Parmakla Besleme Yöntemi: Olgu Sunumu

Öz

Amaç: Bebekleri anne sütü ile beslemenin ideal yolunun emzirme olduğu bilinmekle birlikte, bazı bebekler anne sütü ile beslenmede zorluklarla karşılaşmaktadır. Bu durumlarda biberon yerine kapla besleme, emzirme destek sistemi ve parmakla besleme gibi alternatif besleme yöntemlerinin kullanılması emzirmenin devamlılığının sağlanmasında önemli faktörlerden biridir. Bu yazıda uzun süre parmakla besleme yöntemi ile beslenen iki olgu sunulmuştur. Olgular: Birinci olgu; sezaryenle 35 haftalık doğan prematüre bebek 5 günlükken emmeme şikayeti ile getirildi. Fizik muayenesinde özelliği olmayan bebek biberonla sağılmış anne sütü ve formula ile beslenmekteydi. Anneye ten teması, üç saatte bir sağım ve bebeği parmakla besleme yöntemi ile beslemesi önerildi. Beş ay boyunca parmakla beslenen bebek geceleri emmeye başladı. Altı aylıkken yalnız anne sütü ile beslenmeye başlayan olgumuz 27 aylık olana kadar tamamlayıcı beslenme ile anne sütü almaya devam etti. İkinci olgu; emmeme nedeniyle polikliniğe getirilen üç günlük term bebeğin fizik muayenesinde dudak ve dil bağı dışında patolojik bulgu yoktu. Dört aylıkken dil bağı nedeniyle opere edilen bebek toplam dokuz ay boyunca parmakla besleme yöntemiyle anne sütü aldı. Annesinin isteğiyle biberonla beslenmeye geçilen bebek yirmi aylık olana kadar sağılmış anne sütü ile beslendi. Sonuç: Parmakla besleme yöntemi, relaktasyonda alternatif yöntemlerden biridir. Sağlık çalışanlarının anneleri, alternatif besleme metotları gerekli olduğu durumlarda parmakla besleme yöntemi hakkında bilgilendirmesi anne sütü ile beslenme konusunda yardımcı olacaktır.

Anahtar Kelimeler

• Anne Sütü
• Emzirme
• Parmakla Besleme
• Sütçocuğu
• Relaktasyon

Finger Feeding Method: A Case Report

Öz

Introduction: Although it is known that the ideal way of feeding babies with breast milk is from the breast, some babies face challenges in breastfeeding. In these cases, the use of alternative feeding methods such as cup feeding, supplementary feeding system and finger feeding instead of bottles helps to ensure the continuity of breastfeeding. In this paper, two cases fed with finger feeding are presented. Case presentation: The first case: A 35-week-old preterm baby was brought to a hospital with the complaint of not sucking when she was 5 days old. The baby, who was born by cesarean section and whose physical examination was unremarkable, was fed with bottle-fed milk and formula. The mother was recommended to have skin-to-skin contact, pumping every three hours, and feed the child with finger feeding. The baby, who was finger fed for five months, started to suckling at night. The baby, who was fully breastfed at 6 months of age, continued to receive breast milk with complementary feeding until 27 months of age. The second case: Term infant that was admitted on postpartum day three due to failure of sucking. His physical examination showed no pathological findings other than lip and tongue-tie. At four-months postpartum, the infant was operated on for tongue-tie and was finger-fed for a total of nine months. The mother of the baby, who still did not start to breastfeed, decided to continue with the bottle. The baby was fed with breast milk for a total of twenty months. Conclusion: Finger feeding is one of the alternative methods in relactation. When alternative feeding methods are necessary, it will be helpful in breastfeeding for mothers to be informed about finger feeding by health professionals.

Anahtar Kelimeler

• Breastfeeding
• Breast Milk
• Finger Feeding
• Infant
• Relactation

Kaynakça

1. Krol KM and Grossman T. Psychological effects of breastfeeding on children and mothers. Psychologische Effekte des Stillens auf Kinder und Mütter. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2018; 61(8), 977-985. google scholar
2. Schanler RJ. Outcomes of human milk-fed premature infants. Seminars in perinatology, 2011; 35(1), 29-33. google scholar
3. Moreira, CMD, Cavalcante-Silva, RPGVFujinaga, CI, Marson F. Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants. Jornal de pediatria, 2017; 93(6), 585-591. google scholar
4. Buldur E, Yalcin Baltaci N, Terek D, Yalaz M, Altun Koroglu O, Akisu M. et al. Comparison of the Finger Feeding Method Versus Syringe Feeding Method in Supporting Sucking Skills of Preterm Babies. Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2020. 15(11), 703-708. google scholar
5. Nye C. Transitioning premature infants from gavage to breast. Neonatal network : 2008; NN, 27(1), 7-13. google scholar
6. Lemes EF, Silva TH, Correr A de Almeida, EO, Luchesi KF. Estimulaçao sensoriomotora intra e extra-oral EM Neonatos Prematuros: Revisâo Bibliografica [Oral and non-oral sensorimotor stimulation in preterm infants: bibliographic review]. Revista CEFAC [Speech, Language, Hearing Sciences and Education Journal], 2015; 17(3), 945-955. google scholar
7. Evangelista D, Oliveira A. Transiçâo Alimentar em recem-NASCİDOS com displasia Broncopulmonar [Transition time for full oral feeding in newborns with bronchopulmonary dysplasia]. Revista CEFAC [Speech, Language, Hearing Sciences and Education Journal], 2019; 11(1), 102-109. google scholar
8. Newman J. Breastfeeding problems associated with the early introduction of bottles and pacifiers. Journal of human lactation : official journal of International Lactation Consultant Association, 1990; 6(2), 59-63. google scholar

9. Karabayir N, Mertturk Potak E, Karaman S, Sebirli, MF, Istanbullu M., Potak M. et al. The Finger Feeding Method and Relactation. Cureus, 2022; 14(4), e24044. google scholar
10. Cazorla-Ortiz G, Obregon-Guiterrez N, Rozas-Garcia MR, Goberna-Tricas J. Methods and Success Factors of Induced Lactation: A Scoping Review. Journal of human lactation : official journal of International Lactation Consultant Association, 2020 ;36(4), 739-749. google scholar
11. Brantes AL, Curado MA, Rebelo Cruz I. Tecnicas de Alimentaçao na Promoçâo Das competencias Oro-Motoras do recem-nascido pretermo: A scoping review [Feeding methods in promoting the oral motor skills of the Preterm Newborn: A Scoping Review]. Enfermeria Global [Enfermeria Global], 2021; 20(1), 489-538. google scholar
12. Tomar R. Initiation of relactation: An Army Hospital Based Study of 381 cases. International Journal of Contemporary Pediatrics, 2016; 635-638. https://doi.org/10.18203/2349-3291.ijcp20161054 google scholar
13. Ballard J L, Auer CE, Khoury JC. Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics, 2002; 110(5), e63. google scholar
14. Khoo AK, Dabbas N, Sudhakaran N, Ade-Ajayi N, Patel S. Nipple pain at presentation predicts success of tongue-tie division for breastfeeding problems. Eur J Pediatr Surg. 2009;19(6):370-373. doi:10.1055/s-0029-1234041 google scholar
15. O’Shea JE, Foster JP, O’Donnell CP, Breathnach D, Jacobs SE, Todd DA, et al. Frenotomy for tongue-tie in newborn infants. The Cochrane database of systematic reviews, 2017; 3(3), CD011065.. google scholar