Erken Postpartum Dönem Meme Sorunlarında Kanıt Temelli Tamamlayıcı ve Destekleyici Bakım Uygulamaları

Year 2020, , 185 - 192, 30.09.2020

Ayşenur Durmuş , Özlem Can Gürkan

https://doi.org/10.38108/ouhcd.761903

Cited By: 4

Abstract

Doğum sonrası dönem anne ve bebek için fiziksel ve ruhsal yönden pek çok değişikliğin olduğu bir süreçtir. Erken postpartum dönemde emzirmenin bir an önce başlatılması ve etkili bir şekilde devamının sağlanması anne, bebek sağlığı açısından çok önemlidir. Bebeğin anne sütü ile beslenmesinin kesintiye uğramasının nedenlerinden birisi olan meme başı ağrısı ve çatlağının erken postpartum dönemde tedavisinin yapılması ve emzirmenin kesintiye uğramasının önüne geçilmesi son derece önemlidir. Bu çalışma emziren annelerde erken postpartum dönemde meydana gelen meme sorunlarının tedavisinde kullanılan tamamlayıcı ve destekleyici bakım uygulamalarının kanıt düzeylerini incelemek amacıyla hazırlanmıştır. Çalışmamızda Scopus, Pubmed, Science of Direct, Google Scholar veri tabanlarında “Meme Başı Sorunları”, “Meme Başı Ağrısı”, "Nipple Problems", "Nipple Pain", anahtar kelimeleri ile tarama yapılmış ve çalışma konusu ile uyumlu 50 yayına ulaşılmış olup, tam metnine ulaşılan Türkçe veya İngilizce araştırma makaleleri, sistematik derlemeler, meta analiz çalışmaları incelenerek son 10 yıl içerisinde yayınlanan toplam 28 makale çalışmamıza dahil edilmiştir. Erken postpartum dönemde görülen meme sorunlarını gidermedeki etkililiği kanıt düzeyi yüksek olan çalışmalarla bildirilmiş ve en çok uygulanan müdahaleler derlememize dahil edilmiştir. Sonuç olarak emzirme sürecinde kadınlara zeytin yağı, lanolin, aloe vera ve nane suyu kullanımı önerilebilir. Konuyla ilgili daha fazla randomize kontrollü çalışmanın yapılması önemlidir.

Keywords

Emzirme sorunları, Meme sorunları, Tamamlayıcı ve destekleyici bakım

Evidence Based Traditional and Complementary Medicine Applications in Early Postpartum Period Breast Problems

Abstract

The postpartum period is a process which occur many physical and mental changes for the mother and baby.It is very important for mother and baby health to start breastfeeding as soon as possible in the early postpartum period, and ensuring an effective continuation is very important for mother and baby health. It is important to treat nipple pain and crack in the early postpartum period and prevent breastfeeding interruption, which is one of the reasons for interruption of breastfeeding of the baby. This study was prepared to examine the evidence levels of complementary and supportive care practices used in the treatment of breast problems in breastfeeding mothers in the early postpartum period.
In our study, Scopus, Pubmed, Science of Direct, Google Scholar databases were scanned with the keywords "Nipple Problems", "Nipple Problems", "Nipple Problems", "Nipple Pain" and 50 publications compatible with the subject of the study were reached. A total of 28 articles published in the last 10 years were included in our study by examining Turkish or English research articles, systematic reviews, meta-analysis studies whose full text was reached.. Its effectiveness in eliminating breast problems seen in the early postpartum period has been reported in studies with a high level of evidence, and the most applied interventions have been included in our review.
As a result, olive oil, lanoline, aloe vera and mint juice can be recommended to women during breastfeeding. It is important to conduct more randomized controlled studies on the subject.

