Muhammet Fatih SEBİRLİ, Gülçin CANBEYLİ, Nalan KARABAYIR

Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu

Anne sütü ile beslenmenin bebek ve anne sağlığı üzerine pek çok olumlu etkisi olduğu bilinmektedir. Annelerin bebeği için en iyisini istemesi dışında emzirmenin toplumda anne kimliğini sembolize etmesi de anneleri emzirmeye yönlendirir. Ayrıca anne sütü ile beslenmenin anne-bebek bağı üzerine olumlu etkisi evlat edinen anneleri emzirmeye motive eder. Evlat edinmiş annelerde anne sütü ile besleme uyarılmış laktasyonla sağlanır. Bu yazıda on haftalık erkek bebeği evlat edinen annenin emzirme konusunda destek almak için emzirme polikliniğine başvurusu değerlendirilmiştir. Gebelik ve emzirme öyküsü olmayan anneye domperidon başlanarak ten teması, 3 saat arayla sağım yapması ve parmakla besleme yöntemiyle formül sütle beslenme önerildi. Bir hafta sonra süt sekresyonu başlayan ve sağımlara devam eden anne, bir sonraki kontrolde bebeğin uykuda emmeye başladığını, formül süt ihtiyacının azaldığını ifade etmiştir. Sürecin 45. gününde domperidonun kesilmesiyle sütü azalan anneye ten teması, düzenli sağım ve domperidon kullanımı önerildi. Annesi domperidon kullanmayan bebek emmeyi de reddettiğinden tamamlayıcı beslenme ile desteklendi. Pompalamaya devam etmesi önerilen annenin 1 ay sonra süt salgılaması durdu. Şu anda 20 aylık olan bebeğini toplam 5 ay boyunca emzirdiği tespit edildi. Olgumuzda gebelik ve emzirme öyküsü olmayan anne bebeğini anne sütü ile beslemeyi başardı. Bebeğin yaşının 3 aydan küçük olması, annenin güçlü motivasyonu ile yakın takip ve destek uyarılmış laktasyon sürecinin başarıya ulaşmasında en öneli etkenlerdir. Sağlık profesyonellerinin uyarılmış laktasyon ve relastasyon konusunda bilgi sahibi olması bu süreci başlatma ve sürdürmede önem taşımaktadır.

Anahtar Kelimeler:

anne sütü, evlat edinme, laktasyon, parmakla besleme

I Adopted, I Want to Breastfeed: A Case Report

Breastfeeding has numerous health benefits for both the mother and the baby. Apart from mothers wanting the best for their babies, breastfeeding symbolizes motherhood in the society. Thus, mothers are urged to breastfeed. In addition, breastfeeding has a positive effect on the motherbaby bond, which also encourages adoptive mothers to breastfeed. Breastfeeding is achieved with induced lactation in adoptive mothers. In this article, the application of a mother who adopted a 10-week-old baby to the breastfeeding outpatient clinic for breastfeeding support was evaluated. Domperidone was started for the mother who had no pregnancy or breastfeeding history. Consequently, skin contact, milking every 3 h, and formula feeding with the finger-feeding method were recommended. The mother, who started milk secretion 1 week later and continued milking, stated that the baby started sucking while sleeping. Thus, the requirement for formula milk decreased. On the 45th day of the process, skin contact, regular milking, and use of domperidone were recommended to the mother whose milk decreased after domperidone cessation. Conversely, the baby whose mother did not use domperidone was also supported with complementary feeding because the baby refused to suck. The mother’s milk secretion stopped after 1 month, and continued pumping was recommended. It was found that the mother breastfed her 20-month-old baby for 5 months. In this case report, a mother with no pregnancy and breastfeeding history was able to feed her baby with breast milk. The baby’s age being younger than 3 months and the mothers’ strong motivation and being closely monitored and supported are few of the most important factors in being successful with the process of induced lactation. Thus, health professionals having information about induced lactation and relactation are integral in starting and continuing with the process.

Keywords:

Breastmilk, adoption, lactation, finger feeding,

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