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Aim This study aimed to investigate the effectiveness of prenatal breast‐feeding education provided to pregnant women who experience fear of breast‐feeding in the COVID‐19 pandemic period. Methods A prospective randomized controlled trial study was conducted with 128 pregnant women (64 in the experimental group and 64 in the control group) between November 2021 and February 2022. The data were collected via the Numeric Pain Rating Scale, the Breastfeeding Motivation Scale and the Iowa Infant Feeding Attitude Scale to assess fear, motivation and attitudes regarding breast‐feeding. The pregnant women in the experimental group were provided with and education programme on ‘safe breastfeeding in the COVID‐19 pandemic’. The breast‐feeding education included in standard care was given to the control group after pre‐test data collection was completed. Results The significant differences in the mean Numeric Pain Rating Scale, Breastfeeding Motivation Scale and Iowa Infant Feeding Attitude Scale scores of the groups were in favour of the experimental group ( P < 0.05). It was determined that in the first postnatal month, in the experimental group, the numbers of women who believed that their breast‐feeding was not affected by COVID‐19 and the numbers of infants solely breastmilk‐fed were higher compared to the control group ( P < 0.05). Conclusion Prenatal breast‐feeding education about safe breast‐feeding in the COVID‐19 pandemic period can reduce fears of breast‐feeding and increase motivation and approving attitudes regarding breast‐feeding.

Background: Breastfeeding has been the subject of scientific studies for many years. Identifying the current trends and hotspots in breastfeeding research can further advance understanding in the field. Research Aim: This study aimed to review the basic and conceptual structure of the literature on breastfeeding from a macro perspective. Methods: The dataset for this study included 8,509 articles published between 1980 and 2022 accessed through the Web of Science database. Bibliometric methods were used to assess the growth direction of the literature on breastfeeding, the publication performance by country, influential journals and articles, co-citation networks, and keywords. Results: Research on breastfeeding developed slowly until the 2000s, at which point the speed of growth increased. The United States was the country in which most of the breastfeeding research was produced as well as being at the center of international collaborative networks. An examination of author productivity established that there was no specialization in breastfeeding. The results of citation and keyword analyses demonstrated that the literature on breastfeeding is sensitive to current developments, and the psychological aspects of breastfeeding have been intensively discussed, especially in recent years. Moreover, our results demonstrate that breastfeeding support programs are a distinct area if interest. Despite the abundance of research available, more studies are needed for specialization in this field. Conclusion: This broad overview of the field of breastfeeding research can inform the direction and advancement of the literature.

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Amaç: Bu çalışmada riskli olan ve olmayan gebelerin fiziksel aktivite düzeyleri, gebelikte iyilik düzeyleri ile gebelikteki yakınmaların yaşam kalitesine etkisinin incelenmesi amaçlamaktadır. Yöntem: Kesitsel ve karşılaştırmalı tipte tasarlanan bu çalışma, Türkiye'de bir ildeki hastaneye gebelik takibi için başvuran 603 gebe ile yürütüldü (155 riskli, 448 riskli olmayan). Veriler Temmuz-Ağustos 2021 tarihleri arasında Uluslararası Fiziksel Aktivite Anketi (UFAA), Gebelikte İyilik Ölçeği (GİÖ) ve Gebelikteki Yakınmalar ve Yaşam Kalitesine Etkisi Ölçeği (GYYKEÖ) ile toplandı. Bulgular: Riskli olan ve olmayan gebelerin UFAA, GİÖ ve GYYKEÖ puan ortalamaları karşılaştırıldı. Riskli gebeliğe sahip kadınların UFAA ve GİÖ ölçeği puan ortalamaları daha düşük, GYYKEÖ puan ortalaması ise daha yüksek ve gruplar aralarındaki farkın istatistiksel olarak anlamlı olduğu bulundu (p <0.05). Lojistik regresyon sonucunda şiddetli (OR=1.001) ve orta düzeyde (OR=1.001) yapılan fiziksel aktivenin riskli gebeliğe karşı koruyucu rol oynadığı, riskli gebeliğe sahip olmanın gebelik endişelerinin (OR=0.900) varlığı, riskli olmayan gebeliğe sahip olmanın gebelikte pozitif etki ve memnuniyet (OR=1.030) varlığı üzerinde ön görücü rol oynadığı belirlenmiştir. Ayrıca riskli gebeliğin artmış gebelik yakınmaları ile birlikte düşük yaşam kalitesinin ön görücüsü olduğu belirlendi (OR=0.986). Sonuçlar: Gebelik döneminde yapılan fiziksel aktivite riskli gebelerde; gebelik iyiliğini arttıracağı gibi, gebelik yakınmalarını azaltmada ve yaşam kalitesini arttırmada olumlu yönde etkinlik sağlamaktadır.