How hospitalization in the neonatal intensive care unit affects the breastfeeding process? Yenidoğan yoğun bakım ünitesine yatış emzirme sürecini nasıl etkiliyor?


ALTUNTAŞ N.

Pamukkale Medical Journal, cilt.13, sa.3, ss.579-586, 2020 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.31362/patd.670659
  • Dergi Adı: Pamukkale Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.579-586
  • Anahtar Kelimeler: Breastfeeding, breastmilk, formula, neonatal intensive care
  • Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet

Özet

Purpose: In this study, we aimed to investigate how hospitalization and number of bottles applied in the hospital affect the breastfeeding process. Materials and methods: Files of babies admitted to the Neonatal intensive care unit (NICU) that can be fed oral were retrospectively scanned. The length of hospitalization of newborn babies, pre-hospitalization, hospitalization process and post-discharge nutrition patterns were examined. Pre-hospitalization, hospitalization and post-discharge feeding patterns of the babies who were Results: 111 infants who were hospitalized in the neonatal intensive care unit (NICU) and discharged with healing were included in the study. Prior to hospitalization, 81 babies (73%) were breastfed, and 30 babies (27%) were fed with formula in addition to breastfeeding. It was observed that 27% of the babies could only be fed with breast milk during their stay in the NICU, and 73% had to be given additional formula to breast milk. After discharge, 72 infants (65%) were fed exclusively by breastfeeding and 39 infants (35%) were fed with formula addition to breast milk. There was no significant difference in terms of the number of bottles (p=0.32) and breastfeeding (p=0.86) applied to the infants during hospitalization between infants who were breastfed and mixed-fed infants. Conclusion: Admission to the NICU decreases the rate of exclusively breastfeeding, but it cannot be said that bottle application alone plays a role in this deterioration. Considering the fact that exclusive breastfeeding rate decreases in healthy newborns over time, large-scale randomized studies in which hospitalized and non- hospitalized babies are monitored and nutritional patterns are compared are needed to clearly state that this deterioration is due to hospitalization.