Araştırma Makalesi
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Enjektör ile Beslenen Prematüre Bebeklerin Annelerinin Taburculuk Sonrası Beslenmenin Devamlılığını Sağlama Durumları ve İlişkili Faktörler

Yıl 2023, Cilt: 6 Sayı: 1, 26 - 34, 12.04.2023
https://doi.org/10.54189/hbd.1232397

Öz

Giriş: Prematüre bebeklerin beslenmesinde optimal bir metot tanımlamak çok zordur. Bu nedenle anne memesini emme durumuna gelene kadar emzirmeye alternatif beslenme metodu kullanılmıştır
Yöntem: Araştırma gözlemsel prospektif olarak yapılmıştır. Yenidoğan yoğun bakım ünitesinde tedavi ve bakım alan prematüre bebeğe sahip 75 anne ile yürütülmüştür. Annelere enjektörle beslenme eğitimi verilmiştir. Taburculuk sırasında ve sonrası dönemde bebeğin beslenme yöntemi ve kilosuna ait veriler anneler ile telefon görüşmesi aracılığıyla elde edilmiştir.
Bulgular: Çalışmaya katılan annelerin %68.0’ı daha önce bebek emzirme deneyimi yaşamış, %77.3’ü de bebeğini enjektör ile iyi beslendiğini ifade etmiştir. Bebeklerinin %52.0’ının 30-32. gestasyon yaşında, %74.6’sının postnatal 1-5. gün peroral beslenmeye başladıkları tespit edilmiştir. Taburculuk sonrası 7. gün beslenme yöntemleri ile kilo alımları arasında istatistiksel olarak anlamlı fark bulunmuştur (p=0.018).
Sonuç: Annelerin doğum şekli bebeklerinin besleme yöntemini etkilemektedir. Anneler 0. gün enjektör yöntemi ile beslemeyi tercih etmektedir. Gestasyon yaşı 36 hafta ve üzerinde olan prematüre bebeklerin enjektör yönteminde verilen süt veya mamayı daha iyi alabilmektedir. Kanguru bakımı alan annelerin enjektör ile beslenme yöntemini tercih edebildikleri saptanmıştır.

