Krūts barošana pēc ķeizargrieziena- izaicinājums vai nekas īpašs?
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Atslēgvārdi: Ķeizargrieziens, krūts barošana.
Darba mērķis: Noskaidrot vai ķeizargrieziens rada potenciālas grūtības barojot ar krūti, vai pastāv sakarība starp ķeizargrieziena operācijām un problēmām, kas rodas, sievietēm barojot bērnu ar krūti.
Materiāli un metodes: Tika veikts šķērsgriezuma pētījums. Dati tika ievākti ar anketas palīdzību. Datu apstrādei izmantoja Microsoft Excel 2016 un SPSS Statistics.
Rezultāti: Pētījumā piedalījās 150 sievietes no 20 līdz 43 gadu vecumam. Pacientes tika sadalītas trijās grupās (vaginālo dzemdību grupā, akūta ķeizargrieziena grupā un plāna ķeizargrieziena grupā), pa 50 cilvēkiem katrā.
Pastāv statistiski ticama saistība (p< 0,05) starp grūtniecības atrisināšanas veidu un pirmo mātes un bērna ādas - ādas kontakta uzsākšanu un ilgumu. 94% (n=47) vaginālo dzemdību grupā, 40% (n=20) akūta ķeizargrieziena grupā, 48% (n= 24) plāna ķeizargrieziena grupā pirmais ādas - ādas kontakts ar bērnu bija uzreiz pēc bērna piedzimšanas. Pirmā ādas- ādas kontakta ilgums bija 30 minūtes un vairāk 80% (n=40) vaginālo dzemdību grupā, 50% (n=25) akūta ķeizargrieziena grupā, 28 % (n=14) plāna ķeizargrieziena grupā. Tika noteikts, ka pastāv statistiski ticama saistība (p< 0,05) starp grūtniecības atrisināšanas veidu un laiku, kad tika uzsākta pirmā krūts barošana. Gan 46% (n=23) akūta, gan 68% (n=34) plāna ķeizargrieziena grupā pirmā krūts barošana tika uzsākt pirmo sešu stundu laikā. Savukārt 58% (n=29) vaginālo dzemdību grupā tas notika pirmajā pēcdzemdību stundā. Pastāv statistiski ticama saistība (p< 0,05) starp grūtniecības atrisināšanas veidu un bērna ēdināšu laika posmā kamēr māte un bērns atradās dzemdību iestādē. Jaundzimušie tika baroti tikai ar krūts pienu 80% (n=40) vaginālo dzemdību grupā, 56 % (n=28) akūta ķeizargrieziena grupā, 54 % (n=27) plāna ķeizargrieziena grupā. Statistiski ticama atšķirība starp grupām tika atrasta sūdzībās par pārāk piebriedušām krūtīm, mazu piena daudzumu un lielu nogurumu. 2% (n=1), 14% (n=7), 8% (n=4) vaginālo dzemdību grupā. 26% (n=13), 34% (n=17), 24% (n=12) akūta ķeizargrieziena grupā. 18% (n=9), 32% (n=16), 8% (n=4) plāna ķeizargrieziena grupā. Pēc palīdzības sakarā ar krūts barošanu biežāk vērsās sievietes kurām ir bijis ķeizargrieziens (p< 0,05). Akūta ķeizargrieziena grupā palīdzība bija nepieciešama 74% (n=37). Plāna ķeizargrieziena grupā palīdzība bija nepieciešama 70% (n=35).
Secinājumi: Ķeizargrieziena operācija ir saistīta ar vēlāku krūts barošanas un ādas-ādas kontakta uzsākšanu. Sievietes, kam ir bijis ķeizargrieziens, biežāk sūdzas par pārāk piebriedušām krūtīm, mazu piena daudzumu un nogurumu.
