Title: The effect of lactation management model-based care offered to mothers with babies in the intensive care unit, on breast milk amount and breastfeeding period

Abstract:

Background:
In addition to providing and maintaining breastfeeding for adequate secretion of milk, it is also necessary to meet the needs of the mother after the birth and to provide and maintain care with a holistic perspective.Sometimes, even if mothers want to breastfeed, they may need to be separated from their baby for medical reasons.Being in the neonatal intensive care unit affects breastfeeding and milk secretion in many ways.This situation creates intense anxiety in the family, especially in the mother, despite the unknown. In this process, it is important to provide the mother with adequate support for breastfeeding, as well as to use other techniques (skin to skin contact, relaxation, breast massage, nipple stimulation, hot application, etc.) to stimulate the breast to stimulate the secretion of milk and increase its amount.
Objective:
In this study, it was aimed to provide care based on the lactation management model to mothers whose babies are hospitalized in the neonatal intensive care unit and to determine the effect of the model on the amount of breast milk and breastfeeding duration.
Material and Method:
After the general announcement made by the researcher on her social media account, 80 mothers who responded via message, who met the sampling criteria and agreed to participate in the study, were invited to the researcher's office at the university. Measurement tools were applied here, training was given and the case group was cared for in line with the lactation management model, and the mother was taught when and how to do it. Afterwards, all mothers were followed up by telephone for 3 days.
Results:
Number of pregnancies, number of living children, breastfeeding duration and infant birth weight were observed higher in the case group compared to the control group (p<0.05). State-Anxiety Inventory mean scores of the mothers in the case and control groups in the study were 39.8±5.45 in the case group and 34.03±4.34 in the control group, and a statistically significant difference was observed between them (p<0.05). The anxiety level of the case group was found to be higher. Exclusive breastfeeding in the first, second and third months was higher in the case group compared to the baseline (p<0.05). In the control group, only breastfeeding in the second and third months was higher compared to the baseline (p<0.05).
Conclusion:
Providing care based on the lactation management model will have positive contributions to exclusive breastfeeding, prolongation of breastfeeding period and increase in milk amount.
Keywords: Postpartum women, breastfeeding, neonatal, lactation management model.

Audience Take Away Notes:

• The lactation management model has components that provide and support holistic care
• This model has positive contributions to the mother and baby during the breastfeeding process
• The model affects the duration of breastfeeding, breastfeeding only and the amount of milk

Biography:

Dr. Eker received her MSN degree from Mersin University, Department of Midwifery, and her doctorate from Istanbul University-Cerrahpaşa Florence Nightingale Nursing Faculty, Department of Women's Health and Diseases Nursing. She struggles to empower women, protect their health and increase the level of social well-being. She has articles, verbal/poster presentation, book chapters and is a referee in journals. She is the layout editor of Mersin University Health Sciences Journal. She also teaches undergraduate and graduate level courses. She developed the "Lactation Management Model" and was awarded an international congress (verbal presentation). She has also been providing breastfeeding counseling for a long time.