Kanguru Bakımının Yenidoğanın Anne Sütü ile Beslenmesine Etkisi

Yıl 2023, Cilt: 1 Sayı: 1, 1 - 9, 10.05.2023

Hamide Zengin , Aslı Akdeniz Kudubeş

Öz

Bebeğin dik pozisyonda ebeveynin göğsü üzerinde tutulması, keseli hayvan bakımı simülasyonu nedeniyle yaygın olarak kanguru bakımı (KB) olarak adlandırılır. KB ten-tene temas, yalnızca bebeğin anne sütü ile beslenmesi ve yakın takip bileşenlerinden oluşmaktadır. KB’nın çekirdeğini oluşturan anne-bebek ten tene teması, anne sütünün salınımını indüklemekte böylece ikincil bileşen olarak anne sütü ile beslenme karşımıza çıkmaktadır. Literatürde KB’nın onlarca yararından bahsedilmektedir. Bunlardan biri de yenidoğanın anne sütü ile beslenmesine olumlu katkılar sunmasıdır. Anne sütü ile beslenmenin vurgusu göz önünde bulundurulduğunda; KB’nın anne sütü ile beslenme başarısını ve tek başına anne sütü ile beslenme süresini arttırdığı, annenin süt miktarına olumlu katkılar verdiği, anne sütü ile beslenmeye geçiş süresini kısalttığı, annenin emzirme öz yeterliliğini arttırdığı literatürde bildirilmiştir. Uygulanabilir, doğal ve uygun maliyetli bir müdahale olarak KB'nın, coğrafi konum veya ekonomik duruma bakılmaksızın tüm bebekler için kaliteli sağlık hizmeti sunumunda standart bakım olarak yer alması önerilmektedir.

Anahtar Kelimeler

Kanguru Bakımı, Yenidoğan, Anne Sütü, Emzirme, Beslenme

Destekleyen Kurum

Yoktur

Proje Numarası

Yoktur

Teşekkür

Yoktur

The Effect of Kangaroo Care on Breastfeeding of the Newborn

Öz

Holding the baby in an upright position on the parent's chest is commonly referred to as kangaroo care (KC) because of the simulation of marsupial care. KC consists of skin-to-skin contact, feeding the baby only with breast milk (exclusively breast feeding), and close follow-up. The mother-infant skin-to-skin contact, which constitutes the core of KC, induces the release of breast milk, thus breastfeeding as a secondary component. Dozens of benefits of KC are mentioned in the literature. One of them is that it provides positive contributions to the feeding of the newborn with breast milk. Considering the emphasis on breastfeeding; It has been reported in the literature that KC increases the success of breastfeeding and the duration of exclusively breast feeding, contributes positively to the amount of breast milk, shortens the transition period to breastfeeding, and increases the breastfeeding self-efficacy of the mother. As a feasible, natural and cost-effective intervention, it is recommended that KC be included as standard of care in the delivery of quality health care for all infants, regardless of geographic location or economic status.