Destekleyen Kurum

yok

Teşekkür

Prematüre bebek ve annelere teşekkür ederiz

Kaynakça

  • Acunaş, B. Baş, AY. Uslu, S. (2014). Türk Neonatoloji Derneği Yüksek Riskli Bebeklere Yaklaşım ve İzlem Rehberi. http://www.neonatology.org.tr/images/stories/files/makaleler/ yuksek_riskli_bebek.pdf (Erişim Tarihi: 24.11.2022).
  • Ahi, S. Borlu, A. Balcı, E. Günay, O. (2019). Bebek dostu bir hastanede doğum yapan annelerin doğumdan sonra ilk bir saatte emzirmeye başlama durumları ve ilişkili faktörler. Ahi Evran Med J. 3(2):41-47
  • Alzaheb, R.A. (2017). A review of the factors associated with the timely ınitiation of breastfeeding and exclusive breastfeeding in the middle east. Clinical Medicine Insights: Pediatrics, 11: 1–15. DOI:10.1177/1179556517748912 American Academy of Pediatrics. (2022). Work Group on Breastfeeding. Updated AAP guidance recommends longer breastfeeding due to benefits, https://publications.aap.org/aapnews/news/20528/UpdatedAAP-guidance-recommendslonger?autologincheck=redirected (Erişim Tarihi: 15.11.2022).
  • Batistaa LCC. Ribeirob, SV. Nascimentoc, MSB. Rodriguesd, VP. (2018). Association between pacifier use and bottlefeeding and unfavorable behaviors during breastfeeding. J Pediatr (Rio J).94(6):596-601. DOI: 10.1016/j.jped.2017.10.005
  • Bellu, R. Condo, M. (2017) Breastfeeding promotion: evidence and problems. La Pediatria Medica e Chirurgica - Medical and Surgical Pediatrics.39:156, 53-56. DOI: 10.4081/pmc.2017.156
  • Buldur, E. Baltaci, N. Terek, D. Yalaz, M. Koroglu, O. Akisu, M. & Kultursay, N. (2020). Comparison of the finger feeding method versus syringe feeding method in supporting sucking skills of preterm babies. Breastfeeding Medicine, 15(11), 703- 708. DOI:10.1089/bfm.2020.0043
  • 8. Collins, CT. Gillis, J. McPhee, AJ. Suganuma, H. Makrides, M. (2016). Avoidance of bottles during the establishment of breast feeds in preterm infants. Cochrane Database of Systematic Reviews, Issue 10. Art. No.: CD005252. DOI: 10.1002/14651858.CD005252.pub4
  • Conde-Agudelo, A. Díaz-Rossello, JL. (2016). Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews.,Issue 8. Art. No.: CD002771. DOI: 10.1002/14651858.CD002771.pub4.
  • Cormack, EB. Harding, JE. Miller, SP. Bloomfield, FH. (2019). The Influence of Early Nutrition on Brain Growth and Neurodevelopment in Extremely Preterm Babies: A Narrative Review. Nutrients. 11: 20-29; DOİ:10.3390/nu11092029
  • Cunhaa, SRD. Filhoc, LF. Rafael, EV. Lamyc, ZC. Guimarães de Queiroz, AL. (2016). Breast milk supplementation and preterm infant development after hospital discharge: a randomized clinical trial. J Pediatr (Rio J), 92:136-42. DOI: 10.1016/j.jped.2015.04.004
  • Díaz, P. F., & Valdebenito, M. R. (2007). The transition from tube to nipple in the premature newborn. Newborn and Infant Nursing Reviews, 7(2), 114-119.
  • Didişen, AN. Gerçek, E. (2015). Breastfeeding in multiple pregnancies induced by assisted reproduction technologies. The Journal of Pediatric Research.2:177-182. DOI:10.4274/jpr.05706
  • Ericson, J. Eriksson, M. Hoddinott, P. Hellström-Westas, L. Flacking, R. (2018). Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up. Matern Child Nutr. 14:e12618. DOI: 10.1111/mcn.12618
  • Flint A, New K, Davies MW. (2016). Cup feeding versus other forms of supplemental enteral feeding for newborn infants unable to fully breastfeed. Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD005092.
  • Kotowski, J. Fowler, C. Hourigan, C. Orr, F.( 2020). Bottlefeeding an infant feeding modality: An integrative literature review. Matern Child Nutr.16:12939. doi: 10.1111/mcn.12939
  • 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, 31-38. DOI: 10.1016/j.pedn.2021.02.019
  • Kumar, R. K., Singhal, A., Vaidya, U., Banerjee, S., Anwar, F., & Rao, S. (2017). Optimizing nutrition in preterm low birth weight infants—consensus summary. Frontiers in Nutrition, 4: 20. https://doi.org/10.3389/fnut.2017.00020
  • Kültürsay, N. Bilgen, H. Türkyılmaz, C. (2018). Hastanede Yatan Prematüre Bebeğin Enteral Beslenmesi. Türk Neonatoloji Derneği Rehberleri Güncellemeleri. S.22-24. http://www.neonatology.org.tr/images/stories/files/makaleler/ yuksek_riskli_bebek.pdf (Erişim Tarihi:26.05.2021).
  • Lapillonne, A. O’Connor, DL. Wang, D. Rigo, J. (2013). Nutritional recommendations for the late-preterm infant and the preterm infant after hospital discharge. J Pediatr.162:90-100. • DOI:10.1016/j.jpeds.2012.11.058
  • 21. Lau, C. (2015). Development of Suck and Swallow Mechanisms in Infants. Ann Nutr Metab.66(5):7–14. DOI: 10.1159/000381361
  • Marofi, M. Abedini, F. Mohammadizadeh, M. Talakoub, S. (2016). Effect of palady and cup feeding on premature neonates’ weight gain and reaching full oral feeding time interval. Iranian Journal of Nursing and Midwifery Research, 21(2):202-206. doi: 10.4103/1735-9066.178249 33 Güner Başara ve ark. Hemşirelik Bilimi Dergisi 20236(1) 26–34
  • McKinney, MC. Glass, RP. Coffey, P. Ru,e T. Vaughn, MG. Cunningham, M. (2016). Feeding Neonates by Cup: A Systematic Review of the Literature. Matern Child HealthJ. 20:1620–1633. DOI: 10.1007/s10995-016-1961-9
  • Montealegre‐Pomar A, Bertolotto-Cepeda AM, RomeroMarquez Y, José Muñoz –Ramírez K. (2021). Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight. Journal of Parenteral and Enteral Nutrition, 45(3): 578-586. DOI: 10.1002/jpen.1925
  • Neonatal Guideline (2020). https://medicaldialogues.in/pediatricsneonatology/guidelines/nice-guidelines-on-neonatalparenteral-nutrition-64419 (Erişim Tarihi; 12.12.2021).
  • Oras, P. Blomqvist,TY. Nyqvist, KH. Gradin, M. Rubertsson, C. Hellström-Westas, L. Funkquist, EL. (2016). Skin-to-skin contact is associated with earlierbreastfeeding attainment in preterm infants. Acta Paediatr.105(7): 783–789. DOI: 10.1111/apa.13431
  • Skinner, A. M., & Narchi, H. (2021). Preterm nutrition and neurodevelopmental outcomes. World Journal of Methodology.11(6), 278. DOİ 10.5562/wjm.v11.i6.278
  • Su, Bai-Horng. (2014). Optimizing nutrition in preterm infants. Pediatrics & Neonatology, 55.1: 5-13. DOI: 10.1016/j.pedneo.2013.07.003
  • 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 & Neonatal Nursing, 45(1), 45-61. DOI: 10.1016/j.jogn.2015.10.004
  • Türkyılmaz, C., Bilgen, H., & Kültürsay, N. (2018). Turkish Neonatal Society guideline on parenteral nutrition in preterm infants. Turkish Archives of Pediatrics/Türk Pediatri Arşivi, 53(Suppl 1), S119. 31. UNİCEF. Breastfeeding, (2021). https://data.unicef.org/topic/nutrition/breastfeeding/ (Erişim Tarihi:20.11.2022) 32. World Health Organization. (2019). Early initiation of breastfeeding to promote exclusive breastfeeding. https://www.who.int/elena/titles/early_breastfeeding/en/ (Erişim Tarihi; 12.12.2021) 33. World Health Organization. Infant and young child feeding 2021. https://www.who.int/news-room/factsheets/detail/infant-and-young-child-feeding (Erişim Tarihi: 15.11.2022). 34. Zimmerman, E. Thompson, K. (2015). Clarifying nipple confusion. J Perinatol, 35(11):895-9. DOI: 10.1038/jp.2015.83

