Karaçam Zekiye, Sağlık Müge
Division of Midwifery, Adnan Menderes University School of Health Sciences, Aydın, Turkey.
Department of Midwifery, Adnan Menderes University, Health Sciences Institute, Aydın, Turkey.
Turk Pediatri Ars. 2018 Sep 1;53(3):134-148. doi: 10.5152/TurkPediatriArs.2018.6350. eCollection 2018 Sep.
To determine the breastfeeding problems encountered in the postpartum period and effect of interventions done in relation to the problems based on breastfeeding studies in Turkey. This study is a systematic review and was conducted by performing a scan of the Turkish and English literature over the period October 2016-February 2017. The study included 27 articles and seven theses, which were published in 2000-2015 in Turkey and published in 2008-2017. Data are presented tabulating and the aggregate percentages were calculated for some data showing common characteristics. A total of 6736 parents and 592 babies were included in these studies. As a result of the combined percentage calculation based on the data of cross-sectional and case-control studies, the most frequently reported problems were having breastfeeding problem (24.5%), mother's milk deficiency/worry about milk deficiency/thinking her baby is not satisfied/baby's inadequate weight gain (15.7%), lack of knowledge and experience about breastfeeding/need for education and support (17.8%). Again, these studies showed that women stated the problems about have flat/depressed/small nipple (7.7%), pain/sensitivity (3.9%), swelling/fullness/engorgement (10.8%), redness (28.8%), crack/wound/bleeding (26.1%) and mastitis (5.6%). Methods of prenatal education/counselling/motivation/follow-up, strong motivation, proactive lactation management and social support, moist warm application, using of breast milk and olive oil and using of breast shield and feeding with container and pacifier using have been reported to be effective in the experimental/quasi-experimental and case report studies included in this systematic review. This study showed that women experienced a lot problem with breastfeeding and that more prenatal education/counselling/monitoring was used in reducing problems.
基于土耳其的母乳喂养研究,确定产后母乳喂养中遇到的问题以及针对这些问题所采取干预措施的效果。本研究是一项系统评价,通过检索2016年10月至2017年2月期间的土耳其语和英语文献进行。该研究纳入了2000 - 2015年在土耳其发表的27篇文章和7篇论文,以及2008 - 2017年发表的相关文献。数据以表格形式呈现,并对一些具有共同特征的数据计算了总计百分比。这些研究共纳入了6736名家长和592名婴儿。根据横断面研究和病例对照研究的数据进行综合百分比计算,结果显示最常报告的问题是存在母乳喂养问题(24.5%)、母乳不足/担心母乳不足/认为宝宝未吃饱/宝宝体重增加不足(15.7%)、缺乏母乳喂养知识和经验/需要教育和支持(17.8%)。此外,这些研究表明,女性提到的问题还有乳头扁平/凹陷/过小(7.7%)、疼痛/敏感(3.9%)、肿胀/充盈/胀痛(10.8%)、发红(28.8%)、皲裂/伤口/出血(26.1%)和乳腺炎(5.6%)。在本系统评价纳入的实验性/准实验性研究和病例报告研究中,据报道产前教育/咨询/激励/随访方法、强烈激励、积极的泌乳管理和社会支持、湿热敷、使用母乳和橄榄油、使用乳盾以及使用容器和安抚奶嘴喂养等措施是有效的。本研究表明,女性在母乳喂养方面遇到了很多问题,并且更多地采用产前教育/咨询/监测有助于减少这些问题。