Gestasyonel Diyabetes Mellitusun Emzirme ve Doğum Sonu Dönem Üzerine Etkisi

Yıl 2023, , 139 - 150, 13.12.2023

Emine Kınık , Tülay Yılmaz , Hüsniye Dinç Kaya , Sevil Günaydın

https://doi.org/10.59244/ktokusbd.1263478

Öz

Gestasyonel Diyabetes Mellitus’un artan prevalansı nedeni ile emzirme ve doğum sonu dönem üzerindeki rolünün belirlenmesi büyük önem taşımaktadır. Gestasyonel Diyabetes Mellitus (GDM)’lu kadınlarda anne sütünün salınımının geciktiğini ve içeriğinde bulunan bileşenlerin değiştiğini gösteren çalışmalar bulunmaktadır. GDM’li kadınların emzirmeye başlama konusunda daha fazla zorluk yaşadığı, erken doğum sonu dönemde formula mama verme olasılıklarının daha yüksek olduğu ve daha sonraki dönemde sadece emzirme olasılıklarının daha düşük olduğu bildirilmektedir. GDM'li kadınlar için emzirme sonuçlarını iyileştirmeye yönelik potansiyel yöntemler çok faktörlüdür. Bu faktörler arasında annenin emzirme durumunun değerlendirilmesi, bebeğin beslenme durumunun değerlendirilmesi ve doğum sonu dönemde kadınların yakınları (aile, eş, arkadaş gibi) tarafından desteklenmesi oldukça önemlidir. GDM’nin doğum sonu dönem üzerine etkileri açısından glikoz düzeyi, beden kitle indeksi ve Tip 2 Diyabet gelişme riski ile ilgili çalışmalar bulunmaktadır. Bu çalışmalarda yer alan mevcut kanıtlar doğum sonu anne glukoz düzeyinin normal sınırlarda tutulmasının, annede beden kitle indeksinin azalmasının bebekte Tip 2 Diyabet gelişim riskini azalttığını göstermektedir. Bu derlemede gestasyonel diyabetes mellitusun emzirme ve doğum sonu dönemde anne-bebek sağlığı üzerine etkilerinin incelenmesi amaçlanmıştır.

Anahtar Kelimeler

Gestasyonel Diyabetes Mellitus, anne sütü, emzirme, diyabet, doğum sonu

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

YOK

Effect of Gestational Diabetes Mellitus on Breastfeeding and Postpartum Period

Öz

Due to the increasing prevalence of Gestational Diabetes Mellitus, it is very important to determine its role on breastfeeding and the postpartum period. There are studies showing that the secretion of breast milk is delayed in women with Gestational Diabetes Mellitus (GDM) and the components in its content change. It has been reported that women with GDM have more difficulties in starting breastfeeding, they are more likely to give formula in the early postpartum period, and they are less likely to breastfeed exclusively in the later period. Potential ways to improve breastfeeding outcomes for women with GDM are multifactorial. Among these factors, the evaluation of the mother's breastfeeding status, the evaluation of the infant's nutritional status and the support of women by their relatives (such as family, spouse, friends) in the postpartum period are very important. In terms of the effects of GDM on the postpartum period, there are studies on glucose level, body mass index and the risk of developing Type 2 Diabetes. The available evidence in these studies shows that keeping maternal glucose levels within normal limits after delivery and a decrease in maternal body mass index reduce the risk of developing Type 2 Diabetes in the baby. In this review, it is aimed to examine the effects of gestational diabetes mellitus on mother-infant health during breastfeeding and postpartum period.

Anahtar Kelimeler

Gestational Diabetes Mellitus, breast milk, breastfeeding, diabetes, postpartum

Proje Numarası

YOK

Kaynakça

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