Breast Problems in Mothers with Their Babies in Neonatal Intensive Care Units
Yıl 2020,
Cilt: 2 Sayı: 3, 121 - 127, 12.10.2020
Saadet Yazıcı
,
Leyla Kaya
,
Zahide Kaya
Öz
Aim: This study aims to determine breast problems in mothers with their babies in neonatal intensive care units.
Methodology: The study data has been collected at a training and research hospital in Istanbul between 25/06/2018 and 10/09/2018. The sample of the study has consisted of 111 mothers with babies in neonatal intensive care units. The study data has been collected through a questionnaire form prepared by the relevant researchers in accordance with the literature. A software package known as NCSS 2007 has been used for statistical analyses. In the analysis of the study data, the percentage test, Student’s t-test, Pearson’s Chi-square test, Fisher-Freeman-Halton test and Fisher’s exact test have been used.
Findings: It has been found that 64.9% of mothers with babies in neonatal intensive care units have breast problems. When the relevant problems were examined, it has been determined that the main problem is breast pain (91.7%), and that 52.8% of them had a massage to eliminate their breast problems. Any statistically significant difference has not been found between receiving a training on breast milk and breastfeeding during pregnancy and postpartum period and having a breast problem (p>0.05).
Conclusion: It has been found that the rate of breast problems in mothers with babies in neonatal intensive care units is high. For this reason, postpartum breast problems should be diagnosed early, and midwives/nurses who work in this field should manage the process of problem solving effectively and sufficiently.
Kaynakça
- Kaynaklar
1. Chen MLS, Tan JY, Suen LKP. Auricular therapy for lactation: A systematic review. Copmlemet Ther Clin Pract 2017; 29, 169-184.
- 2. United Nations International Children's Emergency Fund. Breastfeeding: a mother’s gift, for every child. New York: United Nations Plaza; 2018. s. 1-13. https://www.unicef.org/publications/files/UNICEF_Breastfeeding_A_Mothers_Gift_for_Every_Child.pdf Erişim(01.09.2020).
- 3. Ateşağaoğlu P, Mete M, Gökçay G, Tamay Z, Yetim A. anne sütü ile beslenmenin çocuk ruh sağlığına etkileri. Çocuk Dergisi 2013; 13(3), 101-108.
- 4. Horta BL, Loret de Mola C, Victora CG. Breastfeeding and intelligence: a systematic review and meta‐analysis. Acta paediatrica 2015; 104, 14-19.
- 5. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf Erişim(01.09.2020).
- 6. Horta BL, Victora CG, World Health Organization. Short-term effects of breastfeeding: a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. 2013; 30-42. https://apps.who.int/iris/bitstream/handle/10665/95585/9789241506120_eng.pdf Erişim(01.09.2020).
- 7. Giuglian ERJ. Common problems during lactation and their management. J Pediatr (Rio J) 2004; 80(5), 147-154.
- 8. Akter S, Tasnim S, Bhuiyan MMA, Hasan A. A Study on post partum breast problems of mothers attending at lactation management center (LMC). Bangladesh Med J 2015 ;44 (3), 136-139.
- 9. T. C. Sağlık Bakanlığı. Anne sütünün teşviki ve bebek dostu sağlık kuruluşları programı. https://hsgm.saglik.gov.tr/tr/cocukergen-bp-liste/anne-s%C3%BCt%C3%BCn%C3%BCn-te%C5%9Fviki-ve-bebek-dostu-sa%C4%9Fl%C4%B1k-kurulu%C5%9Flar%C4%B1-program%C4%B1.html (Erişim: 16.09.2020).
- 10. Çakmak H, Kuguoğlu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: An observational s tudy using the LATCH breastfeeding charting system. Int J Nurs Stud 2007; 44, 1128–1137.
- 11. Boskabadi H, Ramazanzadeh M, Zakerihamidi M, Omran FR. Risk factors of breast problems in mothers and ıts effects on newborns. Iran Red Crescent Med J 2014; 16(6), 82-85.