Keywords: Caesarean section (c-section), breastfeeding. Aim: To find out if C-section makes a potential difficulty in breastfeeding during the time spent in hospital. Methods: A cross-sectional survey was conducted. Structured questionnaires were used to collect data. Data were analyzed using Microsoft Excel 2016 and SPSS 23. Results: The study involved 150 women between the ages of 20 and 43. Patients were divided into three groups (vaginal delivery group, acute caesarean section group and planned caesarean section group), 50 people in each group. The difference between groups was significant (p < 0,05) in first skin-to-skin contact initiation and duration. 94% (n = 47) in the vaginal delivery group, 40% (n = 20) in the acute caesarean section group, 48% (n = 24) in the planned caesarean section had the first skin-to-skin contact immediately after childbirth. The duration of first skin-to-skin contact was 30 minutes and more in 80% (n = 40) of the vaginal delivery group, 50% (n = 25) of the acute caesarean section group, 28% (n = 14) of the planned caesarean section group. The difference between groups was significant (p < 0,05) in first breastfeeding initiation. 46% (n = 23) of the acute caesarean section group and 68% (n = 34) of the planned caesarean section group started breastfeeding within the first six hours. 58% (n = 29) of the vaginal delivery group started breastfeeding in the first hour after delivery. There was a statistically significant difference (p <0.05) between groups in infant nutrition. Newborns were breastfed in 80% (n = 40) of vaginal delivery group, 56% of (n = 28) the acute caesarean section group, 54% (n = 27) of the planned caesarean section group. A statistically significant difference between groups was found in complaints of breasts being too swollen, small amount of milk and tiredness. 2% (n = 1), 14% (n = 7), 8% (n = 4) in the vaginal delivery group. 26% (n = 13), 34% (n = 17), 24% (n = 12) in the acute caesarean section group. 18% (n = 9), 32% (n = 16), 8% (n = 4) in the plan caesarean section group. Women who had caesarean section more often looked for help (p <0.05). 74% (n = 37) of the acute caesarean section group needed help. 70% (n = 35) of the planned caesarean section group needed help. Conclusions: Study suggests that C-section is associated with later breastfeeding and skin-to-skin contact initiation and more complaints (about breasts being too swollen, nipple changes, small amount of milk and tiredness).
Keywords: Caesarean section (c-section), breastfeeding. Aim: To find out if C-section makes a potential difficulty in breastfeeding during the time spent in hospital. Methods: A cross-sectional survey was conducted. Structured questionnaires were used to collect data. Data were analyzed using Microsoft Excel 2016 and SPSS 23. Results: The study involved 150 women between the ages of 20 and 43. Patients were divided into three groups (vaginal delivery group, acute caesarean section group and planned caesarean section group), 50 people in each group. The difference between groups was significant (p < 0,05) in first skin-to-skin contact initiation and duration. 94% (n = 47) in the vaginal delivery group, 40% (n = 20) in the acute caesarean section group, 48% (n = 24) in the planned caesarean section had the first skin-to-skin contact immediately after childbirth. The duration of first skin-to-skin contact was 30 minutes and more in 80% (n = 40) of the vaginal delivery group, 50% (n = 25) of the acute caesarean section group, 28% (n = 14) of the planned caesarean section group. The difference between groups was significant (p < 0,05) in first breastfeeding initiation. 46% (n = 23) of the acute caesarean section group and 68% (n = 34) of the planned caesarean section group started breastfeeding within the first six hours. 58% (n = 29) of the vaginal delivery group started breastfeeding in the first hour after delivery. There was a statistically significant difference (p <0.05) between groups in infant nutrition. Newborns were breastfed in 80% (n = 40) of vaginal delivery group, 56% of (n = 28) the acute caesarean section group, 54% (n = 27) of the planned caesarean section group. A statistically significant difference between groups was found in complaints of breasts being too swollen, small amount of milk and tiredness. 2% (n = 1), 14% (n = 7), 8% (n = 4) in the vaginal delivery group. 26% (n = 13), 34% (n = 17), 24% (n = 12) in the acute caesarean section group. 18% (n = 9), 32% (n = 16), 8% (n = 4) in the plan caesarean section group. Women who had caesarean section more often looked for help (p <0.05). 74% (n = 37) of the acute caesarean section group needed help. 70% (n = 35) of the planned caesarean section group needed help. Conclusions: Study suggests that C-section is associated with later breastfeeding and skin-to-skin contact initiation and more complaints (about breasts being too swollen, nipple changes, small amount of milk and tiredness).
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Ķeizargrieziens, krūts barošana., Caesarean section (c-section), breastfeeding.