Anahtar Kelimeler

Kangaroo Care, Newborn, Human Milk, Breastfeeding, Nutrition

Proje Numarası

Yoktur

Kaynakça

• Aghdas, K., Talat, K., & Sepideh, B. (2014). Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial. Women and birth : Journal of the Australian College of Midwives, 27(1), 37-40. https://doi.org/10.1016/j.wombi.2013.09.004.
• Ali, S. M., Sharma, J., Sharma, R., & Alam, S. (2009). Kangaroo mother care as compared to conventional care for low birth weight babies. Dicle Tip Dergisi, 36(3), 155-160. https://dergipark.org.tr/tr/download/article-file/54001.
• Bigelow, A., Power, M., MacLellan-Peters, J., Alex, M., & McDonald, C. (2012). Effect of mother/infant skin-to-skin contact on postpartum depressive symptoms and maternal physiological stress. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(3), 369-382. https://doi.org/10.1111/j.1552-6909.2012.01350.x.
• Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E., Kajeepeta, S., Wall, S., & Chan, G. J. (2016). Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis. Pediatrics, 137(1), e20152238. https://doi.org/10.1542/peds.2015-2238.
• Campbell-Yeo, M. L., Disher, T. C., Benoit, B. L., & Johnston, C. C. (2015). Understanding kangaroo care and its benefits to preterm infants. Pediatric Health, Medicine and Therapeutics, 6, 15-32. https://doi.org/10.2147/PHMT.S51869.
• Charpak, N., Ruiz-Pelaez, J. G., Figueroa de C, Z., & Charpak, Y. (2001). A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics, 108(5), 1072-1079. https://doi.org/10.1542/peds.108.5.1072.
• Charpak, N., Tessier, R., Ruiz, J. G., Hernandez, J. T., Uriza, F., Villegas, J., Nadeau, L., Mercier, C., Maheu, F., Marin, J., Cortes, D., Gallego, J. M., & Maldonado, D. (2017). Twenty-year Follow-up of Kangaroo Mother Care Versus Traditional Care. Pediatrics, 139(1), e20162063. https://doi.org/10.1542/peds.2016-2063.
• Christensson, K., Bhat, G. J., Amadi, B. C., Eriksson, B., & Höjer, B. (1998). Randomised study of skin-to-skin versus incubator care for rewarming low-risk hypothermic neonates. Lancet (London, England), 352(9134), 1115. https://doi.org/10.1016/S0140-6736(98)00028-2.
• Chwo, M. J., Anderson, G. C., Good, M., Dowling, D. A., Shiau, S. H., & Chu, D. M. (2002). A randomized controlled trial of early kangaroo care for preterm infants: effects on temperature, weight, behavior, and acuity. The journal of nursing research : JNR, 10(2), 129-142. https://doi.org/10.1097/01.jnr.0000347592.43768.46.
• Conde-Agudelo, A., Belizán, J. M., & Diaz-Rossello, J. (2011). Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. The Cochrane Database Of Systematic Reviews, (3), CD002771. https://doi.org/10.1002/14651858.CD002771.pub2.
• Conde-Agudelo, A., & Díaz-Rossello, J. L. (2016). Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. The Cochrane Database of Systematic Reviews, (8). https://doi.org/10.1002/14651858.CD002771.pub4.
• Coşkun, T. (2003). Anne Sütü İle Beslenmenin Yararları. Katkı Pediatri Dergisi, 25(2), 199-200.
• Coşkun, D., & Günay, U. (2020). The Effects of Kangaroo Care Applied by Turkish Mothers who Have Premature Babies and Cannot Breastfeed on Their Stress Levels and Amount of Milk Production. Journal of Pediatric Nursing, 50, e26-e32. https://doi.org/10.1016/j.pedn.2019.09.028.
• Cunningham, C., Moore, Z., Patton, D., O’Connor, T., & Nugent, L. E. (2018). Does kangaroo care affect the weight of preterm/low birth-weight infants in the neonatal setting of a hospital environment? Journal of Neonatal Nursing, 24(4), 189-195. https://doi.org/ 10.1016/j.jnn.2017.10.001.
• El-Farrash, R. A., Shinkar, D. M., Ragab, D. A., Salem, R. M., Saad, W. E., Farag, A. S., Salama, D. H., & Sakr, M. F. (2020). Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial. Pediatric research, 87(4), 683-688. https://doi.org/10.1038/s41390-019-0558-6.
• Gathwala, G., Singh, B., & Balhara, B. (2008). KMC facilitates mother baby attachment in low birth weight infants. Indian journal of pediatrics, 75(1), 43-47. https://doi.org/10.1007/s12098-008-0005-x.
• Giray, H. (2004). Anne Sütü ile Beslenme. Sürekli Tıp Eğitimi Dergisi, 13(1), 12-15.
• Gür, E. (2007). Anne Sütü İle Beslenme. Türk Pediatri Arşivi- Anne Sütü Özel Sayısı, 42(1), 11-15.
• Hardy W. (2011). Integration of kangaroo care into routine caregiving in the NICU: what is stopping you?. Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 11(2), 119-121. https://doi.org/10.1097/ANC.0b013e3182120b04.
