VAJİNAL DOĞUMDA UYGULANAN SENTETİK OKSİTOSİNİN POSTPARTUMERKEN DÖNEMDE EMZİRMEYE ETKİSİNİN İNCELENMESİ

Doğumdan önce uygulanan sentetik oksitosin, gelişmiş ve gelişmekte olan ülkelerde doğumda en yaygın kullanılan tıbbi müdahaledir. Doğum başlamadan önce uygulanan sentetik oksitosin uygulamasının emzirmeyi olumsuz etkilediği bilinmektedir. Çalışmada, vajinal doğumda oksitosin indüksiyonu uygulanan ve uygulanmayan annelerin doğum sonrası erken dönemde emzirme sonuçlarının ve bebeklerinin emzirme davranışlarının karşılaştırılması amaçlanmıştır. Araştırma, Eskişehir’deki bir hastanenin doğum sonu kliniklerinde gerçekleştirilmiştir. Araştırmanın örneklemini vajinal doğumda sentetik oksitosin uygulaması yapılan 50 ve yapılmayan 50 olmak üzere toplam 100 anne oluşturmuştur. Araştırmada veri toplama aracı olarak kişisel bilgi formu, gebelik ve doğum sürecini değerlendirme formu ve emzirme ile ilgili özellikleri değerlendirme formu kullanılmıştır. Oksitosin indüksiyonu uygulanmayan annelerin %80’i doğumdan sonra ilk yarım saatte emzirebilirken, oksitosin indüksiyonu alan annelerin %56’sı ilk yarım saatte emzirebilmiştir (p=.018). Çalışmanın sonuçları doğumda uygulanan sentetik oksitosinin, erken dönemde emzirmeyi ve yenidoğanın ilkel emme reflekslerini olumsuz etkilediğini göstermektedir.

Investigation of the Effect of Synthetic Oxytocin Administered During Vaginal Delivery on Early Postpartum Breastfeeding

Synthetic oxytocin administered before labour is the most widely used medical intervention at birth in developedand developing countries. It is known that synthetic oxytocin administration before labour has a negative effecton breastfeeding. In the study, it was aimed to compare the results of breastfeeding in the early postpartumperiod and breastfeeding behaviors of babies who were and were not administered oxytocin induction in vaginalbirth. The research was carried out in postpartum clinics of a hospital in Eskişehir. The sample of the studyconsisted of 100 mothers, 50 who were administered synthetic oxytocin at vaginal birth and 50 who did not.Personal information form, pregnancy and birth process evaluation form and breastfeeding evaluation form wereused as data collection tools. While 80% of the mothers who were not administered oxytocin induction couldbreastfeed in the first half hour after birth, 56% of the mothers who received oxytocin induction were able tobreastfeed in the first half hour (p =.018). The results of the study show that synthetic oxytocin administered atbirth negatively affects early breastfeeding and primitive sucking reflexes of the newborn.

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