Nilgün ALTUNTAŞ, Yıldız ATALAY, Canan TÜRKYILMAZ, Esin KOÇ

Emzirme değerlendirme araçlarının yenidoğanlarda aşırı kilo kaybını tahmin etmede kullanımı

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.

Anahtar Kelimeler:

Emzirme değerlendirilmesi, LATCH, IBFAT, BSES-SF, aşırı kilo kaybı

The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns

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.

Keywords:

Breastfeeding assessment, LATCH, IBFAT, BSES-SF, excess weight loss,

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