- 12. Saeed G, Farkhar S, Imran T, Abbas LK. The effect of modes of delivery on ınfants' feeding practices. Iran J Med Sci 2011; 36(2), 128–132.
- 13. Kaya Z, Dişli B, Rathfisch G. Laktasyon sürecini desteklemede tamamlayıcı tıp uygulamaları ve hemşirenin rolü. Hemşirelikte Eğitim ve Araştırma dergisi 2018;15 (4), 262-268.
- 14. Karaçam Z. Sağlık M. Emzirme sorunları ve sorunlara ilişkin yapılan girişimler: Türkiye’de yapılan çalışmalara dayalı bir sistematik derleme. Turk Pediatri Ars 2018; 53(3), 134-48.
- 15. Karatay G, Baş NG, Ergin İO. Traditional practices of turkish mothers at breast engorgment during postpartum period. International Journal of Caring Sciences 2018; 11(3), 1954-1961.
- 16. Wong BB, Chan YH, Leow MQH, Lu Y, Chong YS, Koh SSL, ve ark. Application of cabbage leaves compared to gel packs for mothers with breast engorgement: Randomised controlled trial. Int J Nurs Stud 2017; 76, 92- 99.
- 17. Khosravan S, Moghadam HM, Mohammadzadeh F, Fadafen SAK, Gholami M. The effect of Hollyhock (Althaea officinalis L) leaf compresses combined with warm and cold compress on breast engorgement in lactating women: A randomized clinical trial. Evid Based Complement Alternat Med 2017; 22(1) ,25-30.
- 18. Alamolhodaa SH, Mirabib P, Mojab F. Effects of both Aloe Vera gel and breast milk on the improvement of nipple soreness in lactating women—A randomized controlled trial. J. Herb. Med 2020; 21, 100327.
19. Kirlek F, Nevin AB. Erken postpartum dönemde meme başı ağrısı ve çatlaklarının önlenmesinde anne sütü ve zeytinyağının etkisi. Hemşirelikte Araştırma Geliştirme Derneği 2013; (152), 17-34
- 20. Cho J, Ahn HY, Ahn S, Lee MS, Hur MH. Effect of oketani breast massage on breast pain, the breast milk pH of Mothers and the sucking speed of the neonatal. Korean J Woman Health Nurse 2012; 18 (2), 149-158.
- 21. Thomas T, Chhugani M, Rahman J, Varun N. Effectiveness of breast massage on mild breast engorgement, breast milk pH and suckling speed of neonate among the postnatal mothers. Int J Curr Res 2017; 9(10), 58821-58826.
- 22. Becker GE, Smith HA, Cooney F. Methods of milk expression for lactating women. Cochrane Database of System. Revi 2016; (9).
- 23. Flaherman VJ, Gay B, Scott C, Aby J, Stewart AL, Lee KA. Development of the breast milk expression experience measure. Matern Child Nutr 2013; 9(3), 425– 430.
- 24. World Health Organization. Breastfeeding education for increased breastfeeding duration. https://www.who.int/elena/titles/breastfeeding_education/en/ Erişim(02.09.2020).
- 25. Maastrup R, Bojesen SN, Kronborg H. Breastfeeding support in neonatal ıntensive care: a national survey. J Hum Lact 2012; 28(3), 370–379.
- 26. Boskabadi H, Bagheri S, Comparison between infants receiving traditional supplements (camel thorn, flix weed, and sugar water) and exclusively breast fed infants. Avicenna J Phytomed 2015; 5(6), 479-484.
- 27. World Health Organization. The importance of infant and young child feeding and recommended practices İn. Infant and young child feding 2009. Fransa: World Health Organization; 2009. p. 1-8.
https://www.ncbi.nlm.nih.gov/books/NBK148965/pdf/Bookshelf_NBK148965.pdf Erişim(02.09.2020).
Yenidoğan Yoğun Bakımda Bebekleri Olan Annelerin Meme Problemleri
Yıl 2020,
Cilt: 2 Sayı: 3, 121 - 127, 12.10.2020
Saadet Yazıcı
,
Leyla Kaya
,
Zahide Kaya
Öz
Amaç: Yenidoğan yoğun bakımda bebekleri olan annelerin meme problemlerinin belirlenmesi.
