Breastfeeding relationship between prolactin, thyroid stimulating hormon levels and mode of delivery
Amaç : Normal doğum ve sezeryanla doğum yapan hastalarda emzirmede önemli olduğu bilinen PRL veTSH düzeylerinin postpartum 2.saatteki değerlerinin karşılaştırılması.Materyal ve Metod : Sezeryan veya normal vajinal doğum yapmış postpartum 2. saatinde toplam 162 hastaçalışmamıza dahil edildi.Hastaların postpartum 2.saatindeki kan PRL ve TSH değerleri kaydedildi.VerilerWann Whitney U test,Kruskal-Wallis test,NPar Testlerle değerlendirildi.Ayrıca sezeryanda anestezitipi,BMI,gelir durumu, sigara, anne yaşı,travayda oksitosin kullanımı,bebek cinsiyeti ve bebek ağırlığınınPRL ve TSH hormonlarıyla ilişkisi değerlendirildi.Bulgular :162 hastanın 118'i normal vajinal doğum ve 44'ü sezeryan ile doğum yapmıştı.2 grupkarşılaştırıldığında PRL P :0,016 değeri ile sezaryen grubunda normal doğum grubuna göre istatiksel olarakanlamlı yüksek tespit edildi. TSH için P değeri:0,439 ile iki grup arasında fark izlenmedi.Genel anestezi vespinal anestezi grubunda PRL ve TSH değerlerinde anlamlı fark bulunmadı.Diğer parametrelerinde hormondüzeylerini etkilemediği tespit edildi.Sonuç :Laktasyonda önemli olduğu bilinen prolaktin düzeyleri sezaryenden sonra anlamlı yüksekbulundu.Bu sonuç sezaryen ile doğumun laktasyonu olumsuz etkilediği görüşünüdesteklememektedir..Sezeryan ile doğumdan sonra laktasyonun negatif etkilenmesi doğum şekline bağlıhormonal değişikliklere değil,eğitimle değiştirilebilen faktörlere bağlıdır.
Prolaktin, troid stimülan hormon ve doğum şeklinin emzirme ile ilişkisi
Introduction:The aim of this study was to compare Prolactine (PRL) and Thyroid stimulating hormone(TSH) levels, known to be important in lactation, at two hours postpartum between patients deliveringvaginally and by cesarean operation.Material and Methods:A total of 162 patients delivering vaginally and by cesarean section were includedin the present study. PRL and TSH values in the second hour postpartum were recorded and evaluated withthe Mann Whitney U test, Kruskal Wallis test, and NPar test. In addition, the relationships between PRL andTSH hormone levels and the type of anesthesia administered during cesarean operation, Body mass index (BMI) , income status, smoking history, age of mother, use of oxytocin in labor, weight of the infant, and sex ofthe infant were evaluated.Results: Of the 162 patients, 118 were delivered vaginally and 44 by cesarean section. Prolactin levels weresignificantly higher in cesarean section group when compared with normal vaginal delivery group(p=0.016). However, no significant difference was observed between two groups in terms of TSH levels(p=0.439). Similarly, no differences in PRL and TSH values were found between general anesthesia andspinal anesthesia groups. It was also established that other parameters did not affect hormone levels.Conclusions: Prolactin level, which is an important hormone during lactation, is found to be higher aftercesarean section. This finding does not support the idea that lactation is diminished due to cesarean section.Negative impacts on lactation after cesarean section depend not on hormonal alterations related to mode ofdelivery, but on factors that can be modified through training and insight.
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