Emzirme değerlendirme araçlarının yenidoğanlarda aşırı kilo kaybını tahmin etmede kullanımı

Year 2018, Volume: 10 Issue: 3, 368 - 373, 30.09.2018

Nilgün Altuntaş , Yıldız Atalay Canan Türkyılmaz Esin Koç

https://doi.org/10.21601/ortadogutipdergisi.372028

Abstract

 Amaç: Yenidoğan bebeklerde postnatal ilk günlerde aşırı kilo kaybı önemli bir
sorundur. Biz bu çalışmada emzirmeyi değerlendirme araçlarından LATCH, IBFAT ve
BSES-SF’in postnatal erken dönemde aşırı kilo kaybının tahmininde kullanışlı
olup olmayacağını araştırmak istedik.   

Gereç ve Yöntem: Doğumdan sonra 150
anne ve bebek çifti emzirme sırasında izlendi ve emzirme başarıları doğumda,
12, 24 ve 48.saatlerde LATCH, IBFAT emzirme araçları ile değerlendirildi. Eş
zamanlı olarak  annelerin emzirme özgüven
skorları belirlendi. Postnatal dönemde bebeklerin kiloları doğum ağırlığına
ulaşana kadar izlendi ve %10’dan fazla ve %10’dan az kilo kaybeden bebeklerin emzirme
skorları karşılaştırıldı.

Bulgular: IBFAT, LATCH ve BSES-SF skorları %10’dan fazla kilo
kaybeden bebeklerde %10’dan az kilo kaybeden bebeklere göre anlamlı derecede
düşüktü(p<0,05). ROC analizine gore AUC değerleri 0,7’ye yakındı. Bu
sonuçlar bu emzirmeyi değerlendirme araçlarının aşırı kilo kaybının tahmininde
kullanılabileceğini göstermektedir.

Sonuç: Yüksek skorlara sahip anne bebek çiftleri daha erken taburcu edilebilir.
Böylece gereksiz hastanede yatıştan kaçınılabilir. 

Keywords

Emzirme değerlendirilmesi, LATCH, IBFAT, BSES-SF, aşırı kilo kaybı

The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns

Abstract

Aim:
Postnatal weight loss is a major issue of concern to pediatricians. We aimed to
determine whether the LATCH tool, Infant Breastfeeding Assessment Tool (IBFAT)
and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) are useful in
predicting postnatal excess weight loss.

Material and Method: One hundred fifty one mother infant dyads’
breastfeeding sessions were monitored and scored simultaneously by using the
LATCH and IBFAT assessment tools during the postnatal first feeding and at 12,
24 and 48 hours. Maternal confidence in breastfeeding was assessed using
BSES-SF at the same breastfeeding sessions. Infants were followed until they
reached their birth weights after discharge. Comparisons were made between
infants with ≥10% weight loss and infants with <10% weight loss during
following.

Results: IBFAT, LATCH and BSES-SF scores were significantly higher in infants
with <10% weight loss than those with ≥10% weight loss (p<0.05). According
to ROC analysis including all tools’ scores, AUC values were close to 0.70.
These results indicate that these assessment tools can be used to predict the
risk of excessive weight loss of the newborns.

 Conclusions: Mother/infant dyads that achieve higher scores in
these tests can be discharged earlier, avoiding unnecessary hospitalization. 

Keywords

Breastfeeding assessment, LATCH, IBFAT, BSES-SF, excess weight loss

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