Abstract
Amaç: Yenidoğan bebeklerde postnatal ilk günlerde aşırı kilo kaybı önemli bir
sorundur. Biz bu çalışmada emzirmeyi değerlendirme araçlarından LATCH, IBFAT ve
BSES-SF’in postnatal erken dönemde aşırı kilo kaybının tahmininde kullanışlı
olup olmayacağını araştırmak istedik.
Gereç ve Yöntem: Doğumdan sonra 150
anne ve bebek çifti emzirme sırasında izlendi ve emzirme başarıları doğumda,
12, 24 ve 48.saatlerde LATCH, IBFAT emzirme araçları ile değerlendirildi. Eş
zamanlı olarak annelerin emzirme özgüven
skorları belirlendi. Postnatal dönemde bebeklerin kiloları doğum ağırlığına
ulaşana kadar izlendi ve %10’dan fazla ve %10’dan az kilo kaybeden bebeklerin emzirme
skorları karşılaştırıldı.
Bulgular: IBFAT, LATCH ve BSES-SF skorları %10’dan fazla kilo
kaybeden bebeklerde %10’dan az kilo kaybeden bebeklere göre anlamlı derecede
düşüktü(p<0,05). ROC analizine gore AUC değerleri 0,7’ye yakındı. Bu
sonuçlar bu emzirmeyi değerlendirme araçlarının aşırı kilo kaybının tahmininde
kullanılabileceğini göstermektedir.
Sonuç: Yüksek skorlara sahip anne bebek çiftleri daha erken taburcu edilebilir.
Böylece gereksiz hastanede yatıştan kaçınılabilir.
References
- 1. Olguner M, Hakguder G, Ates O, Caglar M, Ozer E, Akgur FM. Urinary trypsin inhibitor present in fetal urine prevents intraamniotic meconium-induced intestinal damage in gastroschisis. J Pediatr Surg. 2006;41:1407-12. 2. Livingstone VH, Willis CE, Abdel-Wareth LO, Thiessen P, Lockitch G. Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey. CMAJ. 2000;162:647-52 3. Cohn A. A simple method for assessing if weight loss is greater or less than 10%.Arch Dis Child. 2005 Jan;90(1):88. 4. Laing IA, Wong CM. Hypernatraemia in the first few days: is the incidence rising? Arch Dis Child Fetal Neonatal Ed 2002 Nov; 87(3): F158–F162. 5. Manganaro R, Mamì C, Marrone T, Marseglia L, Gemelli MJ. Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J. Pediatr. 2001 Nov;139(5):673-5. 6. Oddie S, Richmond S, Coulthard M. Hypernatraemic dehydration and breast feeding: a population study. Arch Dis Child. 2001 Oct;85(4):318-20. 7. Gabriel Konetzny & Hans Ulrich Bucher & Romaine Arlettaz. Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing. Eur J Pediatr (2009) 168:815–818 8. Iyer NP, Srinivasan R, Evans K, Ward L, Cheung WY, Matthes J. Impact of an early weighing policy on neonatal hypernatremic dehydration and breast feeding. Arch Dis Child. 2008; 93:297-9. 9. Bhat SR, Lewis P, David A, Liza SM. Dehydration and hypernatremia in breast-fed term healthy neonates. Indian J Pediatar. 2006;73:39-41. 10. Tarcan A, Tiker F, Vatandaş NS, Haberal A, Gürakan B. J Paediatr Child Health. 2005 Sep-Oct;41(9-10):484-7. Weight loss and hypernatremia in breast-fed babies: frequency in neonates with non-hemolytic jaundice. 11. Kumar SP, Mooney R, Wieser LJ, Havstad S. The LATCH scoring system and prediction of breastfeeding duration. J Hum Lact. 2006; 22(4): 391-397. 12. Davanzo R, Cannioto Z, Ronfani L, Monasta L, Demarini S. Breastfeeding and neonatal weight loss in healthy term infants. J Hum Lact. 2013; 29(1): 45-53. 13. Chantry CJ, Nommsen-Rivers LA, Peerson JM, Cohen RJ, Dewey KG. Excess weight loss in first-born breastfed newborns relates to maternal intrapartum fluid balance. Pediatrics. 