• Heidarzadeh, M., Hosseini, M. B., Ershadmanesh, M., Gholamitabar Tabari, M., & Khazaee, S. (2013). The Effect of Kangaroo Mother Care (KMC) on Breast Feeding at the Time of NICU Discharge. Iranian Red Crescent medical journal, 15(4), 302-306. https://doi.org/10.5812/ircmj.2160.
• Irmak, N. (2016). Anne sütünün önemi ve ilk 6 ay sadece anne sütü vermeyi etkileyen unsurlar. The Journal of Turkish Family Physician, 7(2), 27-31. https://doi.org/10.15511/tjtfp.16.02627.
• Karakoç-Geçici, A., & Geçkil, E. (2020). Kanguru bakımının prematüre bebek annelerinin emzirme özyeterlilik düzeyi ve emzirme başarısına etkisi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(4), 516-526. https://doi.org/10.17049/ataunihem.674646.
• Karimi, A., Tara, F., Khadivzadeh, T., & Aghamohammadian Sharbaf, H.R. (2013). The effect of skin to skin contact immediately after delivery on the maternal attachment and anxiety regarding infant. The Iranian Journal of Obstetrics, Gynecology and Infertility, 16(67), 7-15.
• Karimi, F. Z., Sadeghi, R., Maleki-Saghooni, N., & Khadivzadeh, T. (2019). The effect of mother-infant skin to skin contact on success and duration of first breastfeeding: A systematic review and meta-analysis. Taiwanese journal of obstetrics & gynecology, 58(1), 1-9. https://doi.org/10.1016/j.tjog.2018.11.002.
• Karimi, F. Z., Heidarian Miri, H., Salehian, M., Khadivzadeh, T., & Bakhshi, M. (2019). The effect of mother-infant skin to skin contact after birth on third stage of labor: A systematic review and meta-analysis. Iranian Journal of Public Health, 48(4), 612-620.
• Karimi, F. Z., Miri, H. H., Khadivzadeh, T., & Maleki-Saghooni, N. (2020). The effect of mother-infant skin-to-skin contact immediately after birth on exclusive breastfeeding: a systematic review and meta-analysis. Journal of the Turkish German Gynecological Association, 21(1), 46-56. https://doi.org/10.4274/jtgga.galenos.2019.2018.0138.
• Khadivzadeh, T., Karimi, F. Z., Tara, F., & Bagheri, S. (2016). The effect of postpartum mother- infant skin-to-skin contact on exclusive breastfeeding in neonatal period: A randomized controlled trial. Int J Pediatr, 4(5), 5409-17. https://doi.org/10.22038/ijp.2016.7522.
• Koç, S., & Kaya, N. (2017). Doğumda kanguru bakımının sağlıklı yeni doğanların fizyolojik parametrelerine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi, 19(1), 1-13.
• Kostandy, R. R., & Ludington-Hoe, S. M. (2019). The evolution of the science of kangaroo (mother) care (skin-to-skin contact). Birth defects research, 111(15), 1032-1043. https://doi.org/10.1002/bdr2.1565.
• Kucukoglu, S., Kurt, F. Y., Ozdemir, A. A., & Ozcan, Z. (2021). The effect of kangaroo care on breastfeeding and development in preterm neonates. Journal of Pediatric Nursing, 60, e31-e38. https://doi.org/10.1016/j.pedn.2021.02.019.
• Lawn, J. E., Mwansa-Kambafwile, J., Horta, B. L., Barros, F. C., & Cousens, S. (2010). ‘Kangaroo mother care’ to prevent neonatal deaths due to preterm birth complications. International journal of epidemiology, 39 Suppl 1(Suppl 1), i144-i154. https://doi.org/10.1093/ije/dyq031.
• Ludington-Hoe, S. M., & Golant, S. K. (1993). Kangaroo care. The Best You Can Do To Help Your Pretem Infant. Bantam Books, USA. ISBN: 0-553-37245-9.
• Ludington-Hoe, S. M., Anderson, G. C., Swinth, J. Y., Thompson, C., & Hadeed, A. J. (2004). Randomized controlled trial of kangaroo care: cardiorespiratory and thermal effects on healthy preterm infants. Neonatal network: NN, 23(3), 39-48. https://doi.org/10.1891/0730-0832.23.3.39
• Ludington-Hoe, S. M. (2010). Chapter 18: Kangaroo care is developmental care. In T. Verklan, J. McGrath (Eds.), Developmental care of newborns and infants 2nd ed. St. Louis, MO: Mosby and National Association of Neonatal Nurses, 245-288.
• Marín Gabriel, M. A., Llana Martín, I., López Escobar, A., Fernández Villalba, E., Romero Blanco, I., & Touza Pol, P. (2010). Randomized controlled trial of early skin-to-skin contact: effects on the mother and the newborn. Acta paediatrica (Oslo, Norway : 1992), 99(11), 1630-1634. https://doi.org/10.1111/j.1651-2227.2009.01597.x
• Mekonnen, A. G., Yehualashet, S. S., & Bayleyegn, A. D. (2019). The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies. International Breastfeeding Journal, 14(1), 1-6. https://doi.org/10.1186/s13006-019-0206-0.
