بررسی تأثیر مصرف شربت دبس (حاوی شیره انگور، زعفران و لیموعمانی) بر الگوی شیردهی مادران زایمان کرده نخست‌زا: یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استادیار گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استادیار گروه طب سنتی، دانشکده طب سنتی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 استادیار گروه آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: سلامت و توانمندی جسمی و روانی مادر، از عوامل کلیدی در فرآیند تغدیه با شیر مادر است. در طب سنتی، شیره انگور را دبس یا دوشاب می­نامند. همچنین از تشابه خواص آن با شیر مادر گفته شده است. شربت دبس متشکل از آب انگور تغلیظ شده، لیموعمانی و زعفران، در طب ایرانی منبع تقویت مادر بعد از زایمان است. مطالعه حاضر با هدف بررسی تأثیر شربت دبس بر الگوی شیردهی در سه ماه اول بعد از زایمان انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی سه‌سوکور در سال 1400-1399 بر روی 92 مادر زایمان کرده در بیمارستان‌های حافظ و شوشتری شیراز انجام شد. در گروه مداخله، شربت دبس تا 6 هفته و در گروه کنترل دارونما دریافت شد. داده­ها با پرسشنامه­ های مشخصات دموگرافیک و مامایی و پرسشنامه الگوی شیردهی جمع‌آوری شد. الگوی شیردهی در روزهای اول، دهم، 1 ماه و 3 ماه بعد از زایمان بررسی شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) و آزمون­ های تی مستقل، من‌ویتنی، کای دو و دقیق فیشر انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته ­ها: در روز اول تولد، الگوی شیردهی شامل تغذیه انحصاری با شیر مادر در دو گروه مداخله (82/97%) و کنترل (70/95%) تفاوت آماری معنی‌داری نداشت (500/0=p). الگوی شیردهی انحصاری با شیر مادر در روز دهم در دو گروه مداخله (7/71%) و کنترل (6/32%) (001/0=p)، روز سی‌ام در دو گروه مداخله (6/82%) و کنترل (8/34%) (001/0>p) و سه ماهگی در دو گروه مداخله (6/82%) و کنترل (6/32%) (001/0>p) تفاوت معنی‌داری نشان داد.
نتیجه­ گیری: مصرف شربت شیره انگور، زعفران و لیموعمانی (دبس) توسط مادر بر الگوی شیردهی در روز سوم، روز دهم، روز سی‌ام و 3 ماهگی مؤثر بوده و شیردهی مادر را ارتقاء می‌بخشد. 

کلیدواژه‌ها

عنوان مقاله [English]

The effect of molasses syrup (containing Vitis juice, saffron and Omani lemon) on the breastfeeding pattern of primiparous mothers: a randomized clinical trial

نویسندگان [English]

  • Mahboobeh Mojtahedi 1
  • Shahnaz Tork Zahrani 2
  • Mojgan Tansaz 3
  • Maliheh Nasiri 4
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Assistant Professor, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Assistant Professor, Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Mother's physical and mental health and ability are the key factors in the breastfeeding process. In traditional medicine, grape juice is called Debs or Doshab. It has also been said that its properties are similar to mother's milk. Molasses syrup consisting of concentrated grape juice, Omani lemon and saffron is a source of strengthening the mother after childbirth in Iranian medicine. The present study was performed with aim to investigate the effect of molasses syrup on the breastfeeding pattern in the first three months after childbirth.
Methods: This three-blind randomized clinical trial study was conducted on 92 mothers who gave birth in Hafez and Shushtri hospitals in Shiraz in 2020-2021. In the intervention group, molasses syrup and in the control group, placebo was received for six weeks. Data were collected with demographic and midwifery questionnaire and breastfeeding pattern questionnaire. The breastfeeding pattern was examined on the first, tenth, one month and three months after delivery. Data were analyzed by SPSS software (version 26) and independent t, Mann-Whitney, Chi-square and Fisher's exact tests. P< 0.05 was considered statistically significant.
Results: The pattern of breastfeeding on the first day of birth, exclusive breastfeeding (EBF) in both intervention (97.82%) and control (95.70%) groups had no statistically significant difference (p=0.500). The pattern of exclusive breastfeeding with breast milk showed a significant difference on the 10th day in the intervention (71.7%) and control (32.6%) groups (p=0.001), on the 30th day in the intervention (82.6%) and control (34.8%) groups (p<0.001), and three months later in the intervention (82.6%) and control (32.6%) groups (p<0.001).
Conclusion: The consumption of grape juice, saffron and Omani lemon syrup (Debs) by the mother can be effective on the breastfeeding pattern on the 3rd day, 10th day, 30th day and third month and can improve the mother's breastfeeding.

کلیدواژه‌ها [English]

  • Breastfeeding pattern
  • Iranian traditional medicine
  • Omani lemon
  • Persian medicine
  • Saffron
  • Vitis juice

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 12
اسفند 1401
صفحه 64-72

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