Yöntem: Çalışma verileri İstanbul’daki bir eğitim araştırma hastanesinde 25.06.2018-10.09.2018 tarihleri arasında toplandı. Yenidoğan yoğun bakımda bebekleri olan 111 anne çalışmanın örneklemini oluşturdu. Araştırma verileri literatür doğrultusunda araştırmacılar tarafından hazırlanan soru formu ile toplandı. İstatistiksel analizler için NCSS 2007 Paket programı kullanıldı. Çalışma verilerinin analizinde; yüzdelik, Student t Test, Pearson Ki-Kare testi, Fisher-Freeman-Halton testi ve Fisher’s Exact testi kullanıldı.
Bulgular: Yenidoğan yoğun bakımda bebeği olan annelerin %64,9’nun meme problemi yaşadığı saptandı. Yaşanan problemler arasında ilk sırada memede ağrısının (%91,7) olduğu ve annelerin meme problemlerini gidermek için %52,8 oranında masaj yapmayı tercih ettiği belirlendi. Gebelikte ve doğum sonrasında anne sütü ve emzirme eğitimi alma durumu ile meme problemi yaşama durumu arasında istatistiksel olarak anlamlı fark saptanmadı (p>0,05).
Sonuç: Yoğun bakımda bebekleri olan annelerin yüksek oranda meme problemi yaşadığı belirlendi. Bu nedenle doğum sonrası meme sorunlarının erken dönemde teşhisi ve problemlerinin çözümü için bu alanda çalışan ebe/hemşirelerin yeterli ve etkin yönetimi gerekir .
Kaynakça
- Kaynaklar
1. Chen MLS, Tan JY, Suen LKP. Auricular therapy for lactation: A systematic review. Copmlemet Ther Clin Pract 2017; 29, 169-184.
- 2. United Nations International Children's Emergency Fund. Breastfeeding: a mother’s gift, for every child. New York: United Nations Plaza; 2018. s. 1-13. https://www.unicef.org/publications/files/UNICEF_Breastfeeding_A_Mothers_Gift_for_Every_Child.pdf Erişim(01.09.2020).
- 3. Ateşağaoğlu P, Mete M, Gökçay G, Tamay Z, Yetim A. anne sütü ile beslenmenin çocuk ruh sağlığına etkileri. Çocuk Dergisi 2013; 13(3), 101-108.
- 4. Horta BL, Loret de Mola C, Victora CG. Breastfeeding and intelligence: a systematic review and meta‐analysis. Acta paediatrica 2015; 104, 14-19.
- 5. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf Erişim(01.09.2020).
- 6. Horta BL, Victora CG, World Health Organization. Short-term effects of breastfeeding: a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. 2013; 30-42. https://apps.who.int/iris/bitstream/handle/10665/95585/9789241506120_eng.pdf Erişim(01.09.2020).
- 7. Giuglian ERJ. Common problems during lactation and their management. J Pediatr (Rio J) 2004; 80(5), 147-154.
- 8. Akter S, Tasnim S, Bhuiyan MMA, Hasan A. A Study on post partum breast problems of mothers attending at lactation management center (LMC). Bangladesh Med J 2015 ;44 (3), 136-139.
- 9. T. C. Sağlık Bakanlığı. Anne sütünün teşviki ve bebek dostu sağlık kuruluşları programı. https://hsgm.saglik.gov.tr/tr/cocukergen-bp-liste/anne-s%C3%BCt%C3%BCn%C3%BCn-te%C5%9Fviki-ve-bebek-dostu-sa%C4%9Fl%C4%B1k-kurulu%C5%9Flar%C4%B1-program%C4%B1.html (Erişim: 16.09.2020).
- 10. Çakmak H, Kuguoğlu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: An observational s tudy using the LATCH breastfeeding charting system. Int J Nurs Stud 2007; 44, 1128–1137.