2011; 127(1): e171-e179. 14. Matthews MK. Developing an instrument to assess infant breastfeeding behaviour in the early neonatal period. Midwifery. 1988; 4(4): 154-165. 15. Adams D, Hewell S. Maternal and professional assessment of breastfeeding. J Hum Lact. 1997; 13(4): 279-283. 16. Riordan JM, Koehn M. Reliability and validity testing of three breastfeeding assessment tools. J Obstet Gynecol Neonatal Nurs. 1997; 26(2): 181-187. 17. Riordan J, Bibb D, Miller M, Rawlins T. Predicting breastfeeding duration using the LATCH breastfeeding assessment tool. J Hum Lact. 2001; 17(1): 20-23. 18. Altuntas N, Turkyilmaz C, Yildiz H, Kulali F, Hirfanoglu I, Onal E, Ergenekon E, Koç E, Atalay Y. Validity and Reliability of the Infant Breastfeeding Assessment Tool, the Mother Baby Assessment Tool, and the LATCH Scoring System. Breastfeed Med. 2014; 9: 191-195. 19. Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self –Efficacy Scale. Res Nurs Health. 1999; 22(5): 399-409. 20. Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003; 32(6): 734-744. 21. Aluş Tokat M, Okumuş H, Dennis CL. Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal woman in Turkey. Midwifery. 2010; 26(1): 101-108. 22. Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs. 1994; 23(1): 27-32. 23. Rowland TW, Zori RT, Lafleur WR, Reiter EO. Malnutrition and hypernatremic dehydration in breast-fed infants. JAMA. 1982; 247(7): 1016-1017. 24. Smith RG. Severe hypernatremic dehydration in a newborn infant. Paediatr Child Health. 1998; 3(6): 413-415. 25. Kaplan JA, Siegler RW, Schmunk GA. Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. Am J Forensic Med Pathol. 1998; 19(1): 19-22. 26. Konetzny G, Bucher HU, Arlettaz R. Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing. Eur J Pediatr. 2009; 168(7): 815-818. 27. Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999; 7(1): 5-16.
Abstract
Aim:
Postnatal weight loss is a major issue of concern to pediatricians. We aimed to
determine whether the LATCH tool, Infant Breastfeeding Assessment Tool (IBFAT)
and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) are useful in
predicting postnatal excess weight loss.
Material and Method: One hundred fifty one mother infant dyads’
breastfeeding sessions were monitored and scored simultaneously by using the
LATCH and IBFAT assessment tools during the postnatal first feeding and at 12,
24 and 48 hours. Maternal confidence in breastfeeding was assessed using
BSES-SF at the same breastfeeding sessions. Infants were followed until they
reached their birth weights after discharge. Comparisons were made between
infants with ≥10% weight loss and infants with <10% weight loss during
following.
Results: IBFAT, LATCH and BSES-SF scores were significantly higher in infants
with <10% weight loss than those with ≥10% weight loss (p<0.05). According
to ROC analysis including all tools’ scores, AUC values were close to 0.70.
These results indicate that these assessment tools can be used to predict the
risk of excessive weight loss of the newborns.
Conclusions: Mother/infant dyads that achieve higher scores in
these tests can be discharged earlier, avoiding unnecessary hospitalization.
