Erken Postpartum Dönemde Kullanılan Ayva Çekirdeği Jölesi ve Anne Sütünün Meme Başı Çatlağı Oluşumuna Etkisi

Year 2024, Volume: 5 Issue: 2, 114 - 123, 31.05.2024

Sevgi Kelek Gülbahtiyar Demirel

https://doi.org/10.51972/tfsd.1464777

Abstract

Amaç: Deneysel çalışmalarda, ayva çekirdeğinden elde edilen jölenin yara iyileşmesi üzerine etkili olduğu, yan etkisi ve kontrendikasyonunun olmadığı ortaya konmuştur. Bu araştırma, erken postpartum dönemde kullanılan ayva çekirdeği jölesi ve anne sütünün meme başı çatlağı oluşumuna etkisini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Araştırma, randomize kontrollü deneysel araştırma özelliğindedir. Araştırmada, 2015-2017 yılları arasında Türkiye’nin Sivas şehrinde yer alan iki hastanenin doğum ve kadın sağlığı servislerinden araştırma kriterlerini karşılayan 426 anne yer almıştır. 426 anne üç gruba (anne sütü, ayva çekirdeği jölesi, kontrol) eşit (her grup 142 kişi) olarak dağıtılmıştır. Müdahale grubundaki anneler gruplarına yönelik olarak her emzirmeden sonra ayva çekirdeği jölesini ve anne sütünü meme başlarına ve areolaya sürmüştür. Araştırmada yer alan tüm anneler postpartum 1., 3., 7. ve 10. günlerde meme başı çatlağı oluşumu açısından değerlendirilmiştir.
Bulgular: Postpartum ilk 10 günde meme ile ilgili en fazla problemi kontrol grubundaki anneler (61.3% - 62%) yaşarken bunu anne sütü grubu (19%) takip etmiş, bu gruplara karşın ayva çerkirdeği grubu (2.8% - 5.6%) en az problemi yaşayan grup olmuştur (p<0.05). Meme başı ağrısı ve çatlağı daha sıklıkla kontrol grubundaki annelerde görülmüştür.
Sonuç: Postpartum ilk 10 gün süresince her emzirmeden sonra areola ve meme başlarına anne sütünü ve ayva çekirdeği jölesini uygulayan annelerde kontrol grubuna kıyasla daha az meme başı ağrısı ve çatlağına rastlanmıştır.

Keywords

Erken postpartum, Anne sütü, Meme başı çatlağı Ayva çekirdeği jölesi, Kadın

The Effects of Quince Seed Jelly and Human Milk on Nipple Fissures During Early Postpartum

Abstract

Purpose: In experimental studies, it has been reported that the jelly made from the quince seed is effective in healing wounds and has no side effects or contraindications. This study was conducted to determine the effect of quince seed jelly and human milk, respectively, used in the early postpartum period, on nipple fissures.
Material and Methods: The research was a randomised controlled study. In total, 426 mothers who met the research criteria were selected for the study, which was conducted at the obstetrics and gynaecology department of two hospitals between 2015–2017 in Sivas city of Turkey. The 426 mothers were distributed equally into three groups (n=142 per group): the human milk, quince seed jelly and the control group. Mothers in the intervention groups applied quince seed jelly and human milk, respectively, on their nipples and areola after every breastfeeding. All mothers were evaluated for nipple fissures on the 1st, 3rd, 7th, and 10th days postpartum.
Results: Mothers with the highest number of problems in the first 10 days postpartum belonged to the control group (61.3%-62%), followed by the human milk group (19%), whereas, the quince seed group experienced the least problems (2.8%-5.6%, p<0.05). Nipple pains and fissures were most common in the mothers assigned to the control group.
Conclusion: Mothers who applied either quince seed jelly or human milk to their nipples and areolas after each breastfeeding, compared to a control group, were less likely to have either nipple fissures or nipple pain during the first 10 days postpartum.

Keywords

Early postpartum, Human milk, Nipple fissures, Quince seed jelly, Women

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