- 11. Boskabadi H, Ramazanzadeh M, Zakerihamidi M, Omran FR. Risk factors of breast problems in mothers and ıts effects on newborns. Iran Red Crescent Med J 2014; 16(6), 82-85.
- 12. Saeed G, Farkhar S, Imran T, Abbas LK. The effect of modes of delivery on ınfants' feeding practices. Iran J Med Sci 2011; 36(2), 128–132.
- 13. Kaya Z, Dişli B, Rathfisch G. Laktasyon sürecini desteklemede tamamlayıcı tıp uygulamaları ve hemşirenin rolü. Hemşirelikte Eğitim ve Araştırma dergisi 2018;15 (4), 262-268.
- 14. Karaçam Z. Sağlık M. Emzirme sorunları ve sorunlara ilişkin yapılan girişimler: Türkiye’de yapılan çalışmalara dayalı bir sistematik derleme. Turk Pediatri Ars 2018; 53(3), 134-48.
- 15. Karatay G, Baş NG, Ergin İO. Traditional practices of turkish mothers at breast engorgment during postpartum period. International Journal of Caring Sciences 2018; 11(3), 1954-1961.
- 16. Wong BB, Chan YH, Leow MQH, Lu Y, Chong YS, Koh SSL, ve ark. Application of cabbage leaves compared to gel packs for mothers with breast engorgement: Randomised controlled trial. Int J Nurs Stud 2017; 76, 92- 99.
- 17. Khosravan S, Moghadam HM, Mohammadzadeh F, Fadafen SAK, Gholami M. The effect of Hollyhock (Althaea officinalis L) leaf compresses combined with warm and cold compress on breast engorgement in lactating women: A randomized clinical trial. Evid Based Complement Alternat Med 2017; 22(1) ,25-30.
- 18. Alamolhodaa SH, Mirabib P, Mojab F. Effects of both Aloe Vera gel and breast milk on the improvement of nipple soreness in lactating women—A randomized controlled trial. J. Herb. Med 2020; 21, 100327.
19. Kirlek F, Nevin AB. Erken postpartum dönemde meme başı ağrısı ve çatlaklarının önlenmesinde anne sütü ve zeytinyağının etkisi. Hemşirelikte Araştırma Geliştirme Derneği 2013; (152), 17-34
- 20. Cho J, Ahn HY, Ahn S, Lee MS, Hur MH. Effect of oketani breast massage on breast pain, the breast milk pH of Mothers and the sucking speed of the neonatal. Korean J Woman Health Nurse 2012; 18 (2), 149-158.
- 21. Thomas T, Chhugani M, Rahman J, Varun N. Effectiveness of breast massage on mild breast engorgement, breast milk pH and suckling speed of neonate among the postnatal mothers. Int J Curr Res 2017; 9(10), 58821-58826.
- 22. Becker GE, Smith HA, Cooney F. Methods of milk expression for lactating women. Cochrane Database of System. Revi 2016; (9).
- 23. Flaherman VJ, Gay B, Scott C, Aby J, Stewart AL, Lee KA. Development of the breast milk expression experience measure. Matern Child Nutr 2013; 9(3), 425– 430.
- 24. World Health Organization. Breastfeeding education for increased breastfeeding duration. https://www.who.int/elena/titles/breastfeeding_education/en/ Erişim(02.09.2020).
- 25. Maastrup R, Bojesen SN, Kronborg H. Breastfeeding support in neonatal ıntensive care: a national survey. J Hum Lact 2012; 28(3), 370–379.
- 26. Boskabadi H, Bagheri S, Comparison between infants receiving traditional supplements (camel thorn, flix weed, and sugar water) and exclusively breast fed infants. Avicenna J Phytomed 2015; 5(6), 479-484.
- 27. World Health Organization. The importance of infant and young child feeding and recommended practices İn. Infant and young child feding 2009. Fransa: World Health Organization; 2009. p. 1-8.
https://www.ncbi.nlm.nih.gov/books/NBK148965/pdf/Bookshelf_NBK148965.pdf Erişim(02.09.2020).