Aile Hekimliginde Anne Sutunun Anne ve Bebek Sagligi Acisindan Onemi

Emziren Annede Beslenme Desteği ve Yetersiz Anne Sütü Olması Durumunda Çözüm Önerileri
Solution Suggestions for Breastfeeding Mother Diet Support and Insufficient Breast Milk
Burcu DOĞANa, Dilek TOPRAKb
aAile Hekimliği Kliniği, Sakarya Eğitim ve Araştırma Hastanesi, Sakarya, TÜRKİYE
bAile Hekimliği AD, Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi, Tekirdağ, TÜRKİYE
Doğan B, Toprak D. Emziren annede beslenme desteği ve yetersiz anne sütü olması durumunda çözüm önerileri. Telatar B, editör. Aile Hekimliğinde Anne Sütünün Anne ve Bebek Sağlığı Açısından Önemi. 1. Baskı. Ankara: Türkiye Klinikleri; 2019. p.111-6.
Article Language: TR
ÖZET
Anne sütü ile besleme bebeğin sağlıklı büyümesi ve gelişmesi için en uygun beslenme yöntemidir. Gebelik süresince depolanan vücut yağları ve emzirme döneminde besinlerden aldıkları enerji süt üretimi için gereken enerjinin temel kaynağıdır. Emziren annelerin günde en az 8-12 bardak sıvı almaları ve 2000-2500 kcal enerji ye göre dengeli beslenmeleri gerekir. Anne sütünü artırmak için bitkisel ajanlar ve Domperidon gibi ilaçların kullanımı önerilmez. Anne sütünün tadını etkileyebilecek soğan sarımsak gibi yiyeceklerden kaçınılması önerilir. Annelerin sütüm yetmiyor endişesi ve hatalı emzirme teknikleri anne sütünün kesilmesine ve veya ek besine geçilmesindeki en yaygın sebep olarak görülür. Doğum sonu hastaneden çıkmadan alınan emzirme danışmanlığı, "Bebek Dostu Hastane" uygulaması ile sorunların aşılmasına çalışılmaktadır. Anne sütü yetersiz diyebilmek için bebeğin tartı alımının yetersiz olması, konsantre idrar çıkışının olması, dışkı çıkışının azalması yada 5. günde hala mekonyumlu gaita çıkışının olması gerekir. Beslenme desteği gerektiğinde ilk seçenek annenin sütünün sağılarak verilmesidir. İkinci seçenek başka annenin sütü o da yoksa formüllerdir.

Anahtar Kelimeler: Anne sütü üretimi; emzirme; diyet, besin ve beslenme
ABSTRACT
Breastfeeding with mother's milk is the best nutrition method for healthy growth and development of newborn. The body fat stored during pregnancy and the energy that obtained from the nutrients during breastfeeding are the main source of energy needed for milk production. Breastfeeding mothers should be fed with at least 8-12 glasses of liquid and 2000-2500 kcal energy per day. The use of herbal agents, Domperidone, to increase maternal milk amount is not recommended. It is recommended that foods such as onion garlic, which can affect the taste of the mother's milk, to be avoided. Mothers' insufficient breast milk worry, and poor breastfeeding techniques are seen as the most common reason for cutting off breastfeeding and switching to supplementary nutrition. Breastfeeding counseling "Baby Friendly Hospital" from birth to the discharge from the hospital, is aiming to practice overcoming the problems. In order to say that the mother's milk is not enough, inadequate weight intake, inadequate and concentrated urine output and decreased stool output must be present. When nutritional support is needed, the first option is to be milking the mother's breast. The second option is the breast milk of somebody else, and if not, the formulas.

Keywords: Breast milk expression; breast feeding; diet, food, and nutrition

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