تأثیر دانه‌ی شبنلیله بر نشانگان کفایت شیردهی و افزایش وزن نوزادان در ماه اول پس از تولد

نوع مقاله: مقاله پژوهشی

نویسندگان

گروه پرستاری و مامایی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران

چکیده

برای رشد مناسب نوزادان، سازمان بهداشت جهانی، تغذیه انحصاری با شیر مادر در شش ماه اول بعد از تولد و ادامه شیردهی تا دو سالگی را توصیه کرده است. یکی از دلایلی که مانع از این نوع تغذیه است، ناکافی بودن شیر مادر است. هدف از این پژوهش، بررسی تاثیر تجویز ترکیب گیاهی دانه شنبلیله در بهبود نشانه های کفایت شیردهی ماه نخست بعد از تولد در مادران نخست زا در مراکز بهداشتی درمانی بجنورد بود. پژوهش حاضر از نوع کارآزمایی بالینی دو سوکور با گروه کنترل بود که بر روی 44 مادر و نوزادان در دوگروه آزمایش و کنترل (هر گروه 22 نفر) صورت گرفت. در گروه آزمایش میزان شش گرم دانه شنبلیله، سه بار در روز برای چهار هفته متوالی همراه با غذا تجویز شد. در گروه کنترل از دارونما استفاده شد. نشانه های کفایت شیردهی با استناد به فرم ثبت روزانه تعداد پوشک خیس و دفعات دفع مدفوع و زمان شیردهی و فاکتورهای رشد نوزادان در هر دو گروه بررسی و مقایسه شد. نتایج نشان می­دهند در ابتدای تولد، دو گروه تفاوت معناداری در فاکتورهای مورد بررسی نداشتند. بعد از چهار هفته، شاخص های رشد نوزادان در گروه آزمایش به طور معناداری بالاتر از گروه کنترل بود به نحوی که وزن نوزادان از 32/331 ± 96/3248 به 10/1220 ± 87/4985؛ دور سر از 23/1 ± 61/34 به 86/1 ± 85/38 افزایش داشت. تعداد پوشک خیس روزانه از 50/1 ± 96/5 به 2/1 ± 97/7، دفعات دفع مدفوع از 85/1 ± 26/1 به 85/0 ± 41/2 و زمان شیردهی روزانه از 03/2 ± 85/10 به 03/2 ± 86/14 افزایش داشت که نسبت به گروه کنترل دارای تفاوت معنی دار است. نتایج این مطالعه نشان می‌‌دهد تجویز دانه شنبلیله در مادران، با بهبود کفایت شیردهی در مقایسه با دارونما همراه است.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Fenugreek Seed on the Signs of Breast Milk Sufficiency and Weight Gain in Infants at First Month after Birth

نویسندگان [English]

  • N. Vahdat
  • S. Vahdat
Department of Nursing and Midwifery, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran
چکیده [English]

For optimized growth of infants, WHO has recommended that infants should be exclusively breastfed for six months and must be continued in added to complementary feeding for two years. Insufficient production of breast milk is one of the most reasons that terminate breastfeeding. We aimed to investigate the effect of fenugreek seed on signs of milk production sufficiency in female infants at the first months after birth, in medical health centers in Bojnourd. This research was a double-blind clinical trial with control group. Overall, 44 mothers and female infants were randomly assigned to experiment, group, treated with 6 gr fenugreek seed powder, three times a day with food and control group treated with placebo. At the birth and during 4 wk, the signs of breast milk sufficiency were evaluated through measurement of growth parameters and daily follow up forms measuring number if wet diapers, frequency of defecation and breastfeeding time. Before intervention, there was no significant difference between two groups. The weight of infants which their mothers were treated with fenugreek seed, increased significantly from 3248.96±331.32 to 4985.87±1220.10, head circumference increased from 34.61± 1.23 to 38.85 ± 1.86. Number of wet diapers from 5.96 ± 1.50 to 7.97 ± 1.2, frequency of defection from 1.26 ± 1.85 to 2.41 ± 0.85, breastfeeding time 1085 ± 2.03 to 14.86 ± 2.03 which was significantly different with control group (P< 0.001). Fenugreek seed improves the signs of breast milk feeding sufficiency in comparison with placebo.

کلیدواژه‌ها [English]

  • Breastfeeding
  • fenugreek seed
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