THE EFFECTIVENESS OF PREMATURE INFANT NUTRITION WITH SYRİNGE DUE TO THE MONITORING PERIODS AFTER DISCHARGING AND ANALYSIS OF MOTHERS’ PREFERENCE FOR NUTRITION METHOD

Yıl 2023, Cilt: 6 Sayı: 1, 26 - 34, 12.04.2023
https://doi.org/10.54189/hbd.1232397

Öz

Background: It is very difficult to define an optimal method of feeding premature infants. For this reason, an alternative feeding method to breastfeeding was used.
Method: The study was conducted as an observational prospective study with 75 mothers of premature babies receiving treatment and care in NICU. Mothers were given injector nutrition education. Data on the feeding method and weight of the baby during and after discharge were obtained through telephone interviews with the mothers.
Results: 68.0% of the mothers had experienced breastfeeding before, 77.3% stated that their baby was well fed with the injector. 52.0% of their babies are 30-32. gestational age, 74.6% postnatal 1-5. peroral feeding was started.. A statistically significant difference was found between feeding methods, weight gain on the 7th day after discharge (p=0.018).
Conclusion: The way of birth of mothers affects the feeding method of their babies. Mothers prefer to feed with the injector method on the 0th day. Premature babies with a gestational age of 36 weeks and above can take the milk or formula given by the injector method better. Mothers receiving kangaroo care may prefer injector feeding method.

