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Utjecaj uvođenja pisanog protokola u kliničku praksu rodilišta na smanjenje broja dojilja s oštećenim bradavicama (CROSBI ID 308371)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Kunina Banana ; Dimnjaković, Jelena ; Bošković Sandra Utjecaj uvođenja pisanog protokola u kliničku praksu rodilišta na smanjenje broja dojilja s oštećenim bradavicama // Paediatria Croatica, 65 (2021), 1; 123-130. doi: http://dx.doi.org/10.13112/PC.2021.21

Podaci o odgovornosti

Kunina Banana ; Dimnjaković, Jelena ; Bošković Sandra

hrvatski

Utjecaj uvođenja pisanog protokola u kliničku praksu rodilišta na smanjenje broja dojilja s oštećenim bradavicama

ain and nipple damage are one of the main causes of early breastfeeding cessation. Nipple damage can be prevented by early maternity ward staff intervention since the most common causes are poor breastfeeding positioning and latch. Having the standard operating procedures (protocols) in writing makes the work easier for staff members and improves clinical outcomes. The goal of our study was to see how the introduction of written protocol infl uenced the number of breastfeeding mothers with nipple damage being discharged from the hospital, with the fi nal goal of preventing early breastfeeding cessation. This prospective study was conducted on a hospital maternity ward. Protocol is a short document with clear instructions for midwives on how to approach a breastfeeding mother with nipple pain in order to prevent damage. In the fi rst phase (2 months), baseline data were collected by midwives ; in the second phase (1 month), education about nipple damage and protocol use was started ; and in the third phase (6 months), midwives were using the protocol. Data were collected on 1292 (62.5%) of 2067 deliveries. In the third phase as compared with the fi rst phase, there was less Mohrbacher grade >1 damage (4.8% vs. 9.8% ; p=0.007), more mothers with poor positioning (5.2% vs. 1.5% ; p=0, 003) and latch (15.6% vs. 8.1% ; p=0.0006). In the second phase in comparison to the fi rst one, there were more mothers with poor positioning (1.8% vs. 1.5% ; p=0.003) and latch (18.9% vs. 8.1% ; p=0.001). The use of nipple shield decreased with time (22.4%, 19.6% and 17.2% by phases of research ; p=0.112). In conclusion, use of the written protocol led to a decrease in severe Mohrbacher nipple damage and the midwives’ awareness of positioning and latch.

DOJENJE ; SMJERNICE ; PRIMALJE ; BRADAVICE

nije evidentirano

engleski

Effect of the standard operating procedure introduction on decrease in the number of breastfeeding mothers with nipple damage on a hospital maternity ward

nije evidentirano

BREAST FEEDING ; CLINICAL PROTOCOLS ; MIDWIFERY ; NIPPLES

nije evidentirano

Podaci o izdanju

65 (1)

2021.

123-130

objavljeno

1330-1403

1846-405X

http://dx.doi.org/10.13112/PC.2021.21

Povezanost rada

Javno zdravstvo i zdravstvena zaštita, Temeljne medicinske znanosti

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