Žindančių motinų informuotumas apie donorinį motinos pieną ir donorinio motinos pieno banką

Žukauskaitė, Liveta

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Žindančių motinų informuotumas apie donorinį motinos pieną ir donorinio motinos pieno banką

Žukauskaitė, Liveta

URI: http://dspace.kaunokolegija.lt//handle/123456789/1503

Data: 2019-04-12

Santrauka:

Literatūros analizėje aprašoma donorinio motinos pieno svarba neišnešiotiems naujagimiams, donorinio motinos pieno banko sąvoka. Tyrimo rezultatuose atskleidžiamas žindančių motinų požiūris į naujagimio maitinimą donoriniu motinos pienu ir jų nusiteikimas tapti pieno donorėmis. Taip pat, atskleidžiami žindančių motinų informacijos gavimo šaltiniai apie donorinį motinos pieną ir pieno banką, išryškinant slaugytojos veiklą.

Description:

Relevance of the topic: According to the World Health Organisation, there’s around 15mln premature newborns being born every year. In Lithuania - from 5.5% to 6%, and the majority of premature newborns are treated and taken care of in perinatology centres in Kaunas and Vilnius. Donor breast milk is of vital importance to premature newborns. The research has been conducted since not much is known about this. Aim of the thesis: To reveal the awareness of breastfeeding mothers, and the information provided by nurses about donor breast milk and donor breast milk bank. Objectives of the thesis: 1. To define the importance of donor breast milk to premature newborns and the concept of breast milk bank. 2. To determine the attitude of breastfeeding mothers towards breastfeeding of a premature newborn and their willingness to become donors. 3. To disclose the sources of information for breastfeeding mothers on donor breast milk and donor breast milk bank, highlighting the nurse’s encouragement to carry out this activity. Empirical research methodology: In order to reveal the topic, scientific literature was analysed, qualitative research method and a semi-structured oral survey (which consisted of 18 questions) were performed. The study was carried out in Unit Y of Hospital X, where 10 breastfeeding mothers were interviewed. Research results: Breastfeeding mothers have a positive attitude towards feeding of premature newborns with donor breast milk, as the majority of mothers (8 out of 10) have fed their newborns with donor milk, and only a small number of mothers (2 out of 10) did not need donor milk. Also, all mothers (10 out of 10) know that donor milk protects newborns from diseases, improves development, and reduces mortality rate. Breastfeeding mothers’ willingness to become breast milk donors is positive because the greater part of mothers (7 out of 10) were encouraged by a nurse, and the small part (3 out of 10) wanted to do it themselves. The main source of information on donor breast milk is the nurses, as all mothers (10 out of 10) said that the nurse taught them willingly, most of them (8 out of 10) were taught during a conversation, and a minority were provided with methodological material (3 out of 10) and direct demonstration (3 out of 10). The nurse gives enough information about the donor milk, because almost all women (9 out of 10) perform milk extraction correctly. The majority of mothers (6 out of 10) reported having learned about donor breast milk bank from a nurse, a smaller part (3 out of 10) learned from a nurse and the Internet and the smallest part (1 out of 10) found out about it 5 only from the Internet. Most mothers (8 out of 10) said that a nurse provided enough information about breast milk bank, and a small part (2 out of 10) reported to have lacked information. Conclusions: 1. Having analysed the scientific literature, we found out that donor breast milk is important for premature newborns, since it rescues newborns in case of immaturity of the body or when the mother has no milk, it increases resistance of newborns to infections, improves development, and shortens the duration of treatment. Donor breast milk bank is an institution which ensures the supply and care of safe donor breast milk for use in medical treatment. 2. According to the research results, the attitude of mothers towards the feeding of premature newborns with donor breast milk is positive. When premature newborns were fed with donor milk, the incidence of necrotic enterocolitis and the mortality rate have decreased, what is more, the donor milk is natural, more valuable than adapted formulas, and has a higher protein content. Breastfeeding mothers have a positive attitude towards becoming donors. Most mothers became donors when encouraged by a nurse, while others decided themselves. 3. The research shows that breastfeeding mothers have learned about donor breast milk and breast milk bank from a nurse or from the Internet. The mothers emphasise that nurses were proactive and willingly provided information on donor milk, breast milk bank and its importance.

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