Publication: Sezaryen doğum yapan kadınlarda, erken ten tene temasın, emzirme ve doğum sonu kanama üzerine etkisinin değerlendirilmesi
Abstract
1. ÖZETSezaryen Doğum Yapan Kadınlarda, Erken Ten Tene Temasın, Emzirme ve Doğum Sonu Kanama Üzerine Etkisinin DeğerlendirilmesiÖğrencinin adı: Zülfiye Serap SÜRÜCÜDanışmanı: Dr. Öğr. Üyesi Zübeyde EKŞİ GÜLOĞLUAnabilim Dalı: Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, Doğum ve Kadın Hastalıkları Hemşireliği Anabilim DalıAmaç: Sezaryen doğum yapan kadınlarda, erken ten tene temasın, emzirme ve doğum sonu kanama üzerine etkisini değerlendirmek amacıyla; randomize kontrollü ve deneysel bir çalışma olarak yapılmıştır.Gereç ve Yöntem: Çalışma İstanbul’da, bir eğitim ve araştırma hastanesinde sezaryen doğum yapan, örneklem kriterlerine uyan ve çalışmaya katılmayı kabul eden toplam 88 kadınla yapılmıştır (Deney:47, Kontrol:41). Veri toplanması aşamasında Anket Formu, Emzirme Gözlem Formu, Emzirme Değerlendirme Ölçeği (IBFAT) ve Vızuel Analog Skala (VAS) kullanılmıştır. Bulgular: Kadınların tanımlayıcı ve obstetrik özellikleri ile bebeklerin tanımlayıcı özellikleri bakımından gruplar arasında istatistiksel olarak anlamlı fark bulunmadı (p>0,05). Deney grubunda toplam erken ten tene temas süresi ortalaması 67,34±13,20 dk. olarak bulundu. İlk emzirme süresi deney grubunda ortalama 7,82±2,49 dk, kontrol grubunda 5,60±1,90 dk olarak gerçekleşti ve gruplar arasında istatistiksel olarak anlamlı fark bulundu (t=-4,765 p<0,001). Deney grubundaki kadınların ilk kendi emzirmesinde IBFAT puan ortalamaları 8,68±1,56, kontrol grubundakilerin ise 5,29±1,50 olup, gruplar arasında istatistiksel olarak anlamlı fark bulundu (t=-6,854 p<0,001). Kadınların doğum sonu 2. Saatte VAS ağrı puan ortalamaları deney grubunda 4,76±1,16, kontrol grubunda 5,60±1,18 oldu ve gruplar arasında istatistiksel olarak anlamlı fark bulundu (t=-3,192 p=0,001). Sonuçlar: Sezaryen doğum yapan kadınlarda erken ten tene temasın, emzirme başarısını artırdığı, doğum sonu kanama miktarını ve kadınların ağrı düzeylerini azalttığı belirlenmiştir.Anahtar Sözcükler: Erken ten tene temas, Sezaryen, Emzirme, Doğum sonu kanama
2.SUMMARYEvaluation of the Effect of Early Skin to Skin Contact on Breastfeeding and Postpartum Hemorrhage in Women with Cesarean BirthStudent’s Name: Zülfiye Serap SÜRÜCÜ Thesis yesi Zübeyde EKŞI GÜLOĞLUDepartment: Marmara University Department of Obstetrics and Gynecology NursingAim: In order to evaluate the effect of early skin-to-skin contact on breastfeeding and postpartum hemorrhage; randomized controlled and experimental study.Materials and Methods: The study was conducted with 88 women who had delivered by cesarean section in a training and research hospital in Istanbul, who met the sampling criteria and agreed to participate in the study (Experiment: 47, Control: 41). Questionnaire, Breastfeeding Observation Form, Breastfeeding Assessment Scale (IBFAT), Visual Analogue Scale (VAS) were used in the data collection stage.Results: There was no statistically significant difference between the groups in terms of the descriptive and obstetric characteristics of the women and the descriptive characteristics of the babies (p>0.05). Mean early skin-to-skin contact duration in the experimental group was 67.34±13.20 min. as found. The mean duration of first breastfeeding was 7.82±2.49 min in the experimental group and 5.60±1.90 min in the control group, and a statistically significant difference was found between the groups (t =-4.765 p<0.001). The mean IBFAT score in the first breastfeeding of the women in the experimental group was 8.68±1.56, and the control group was 5.29±1.50, and a statistically significant difference was found between the groups (t=-6.854 p <0.001). The mean VAS pain score was 4.76±1.16 in the experimental group and 5.60±1.18 in the control group, and a statistically significant difference was found between the groups (t= -3.192 p=0.001). Conclusion: It was determined that early skin-to-skin contact increases the success of breastfeeding, decreases the amount of postpartum hemorrhage and pain levels of women in cesarean section.Key Words: Early skin to skin contact, Cesarean section, Breastfeeding, Postpartum hemorrhage.
2.SUMMARYEvaluation of the Effect of Early Skin to Skin Contact on Breastfeeding and Postpartum Hemorrhage in Women with Cesarean BirthStudent’s Name: Zülfiye Serap SÜRÜCÜ Thesis yesi Zübeyde EKŞI GÜLOĞLUDepartment: Marmara University Department of Obstetrics and Gynecology NursingAim: In order to evaluate the effect of early skin-to-skin contact on breastfeeding and postpartum hemorrhage; randomized controlled and experimental study.Materials and Methods: The study was conducted with 88 women who had delivered by cesarean section in a training and research hospital in Istanbul, who met the sampling criteria and agreed to participate in the study (Experiment: 47, Control: 41). Questionnaire, Breastfeeding Observation Form, Breastfeeding Assessment Scale (IBFAT), Visual Analogue Scale (VAS) were used in the data collection stage.Results: There was no statistically significant difference between the groups in terms of the descriptive and obstetric characteristics of the women and the descriptive characteristics of the babies (p>0.05). Mean early skin-to-skin contact duration in the experimental group was 67.34±13.20 min. as found. The mean duration of first breastfeeding was 7.82±2.49 min in the experimental group and 5.60±1.90 min in the control group, and a statistically significant difference was found between the groups (t =-4.765 p<0.001). The mean IBFAT score in the first breastfeeding of the women in the experimental group was 8.68±1.56, and the control group was 5.29±1.50, and a statistically significant difference was found between the groups (t=-6.854 p <0.001). The mean VAS pain score was 4.76±1.16 in the experimental group and 5.60±1.18 in the control group, and a statistically significant difference was found between the groups (t= -3.192 p=0.001). Conclusion: It was determined that early skin-to-skin contact increases the success of breastfeeding, decreases the amount of postpartum hemorrhage and pain levels of women in cesarean section.Key Words: Early skin to skin contact, Cesarean section, Breastfeeding, Postpartum hemorrhage.