Kaynakça

  • Acunaş, B. Baş, AY. Uslu, S. (2014). Türk Neonatoloji Derneği Yüksek Riskli Bebeklere Yaklaşım ve İzlem Rehberi. http://www.neonatology.org.tr/images/stories/files/makaleler/ yuksek_riskli_bebek.pdf (Erişim Tarihi: 24.11.2022).
  • Ahi, S. Borlu, A. Balcı, E. Günay, O. (2019). Bebek dostu bir hastanede doğum yapan annelerin doğumdan sonra ilk bir saatte emzirmeye başlama durumları ve ilişkili faktörler. Ahi Evran Med J. 3(2):41-47
  • Alzaheb, R.A. (2017). A review of the factors associated with the timely ınitiation of breastfeeding and exclusive breastfeeding in the middle east. Clinical Medicine Insights: Pediatrics, 11: 1–15. DOI:10.1177/1179556517748912 American Academy of Pediatrics. (2022). Work Group on Breastfeeding. Updated AAP guidance recommends longer breastfeeding due to benefits, https://publications.aap.org/aapnews/news/20528/UpdatedAAP-guidance-recommendslonger?autologincheck=redirected (Erişim Tarihi: 15.11.2022).
  • Batistaa LCC. Ribeirob, SV. Nascimentoc, MSB. Rodriguesd, VP. (2018). Association between pacifier use and bottlefeeding and unfavorable behaviors during breastfeeding. J Pediatr (Rio J).94(6):596-601. DOI: 10.1016/j.jped.2017.10.005
  • Bellu, R. Condo, M. (2017) Breastfeeding promotion: evidence and problems. La Pediatria Medica e Chirurgica - Medical and Surgical Pediatrics.39:156, 53-56. DOI: 10.4081/pmc.2017.156
  • Buldur, E. Baltaci, N. Terek, D. Yalaz, M. Koroglu, O. Akisu, M. & Kultursay, N. (2020). Comparison of the finger feeding method versus syringe feeding method in supporting sucking skills of preterm babies. Breastfeeding Medicine, 15(11), 703- 708. DOI:10.1089/bfm.2020.0043
  • 8. Collins, CT. Gillis, J. McPhee, AJ. Suganuma, H. Makrides, M. (2016). Avoidance of bottles during the establishment of breast feeds in preterm infants. Cochrane Database of Systematic Reviews, Issue 10. Art. No.: CD005252. DOI: 10.1002/14651858.CD005252.pub4
  • Conde-Agudelo, A. Díaz-Rossello, JL. (2016). Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews.,Issue 8. Art. No.: CD002771. DOI: 10.1002/14651858.CD002771.pub4.
  • Cormack, EB. Harding, JE. Miller, SP. Bloomfield, FH. (2019). The Influence of Early Nutrition on Brain Growth and Neurodevelopment in Extremely Preterm Babies: A Narrative Review. Nutrients. 11: 20-29; DOİ:10.3390/nu11092029
  • Cunhaa, SRD. Filhoc, LF. Rafael, EV. Lamyc, ZC. Guimarães de Queiroz, AL. (2016). Breast milk supplementation and preterm infant development after hospital discharge: a randomized clinical trial. J Pediatr (Rio J), 92:136-42. DOI: 10.1016/j.jped.2015.04.004
  • Díaz, P. F., & Valdebenito, M. R. (2007). The transition from tube to nipple in the premature newborn. Newborn and Infant Nursing Reviews, 7(2), 114-119.
  • Didişen, AN. Gerçek, E. (2015). Breastfeeding in multiple pregnancies induced by assisted reproduction technologies. The Journal of Pediatric Research.2:177-182. DOI:10.4274/jpr.05706
  • Ericson, J. Eriksson, M. Hoddinott, P. Hellström-Westas, L. Flacking, R. (2018). Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up. Matern Child Nutr. 14:e12618. DOI: 10.1111/mcn.12618
  • Flint A, New K, Davies MW. (2016). Cup feeding versus other forms of supplemental enteral feeding for newborn infants unable to fully breastfeed. Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD005092.
  • Kotowski, J. Fowler, C. Hourigan, C. Orr, F.( 2020). Bottlefeeding an infant feeding modality: An integrative literature review. Matern Child Nutr.16:12939. doi: 10.1111/mcn.12939
  • 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, 31-38. DOI: 10.1016/j.pedn.2021.02.019
  • Kumar, R. K., Singhal, A., Vaidya, U., Banerjee, S., Anwar, F., & Rao, S. (2017). Optimizing nutrition in preterm low birth weight infants—consensus summary. Frontiers in Nutrition, 4: 20. https://doi.org/10.3389/fnut.2017.00020
