Bebek dostu bir hastanede doğumu takiben formül süt desteği verilmesinde belirleyici faktörler

Year 2020, , 81 - 90, 21.01.2020

Selma Aktas , Zeliha Özge Kuroğlu Ebru Kazancı Ayşe Korkmaz

https://doi.org/10.31362/patd.631449

Cited By: 1

Abstract

Amaç: Hayatın ilk 6 ayında sadece anne sütü
önerilmesine rağmen, tüm dünyada hastanede formül süt desteği oldukça
yaygındır. Bu durumun anne sütü ile beslenme süresinin daha kısa olmasındaki en
güçlü belirleyici faktör olduğu farklı çalışmalarda gösterildi. Çalışmamızda
bebek-dostu hastanemizde doğum sonrası hastane takiplerinde formül süt desteği
gereksiniminin nedenlerini belirlemeyi amaçladık.

Gereç ve
Yöntemler: Bu retrospektif kohort
çalışmaya Ocak – Aralık 2018 tarihleri arasında doğum yapan 503 anne ve onların
bebekleri dahil edildi. Anne – bebek dosyalarından toplanan bilgiler hastanede
formül süt desteği ilişkili faktörleri belirlemek için analiz edildi.

Bulgular: Hastanede yenidoğanları %14,5’u formül süt
desteği aldı. En sık nedenler anne sütü eksikliği (%78) ve hipoglisemiydi
(%15). Formül süt en sık kadeh (%91,78) ile verildi. Düşük gestasyon haftası
(GH) ve doğum ağırlığı (DA), sezeryan doğum (C/S), in vitro fertilizasyon (IVF)
gebelik ve kardeşlerin emzirme süresinin daha kısa olması hastanede formül süt
desteği alanlarda anlamlı yüksekti. Univariate analizlerde hastanede formül süt
desteği ile ilişkili bulunan faktörler lojistik regresyon analizi ile
değerlendirildiğinde düşük DA, C/S doğum ve IVF gebeliğin anlamlılığını
sürdürdüğü görüldü.

Sonuç: Çalışmamızda hastanede formül süt destek
gereksinimini arttıran nedenler düşük DA, C/S ve IVF gebelik olarak belirlendi.
Doğum öncesi ve sonrasında sağlık profesyonellerinin öneri ve desteği, kurumun
yazılı emzirme politikası olması doğum sonrası hastane takipleri sırasında
tıbbi endikasyon dışında formül süt desteği verilmemesi düşük DA ve GH ile IVF gebeliğin olumsuz
etkilerini azaltabilir C/S ile doğum yapan annelerin emzirmeye başlaması ve
devamlılığının sağlanması için daha fazla destek gerekir.

Keywords

Emzirme, anne sütü, hastanede formül süt desteği, formül süt

Supporting Institution

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Project Number

yok

Thanks

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Determinant factors in formula supplementation following delivery in a baby-friendly hospital.

Abstract

Objectives:
Although exclusive breastfeeding is recommended for the first 6 months of life,
in-hospital formula supplementation is widespread all around the world and has
been demonstrated to be a strong determinant of shorter exclusive and any
breastfeeding. The aim of the study is to assess the reasons in which
in-hospital formula supplementation occurs in a baby-friendly hospital.

Methods:
This
retrospective cohort study was conducted among 503 mother-infant pairs from
January to December 2018. Data collected from mother-infant files were analysed
to identify factors associated with in-hospital supplementation.

Results: During
hospital stay 14.5% of the infants were received formula. The most common
reasons for supplementation were lack of human-milk  (78%) and hypoglycemia (15%). The most common
way for supplemantation was cup-feeding (91.78%).  Lower gestational week (GW) and birth weight
of the infant, cesarean delivery (C/S), in vitro fertilisation (IVF) pregnancy,
shorter breastfeeding duration of the siblings were significantly higher in
formula-supplemented group. The factors associated with in-hospital formula
supplementation in univariant analysis were assessed with Logistic regression;
lower birth weight, IVF pregnancy and C/S delivery were still significant in
formula-supplemented group.

Conclusion: Our
results identified several factors that enhance supplementation in hospital.
Healthcare profesional recommandations and support before and after delivery
may reduce the adverse effects of lower GW and birth weight and IVF pregnancy.
Special care is needed for mothers delivering by C/S to enable to initiate and
maintain breastfeeding.

Keywords

breastfeeding, human-milk, in-hospital formula supplementation, infant formula

Project Number

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