arasında istatistiksel olarak anlamlı farklılık bulunduğu belirlenmiştir (p<0.000).

Sonuç: Araştırma bulguları, doğumda ten temasının emzirme üzerine olumlu etkileri olduğunu göstermektedir.

Keywords

Doğumda anne-bebek ten teması, emzirme, LACTH Emzirme Tanılama Ölçeği, ebe

Assessment of The Impact of Mother-Infant Skin-to-Skin Contact at Childbirth on Breastfeeding

Abstract

ABSTRACT

Aim: The study was conducted to assess the effects of mother-infant skin-to-skin contact (SSC) on breastfeeding.

Method: The study samples were included 50 SSC and 50 control group which individuals selected by simple random sampling. All infants in the study group were placed on the naked breast of the mother in a prone position at birth and remained there for an average of 45-60 min under the supervision of the midwife. All mothers of this study and control groups were allowed at least 4 breastfeeding sessions at the postnatal 12-24 hour period then the LATCH Breastfeeding Charting System was completed.

Results:The study and control groups included subjects similar in age, education, employment and obstetric characteristics. Statistically significant differences were determined between the study and control groups in respect of breastfeeding start time, to colostrum visibility after birth, problems experienced in breastfeeding, feeding the infant with nutrients other than breastmilk, and breastfeeding frequency (p<0.001). The LATCH Breastfeeding Charting System scores were meaned 9.70 ± 0.64 points in the study group and mean 7.80 ± 1.29 points in the control group, with a statistically significant difference between the groups (p<0.000).

Conclusion: These findings showed that skin-to-skin contact at birth had positive effects on breastfeeding.

Keywords

breastfeeding, skin-to-skin contact in childbirth, LATCH Breastfeeding Charting System, midwife

References

• Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact formothers and their healthy newborn infants Editorial Group: Cochrane Pregnancy and Childbirth Group Published Online:16 May 2012 DOI: 10.1002/14651858.CD003519.pub3
• Crenshaw JT .Healthy Birth Practice #6: Keep Mother and Baby Together— It’s Best for Mother, Baby, and Breastfeeding, J Perinat Educ. 2014 Fall;23(4):211-7.
• 3. Bergman J, Bergman N. Whose choice? Advocating birthing practices according to baby’s biological needs. The Journal of Perinatal Education, 2013;22(1), 8–13. 10.1891/1058-1243.22.l
• 4. Puglia HM, Lillard ST, Morris PJ, Connelly JJ, Affiliations A. Epigenetic modification of the oxytocin receptor gene influences the perception of anger and fear in the human brain. Proceedings of The National Akademy Sciences (PNAS), 2015;112(11); 3308–3313,
• 5. Phillips R. The Sacred Hour: Uninterrupted skin-to-skin contact immediately after birth. Newborn and Infant Nursing Reviews, 2013; 13(2);67–72.
• 6. Bettinelli ME. Breastfeeding policies and breastfeeding support programs in the mother’s workplace, The Journal of Maternal-Fetal & Neonatal Medicine 2012;25(4);73-74
• 7. Özmert NE. Erken çocukluk gelişiminin desteklenmesi-I, Beslenme Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 179-195 (Support of Early Childhood Development, Journal of Paediatric Nutrition, Health and Diseases)
• 8. Eidelman AI. Breastfeeding and the Use of Human Milk: An Analysis of the American Academy of Pediatrics Breastfeeding Policy Statement, Breastfeeding Medicine. September 2012, 7(5): 323-324.
• 9. Karatas Z, Karatas A., Durmuş Aydoğdu S, Bal C. The Role of Breastfeeding in Postpartum Weight Loss; Relationship between Maternal Plasma Ghrelin, Serum Leptin and Lipid Levels with Breast Milk. Konuralp Tıp Dergisi 2012;4(3):12-18
• 10. Yenal K, Tokat A M, Ozan D Y, Çeçe Ö, Abalın B F. Annelerin Emzirme Öz-yeterlilik Algıları İle Emzirme Başarıları Arasındaki İlişkinin İncelenmesi, Hemşirelikte Eğitim ve Araştırma Dergisi,2013; 10 (2): 14-19 (An Examination of the Relationship between Maternal Self-Perceptions of Breastfeeding Capability and Successful Breastfeeding, Nursing Training and Research Journal)
• 11. Özcan YÇ. Vajinal Doğumda Oksitosin İndiksiyonu Alan ve Almayan Annelerin Emzirme Sonuçlarının Karşılaştırılması. (A Comparison of Breastfeeding Outcomes of Mothers Receiving and Not Receiving Oxytocin Induction in Vaginal Delivery )Dokuz Eylül University İnstitute of Health Sciences, Birth and Women’s Health Nursing Department Unpublished Master Thesis, 2014, İzmir, Turkey
• 12. Takahashi Y,Tamakoshi K,Matsushima M, Kawabe T. Comparison of salivary cortisol, heart rate, and oxygen saturation between early skin-to-skin contact with different initiation and duration times in healthy, full-term infants.
• Early Human Development, 2010;87(3): 151–157
• 13. Nimbalkar SM, Patel VK, Patel DV, Nimbalkar AS, Sethi A, Phatak A. Effect of early skin-to-skin contact following normal delivery on incidence of hypothermia in neonates more than 1800 g: Randomized Control Trial. Obstetrical & Gynecological Survey,2014; 69(8):458-59
• 14. Kartal B, Kaplan B, Buldu A, Ateş CS, Ekinci E. Doğum sonu dönemdeki kadınların emzirme özellikleri ve bunu etkileyen meme sorunları. (Breastfeeding characteristics of women in the postpartum period and breast problems affecting these) Journal of Medicine University of İzmir,2015; 1:1-10
• 15. Moore ER, Anderson CG. Randomized Controlled Trial of Very Early Mother-Infant Skin-to-Skin Contact and Breastfeeding Status, Journal of Midwifery & Women’s Health, 2007;52(2): 116–125
• 16. Khadivzadeh T, Karimi A. The effects of post-birth mother-infant skin to skin contact on first breastfeeding. İraian Journal of Nursing and Midwifery Research (IJNMR)2009;14(3): 111- 116
• 17. Essa MR, Ismail AIN. Effect of early maternal/newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. Journal of Nursing Education and Practice, 2015; 5(4):98
• 18. Mahmood I, Jamal M, Khan N. Effect of mother-infant early skin-to-skin contact on breastfeeding status: a randomized controlled trial. J Coll Physicians Surg Pak. 2011; 21(10):601-5.
• 19. Srivastava S, Gupta A, Bhatnagar A, Dutta S. Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian J Public Health. 20154;58(1):22-6.
• 20. Baby-Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care. https://www.ncbi.nlm.nih.gov/books/NBK153487/ (Access Date 02/02/2017)