  • Kültürsay, N. Bilgen, H. Türkyılmaz, C. (2018). Hastanede Yatan Prematüre Bebeğin Enteral Beslenmesi. Türk Neonatoloji Derneği Rehberleri Güncellemeleri. S.22-24. http://www.neonatology.org.tr/images/stories/files/makaleler/ yuksek_riskli_bebek.pdf (Erişim Tarihi:26.05.2021).
  • Lapillonne, A. O’Connor, DL. Wang, D. Rigo, J. (2013). Nutritional recommendations for the late-preterm infant and the preterm infant after hospital discharge. J Pediatr.162:90-100. • DOI:10.1016/j.jpeds.2012.11.058
  • 21. Lau, C. (2015). Development of Suck and Swallow Mechanisms in Infants. Ann Nutr Metab.66(5):7–14. DOI: 10.1159/000381361
  • Marofi, M. Abedini, F. Mohammadizadeh, M. Talakoub, S. (2016). Effect of palady and cup feeding on premature neonates’ weight gain and reaching full oral feeding time interval. Iranian Journal of Nursing and Midwifery Research, 21(2):202-206. doi: 10.4103/1735-9066.178249 33 Güner Başara ve ark. Hemşirelik Bilimi Dergisi 20236(1) 26–34
  • McKinney, MC. Glass, RP. Coffey, P. Ru,e T. Vaughn, MG. Cunningham, M. (2016). Feeding Neonates by Cup: A Systematic Review of the Literature. Matern Child HealthJ. 20:1620–1633. DOI: 10.1007/s10995-016-1961-9
  • Montealegre‐Pomar A, Bertolotto-Cepeda AM, RomeroMarquez Y, José Muñoz –Ramírez K. (2021). Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight. Journal of Parenteral and Enteral Nutrition, 45(3): 578-586. DOI: 10.1002/jpen.1925
  • Neonatal Guideline (2020). https://medicaldialogues.in/pediatricsneonatology/guidelines/nice-guidelines-on-neonatalparenteral-nutrition-64419 (Erişim Tarihi; 12.12.2021).
  • Oras, P. Blomqvist,TY. Nyqvist, KH. Gradin, M. Rubertsson, C. Hellström-Westas, L. Funkquist, EL. (2016). Skin-to-skin contact is associated with earlierbreastfeeding attainment in preterm infants. Acta Paediatr.105(7): 783–789. DOI: 10.1111/apa.13431
  • Skinner, A. M., & Narchi, H. (2021). Preterm nutrition and neurodevelopmental outcomes. World Journal of Methodology.11(6), 278. DOİ 10.5562/wjm.v11.i6.278
  • Su, Bai-Horng. (2014). Optimizing nutrition in preterm infants. Pediatrics & Neonatology, 55.1: 5-13. DOI: 10.1016/j.pedneo.2013.07.003
  • 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 & Neonatal Nursing, 45(1), 45-61. DOI: 10.1016/j.jogn.2015.10.004
  • Türkyılmaz, C., Bilgen, H., & Kültürsay, N. (2018). Turkish Neonatal Society guideline on parenteral nutrition in preterm infants. Turkish Archives of Pediatrics/Türk Pediatri Arşivi, 53(Suppl 1), S119. 31. UNİCEF. Breastfeeding, (2021). https://data.unicef.org/topic/nutrition/breastfeeding/ (Erişim Tarihi:20.11.2022) 32. World Health Organization. (2019). Early initiation of breastfeeding to promote exclusive breastfeeding. https://www.who.int/elena/titles/early_breastfeeding/en/ (Erişim Tarihi; 12.12.2021) 33. World Health Organization. Infant and young child feeding 2021. https://www.who.int/news-room/factsheets/detail/infant-and-young-child-feeding (Erişim Tarihi: 15.11.2022). 34. Zimmerman, E. Thompson, K. (2015). Clarifying nipple confusion. J Perinatol, 35(11):895-9. DOI: 10.1038/jp.2015.83
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Araştırma Makaleleri
Yazarlar

Sultan Güner Başara 0000-0002-0665-5396

Emel Bahadır Arsu 0000-0002-8688-6740

Raziye Noğan 0000-0001-7976-2080

Yayımlanma Tarihi 12 Nisan 2023
Gönderilme Tarihi 11 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 6 Sayı: 1

Kaynak Göster

APA Güner Başara, S., Bahadır Arsu, E., & Noğan, R. (2023). Enjektör ile Beslenen Prematüre Bebeklerin Annelerinin Taburculuk Sonrası Beslenmenin Devamlılığını Sağlama Durumları ve İlişkili Faktörler. Hemşirelik Bilimi Dergisi, 6(1), 26-34. https://doi.org/10.54189/hbd.1232397