• Mellis, C. (2016). Kangaroo mother care and neonatal outcomes: A meta-analysis. Journal of Paediatrics and Child Health, 52(5), 579. https://doi.org/10.1111/jpc.13218.
• Mitchell, A. J., Yates, C., Williams, K., & Hall, R. W. (2013). Effects of daily kangaroo care on cardiorespiratory parameters in preterm infants. Journal of neonatal-perinatal medicine, 6(3), 243-249. https://doi.org/10.3233/NPM-1370513.
• Moore, E. R., Anderson, G. C., Bergman, N., & Dowswell, T. (2012). Early skin-to-skin contact for mothers and their healthy newborn infants. The Cochrane database of systematic reviews, 5(5), CD003519. https://doi.org/10.1002/14651858.CD003519.pub3.
• Neu, M., & Robinson, J. (2010). Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 39(4), 401-414. https://doi.org/10.1111/j.1552-6909.2010.01152.x.
• Özmert, E. N. (2005). Erken çocukluk gelişiminin desteklenmesi-I: Beslenme. Çocuk sağlığı ve hastalıkları dergisi, 48(1), 79-195. http://www.cshd.org.tr/uploads/pdf_CSH_176.pdf.
• Ramanathan, K., Paul, V. K., Deorari, A. K., Taneja, U., & George, G. (2001). Kangaroo Mother Care in very low birth weight infants. Indian journal of pediatrics, 68(11), 1019-1023. https://doi.org/10.1007/BF02722345.
• Savino, F., & Lupica, M. M. (2006). II latte materno: costituenti biologici per il benessere del bambino [Breast milk: biological constituents for health and well-being in infancy]. Recenti progressi in medicina, 97(10), 519-527.
• Schack-Nielsen, L., & Michaelsen, K. F. (2006). Breast feeding and future health. Current opinion in clinical nutrition and metabolic care, 9(3), 289-296. https://doi.org/10.1097/01.mco.0000222114.84159.79.
• Sloan, N. L., Camacho, L. W., Rojas, E. P., & Stern, C. (1994). Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Maternidad Isidro Ayora Study Team. Lancet (London, England), 344(8925), 782-785. https://doi.org/10.1016/s0140-6736(94)92341-8.
• Solomons, N., & Rosant, C. (2012). Knowledge and attitudes of nursing staff and mothers towards kangaroo mother care in the eastern sub-district of Cape Town. South African Journal of Clinical Nutrition, 25(1), 33-39. https://doi.org/10. 1080/16070658.2012.11734400.
• Thompson, J. (2005). Breastfeeding: benefits and implications. Part two. Community Pract, 78(6): 218-9.
• Tully, K. P., Holditch-Davis, D., White-Traut, R. C., David, R., O’Shea, T. M., & Geraldo, V. (2016). A Test of Kangaroo Care on Preterm Infant Breastfeeding. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 45(1), 45-61. https://doi.org/10.1016/j.jogn.2015.10.004.
• Türkiye Nüfus ve Sağlık Araştırması (TNSA). (2018). Bebeklerin ve Küçük Çocukların Beslenme Durumu. 8.2.2023 tarihinde http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf adresinden erişildi.
• World Health Organisation (WHO) (2017). Ten facts on breastfeeding. 8.2.2023. tarihinde http://www.who.int/topics/breastfeeding/en/ adresinden erişildi.
• World Health Organisation (WHO). (2021). Immediate kangaroo mother care for preterm and low birthweight babies requires dedicated Mother-Newborn Intensive Care Units. 8.2.2023. tarihinde https://www.who.int/news/item/26-05-2021-kangaroo-mother-care-started-immediately-after-birth-critical-for-saving-lives-new-research-shows adresinden erişildi.
• Yılmaz, A. (2020). İndirekt hiperbilirubinemili bebeklere uygulanan kanguru bakımının anne sütü ile beslenme ve fototerapi süresi üzerine etkisi. (Yayınlanmamış Doktora Tezi). Ankara Üniversitesi, Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Ankara.
• Zengin H, Cinar N. (2019). Kanguru bakımı konfor ölçeğinin geliştirilmesi, geçerlik ve güvenirlik çalışması. Hemşirelikte Araştırma Geliştirme Dergisi, 21(1-2), 69-83. http://hemarge.org.tr/ckfinder/userfiles/files/2019/12/M7.pdf.
• Zengin H., & Çınar N. (2021). Kanguru bakımının kanıta dayalı yararları. 7. Uluslararası Kadın, Çocuk Sağlığı ve Eğitimi Kongresi. 24-25 Mayıs, 133-141.
• Zengin H., & Cinar N. (2022). Designing dress (Sarbebe) for kangaroo care, the effect of kangaroo care provided with this dress on mother and newborn’s comfort. Health Care for Women International, 43(6), 642-662. https://doi.org/10.1080/07399332.2021.1893733.
• Zhang, B., Duan, Z., Zhao, Y., Williams, S., Wall, S., Huang, L., ... & Zhao, G. (2020). Intermittent kangaroo mother care and the practice of breastfeeding late preterm infants: results from four hospitals in different provinces of China. International Breastfeeding Journal, 15(1), 1-9. https://doi.org/10.1186/s13006-020-00309-5.