ABSTRACT
Breastfeeding difficulties are often present in the first weeks of the postpartum period, and various factors can cause a mother's early cessation of breastfeeding. Such factors include mothers' self-efficacy and perception of insufficient milk. This study aimed to examine the effect of a hot application on the breast with the help of the Thera Pearl in the postpartum period on milk perception and breastfeeding self-efficacy. This was a randomized controlled trial. This study was completed with 64 puerperal mothers, 31 of whom were control and 33 were experimental. A Personal Information Form, Breastfeeding Observation Form, Breastfeeding Self-Efficacy Scale, and Insufficient Milk Perception Scale were used to collect data. The average breastfeeding self-efficacy scale scores of the experimental group were 42.46 and 62, respectively, at the first and last follow-up, while the control group's mean scores were 57.42 and 47. The average scores of the experimental group on the insufficient milk perception scale were 19, 28, and 48, respectively, from the first to the last follow-up, while those of the control group were 28, 24, and 34, respectively. As a result, self-efficacy and milk perception are important factors affecting breastfeeding. In this study, we found that Thera Pearl application increased breastfeeding self-efficacy but did not affect milk perception.
ABSTRACT
Background/aim: We aimed to search the relationship between the preoperative PVI (pleth variability index) and intraoperative respiratory parameters to reveal whether PVI can be used as a prediction tool in bariatric surgery. Materials and methods: Forty patients undergoing bariatric surgery were included. Noninvasive pleth variability index measured via finger probe before induction of general anesthesia. Following intubation each patient was ventilated in controlled mode. Intraoperative blood pressure, peak airway pressure, end-tidal CO2, SpO2, PEEP, and FiO2 were recorded every 5 min for the first 10 min and then every 10 min until extubation. Steroid and bronchodilator requirements were recorded. Results: The systolic pressure-PVI, oxygen saturation-PVI relationship was statistically significant (p = 0.03, p = 0.013). A relationship was found between pleth variability index and peak airway pressure (p = 0.002). No correlation was detected between end-tidal CO2 and pleth variability index. The relationship between steroid, bronchodilator use, and PVI was significant (p = 0.05, p = 0.01). A positive correlation between PEEP and PVI was detected at varying time points. A positive correlation was found between FiO2-PVI. Conclusion: A relationship was found between PVI and intraoperative peak airway pressures, oxygen saturation, PEEP, bronchodilatator, and steroid usage. This result may be inspiring to conduct larger studies addressing the issue of predicting intraoperative respiratory problems in bariatric surgeries.