References
- 1. Olguner M, Hakguder G, Ates O, Caglar M, Ozer E, Akgur FM. Urinary trypsin inhibitor present in fetal urine prevents intraamniotic meconium-induced intestinal damage in gastroschisis. J Pediatr Surg. 2006;41:1407-12. 2. Livingstone VH, Willis CE, Abdel-Wareth LO, Thiessen P, Lockitch G. Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey. CMAJ. 2000;162:647-52 3. Cohn A. A simple method for assessing if weight loss is greater or less than 10%.Arch Dis Child. 2005 Jan;90(1):88. 4. Laing IA, Wong CM. Hypernatraemia in the first few days: is the incidence rising? Arch Dis Child Fetal Neonatal Ed 2002 Nov; 87(3): F158–F162. 5. Manganaro R, Mamì C, Marrone T, Marseglia L, Gemelli MJ. Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J. Pediatr. 2001 Nov;139(5):673-5. 6. Oddie S, Richmond S, Coulthard M. Hypernatraemic dehydration and breast feeding: a population study. Arch Dis Child. 2001 Oct;85(4):318-20. 7. Gabriel Konetzny & Hans Ulrich Bucher & Romaine Arlettaz. Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing. Eur J Pediatr (2009) 168:815–818 8. Iyer NP, Srinivasan R, Evans K, Ward L, Cheung WY, Matthes J. Impact of an early weighing policy on neonatal hypernatremic dehydration and breast feeding. Arch Dis Child. 2008; 93:297-9. 9. Bhat SR, Lewis P, David A, Liza SM. Dehydration and hypernatremia in breast-fed term healthy neonates. Indian J Pediatar. 2006;73:39-41. 10. Tarcan A, Tiker F, Vatandaş NS, Haberal A, Gürakan B. J Paediatr Child Health. 2005 Sep-Oct;41(9-10):484-7. Weight loss and hypernatremia in breast-fed babies: frequency in neonates with non-hemolytic jaundice. 11. Kumar SP, Mooney R, Wieser LJ, Havstad S. The LATCH scoring system and prediction of breastfeeding duration. J Hum Lact. 2006; 22(4): 391-397. 12. Davanzo R, Cannioto Z, Ronfani L, Monasta L, Demarini S. Breastfeeding and neonatal weight loss in healthy term infants. J Hum Lact. 2013; 29(1): 45-53. 13. Chantry CJ, Nommsen-Rivers LA, Peerson JM, Cohen RJ, Dewey KG. Excess weight loss in first-born breastfed newborns relates to maternal intrapartum fluid balance. Pediatrics. 2011; 127(1): e171-e179. 14. Matthews MK. Developing an instrument to assess infant breastfeeding behaviour in the early neonatal period. Midwifery. 1988; 4(4): 154-165. 15. Adams D, Hewell S. Maternal and professional assessment of breastfeeding. J Hum Lact. 1997; 13(4): 279-283. 16. Riordan JM, Koehn M. Reliability and validity testing of three breastfeeding assessment tools. J Obstet Gynecol Neonatal Nurs. 1997; 26(2): 181-187. 17. Riordan J, Bibb D, Miller M, Rawlins T. Predicting breastfeeding duration using the LATCH breastfeeding assessment tool. J Hum Lact. 2001; 17(1): 20-23. 18. Altuntas N, Turkyilmaz C, Yildiz H, Kulali F, Hirfanoglu I, Onal E, Ergenekon E, Koç E, Atalay Y. Validity and Reliability of the Infant Breastfeeding Assessment Tool, the Mother Baby Assessment Tool, and the LATCH Scoring System. Breastfeed Med. 2014; 9: 191-195. 19. Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self –Efficacy Scale. Res Nurs Health. 1999; 22(5): 399-409. 20. Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003; 32(6): 734-744. 21. Aluş Tokat M, Okumuş H, Dennis CL. Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal woman in Turkey. Midwifery. 2010; 26(1): 101-108. 22. Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs. 1994; 23(1): 27-32. 23. Rowland TW, Zori RT, Lafleur WR, Reiter EO. Malnutrition and hypernatremic dehydration in breast-fed infants. JAMA. 1982; 247(7): 1016-1017. 24. Smith RG. Severe hypernatremic dehydration in a newborn infant. Paediatr Child Health. 1998; 3(6): 413-415. 25. Kaplan JA, Siegler RW, Schmunk GA. Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. Am J Forensic Med Pathol. 1998; 19(1): 19-22. 26. Konetzny G, Bucher HU, Arlettaz R. Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing. Eur J Pediatr. 2009; 168(7): 815-818. 27. Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999; 7(1): 5-16.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original article |
| Authors | |
| Publication Date | September 30, 2018 |
| Published in Issue | Year 2018 Volume: 10 Issue: 3 |
e-ISSN: 2548-0251
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