Keywords

Breastfeeding problems, breast problems, traditional and comlementary medicine

References

• Abdel NI, Hafez S, & Ghaly A. (2019). Effect of Breast Milk, Peppermint Water and Breast Shell on Treatment of Traumatic Nipple in Puerperal Lactating Mothers. International Journal of Novel Research in Healthcare and Nursing, 6(3), 692-709.
• Abou-Dakn M, Fluhr JW, Gensch M, Wöckel A. (2011). Positive effect of HPA lanolin versus expressed breastmilk on painful and damaged nipples during lactation. Skin Pharmacology Physiology, 24 (1), 27-35.
• Ahmed E, Mohamed H, Abu-talib Y. (2015). Evidence Based Guideline Using to Alleviate Traumatic Nipple among Nursing Mothers. World Journal of Nursing Sciences, 1 (3), 35-44.
• Alamolhoda SH, AmirAliAkbari S, Baghban AA, Esmaili S. (2014). Effects of aloe vera gel on breast fissures in breastfeeding women. Pajoohandeh Journal, 19 (1), 13-17.
• Asaadi N, Kariman N, Shahrahmani H, Ghalandari S, Khodakarami N. (2016). A systematic review of clinical trials in the treatment of sore nipple and nipple pain in breastfeeding women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 19 (6), 22-33.
• Babak Pezeshki, Malihe Pouredalati, Shahrzad Zolala, Somayeh Moeindarbary, Kataneh Kazemi, Mohsen Rakhsha. (2020). Comparison of the effect of aloe vera extract, breast milk, calendit-e, curcumin, lanolin, olive oil, and purslane on healing of breast fissure in lactating mothers: A Systematic Reviw. International Journal of Pediatrics, 8 (2), 10853-10863.
• Campos TM, Traverzim MAS, Sobral APT, Bussadori SK, Fernandes KSP, Motta LJ, Makabe S. (2018). Effect of LED therapy for the treatment nipple fissures. Medicine, 97 (41), 1-6.
• Condero MJ, Villar NM, Barrilao RG, Cortes ME, Lopez AM. (2015). Application of extra virgin olive oil to prevent nipple cracking in lactating women. World Views Evid Based Nurse, 12 (6), 364-369.
• Çakmak S, Dengi ASD.(2019). Postpartum evaluation of the mothers’ knowledge about breastfeeding and the importance of breast milk. Türkiye Aile Hekimliği Dergisi, 23 (1), 9-19.
• Dennis CL., Jackson K. & Watson J.(2014). Interventions for treating painful nipples among breastfeeding women. Cochrane Database of Systematic Reviews, 12. Art. No.: CD007366. DOI: 10.1002/14651858.CD007366.pub2
• Dyson L, McCormick FM, Renfrew MJ. (2005). Interventions for promoting the initiation of breastfeeding. Cochrane Database of Systematic Reviews, 2. Art. No.: CD001688. DOI: 10.1002/14651858.CD001688.pub2
• Erenoğlu R, Can R, Tambağ H, Akdeniz Ş. (2017). Birth-the postpartum period regarding traditioonal applications of women ın rural areas: The Example Karaksi. Uluslararası Kıbrıs Üniversitesi Folklor/Edebiyat, 23 (90), 179-196.
• Eshgizade M, Moghaddam MB, Moghaddam HM, Mahmoudian A, Mina M. (2016). Comparison of the effect of olive oil, aloe vera extract and breast milk on healing of breast fissure in lactating mothers: A Randomized Clinical Trial. Qom University Medical Sciences Journal, 10 (3), 19-27.
• Gharakhani Bahar T, Oshvandi K, Zahra Masoumi S, Mohammadi Y, Moradkhani S, Firozian FA. (2018). A Comparative study of the effects of mint tea bag, mint cream, and breast milk on the treatment of cracked nipple in the lactation period: A Randomized Clinical Trial Study. Iranian Journal of Neonatology, 9 (4), 72-79.
• Güngör AN, Oğuz S, Vurur G, Gencer M, Uysal A, Hacivelioglu S. (2013). Comparison of olive oil and lanolin in the prevention of sore nipples in nursing mothers. Breastfeeding Medicine, 8(3), 334-335.
• Jackson KT, Dennis CL. (2017). Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial. Maternal & Child Nutrition, 13, 3-14.
• Joanna Briggs Institue. (2003). JBI Levels of Evidence. Erişim Tarihi: 02.08.2020, https://joannabriggs.org/.
• Juliana K, Silva G, Vieira T, Antonio C, Regina E , Oliveira G. (2016). Prevalence and factors associated with cracked nipples in the first month postpartum. BMC Pregnancy and Childbirth, 16(1), 209
• Karaçam Z, Sağlık M. (2018). Breastfeeding problems and interventions performed on problems: Systematic review based on studies made in Turkey. Türk Pediatri Arşivi, 53 (3), 134-148.
• Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA, Menon LL, Scott C, Mather-McCaw G, Navarro K, Geddes DT. (2015). Nipple pain in breastfeeding mothers: ıncidence, causes and treatments. International Journal of Environmental Research and Public Health, 12 (10), 12247–12263.
• Kirlek F. (2013). The effects of breast milk and olive oil on prevention of nipple pain and nipple cracks at early postpartum period. Hemşirelikte Araştırma Geliştirme Dergisi, 15 (2), 17-34.
• Lavergne NA. (1997). Does application of tea bags to sore nipples while breastfeeding provide effective relief?. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN. 26 (1), 53-58.
• Linari S, Castaman G. (2015). Clinical manifestations and management of gaucher disease. Clinical Cases Mineral Bone Metabolism, 12 (2), 157-164.
• Murimi M, Dodge CM, Pope J, Erickson D. (2010). Factors that influence breastfeeding decisions among special supplemental nutrition program for women, infants, and children participants from central louisiana. Journal of the American Dietetic Association, 110, 624–627.
• Nageeb H, Fadel EA, Hassan NF. (2018). Olive oil on nipple trauma among lactating mothers. Mansoura Nursing Journal (MNJ), 6 (1), 159-170.
• Naser E, Nour S, Gonied A, Shaban R. (2017). Effect of peppermint water versus expressed breast milk on nipple trauma among lactating primiparous. Zagazig Nursing Journal, 13 (1), 227-242.
• Neto CM, Giesta RO, Albuquerque RS, Souza SC, Fernandes APS, Mondin B. (2018). Comparative study of the use of hpa lanolin and breast milk for treating pain associated with nipple trauma . Revista Brasileira Ginecologia Obstetricia, 40 (11), 664-672.
• Niazi A, Rahimi VB, Soheili-Far S, Askari N, Rahmanian-Devin P, Sanei-Far Z, Sahebkar A, Rakhshandeh H, Askari VR. (2018). A systematic review on prevention and treatment of nipple pain and fissure: Are they curable?. Journal of Pharmacopuncture, 21(3), 139–150.
• Niazi A, Yousefzadeh S, Rakhshandeh H, Esmaily H. (2018). Comparison of the effects of purslane cream and lanolin for treatment of breast fissure on lactation self-efficacy: a randomized clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility, 21(8), 75-83.
• Oğuz S, Işık S, Çakır Güngör, Seker M, Öğretmen, Z. (2014). Protective efficacy of olive oil for sore nipples during nursing. Journal of Family Medicine and Community Health, 1(4), 1021.
• Page T, Lockwood C, Guest K. (2003). Management of nipple pain and/or trauma associated with breast-feeding. JBI Reports, 1, 127–147.
• Saeidi R, Tafazoli M, Gholami M, Mazloom R. (2015). New treatment for nipple soreness in breastfeeding mothers: A clinical trial study. Iranian Journal of Neonatology IJN, 6 (2), 48-51.
• Sailo ML, Jagadeesh NS, Ranganathan S, Duraipandian C. (2018). Effect of peppermint water on prevention of nipple injury among postnatal mothers subjected to caesarean. İnternational Journal of Nursing Education, 10 (1), 43-48.
• Shanazi M, Farshbaf Khalili A, Kamalifard M, Asghari Jafarabadi M, Masoudin K, Esmaeli F. (2015). Comparison of the effects of lanolin, peppermint, and dexpanthenol creams on treatment of traumatic nipples breastfeeding mothers. Journal of Caring Sciences, 4 (4), 297–307.
• Şahin H, Yılmaz M, Aykut M, Balci E, Sağıroğlu M, Öztürk A. (2013). Kayseri’de iki toplum sağlığı merkezine başvuran annelerde emzirme sorunları ve risk etmenleri. Türk Pediatri Arşivi. 48, 145-151.
• Tafazoli M, Saeedi R, Gholami Robatsangi M, Mazloom R. (2010). Aloevera gel vs. lanolin ointment in the treatment of nipple sore: a randomized clinical trial. Tehran University Medical Journal, 67 (10), 699-704.
• Thabet HA, Mourad MA, Alahadal AM, Alsenany S, Alsaif A. (2013). Prevention of nipple cracks with peppermint water versus breast milk in lactating primiparous women. Life Science Journal, 10 (4), 2010-2017.
• Türkiye Nüfus ve Sağlık Araştırması. (2018). Ana Raporu. Erişim Tarihi:01.08.2020, http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
• Vieira F, Bachion MM, Mota DD, Munari DB. (2013). A systematic review of the interventions for nipple trauma in breastfeeding mothers. Journal Nursing Scholarsh. 45 (2), 116-125.
• Walker M. (2013). Are there any cures for sore nipples?. Clinical Lactation. 4 (3), 106-115.
• World Health Organization, UNICEF. (2018). Capture The Moment- Early initation of breastfeeding: The best start of every newborn. New York: WHO, UNICEF, 8-12.