Kayseri’de iki toplum sağlığı merkezine başvuran annelerde emzirme sorunları ve risk etmenleri

Abstract

SummaryAim: This study was conducted to determine problems in lactation and risk factors affecting breastfeeding. Material and Method: This descriptive study was conducted with mothers who had children aged 24-60 months and who presented for any reason to Family Healthcare Centers of two Public Healthcare Centers in Kayseri province. The study was performed with 500 mothers who gave a verbal consent and a questionnaire was used to collect data. Erciyes University Faculty of Medicine Clinical Research Ethics Committee (2011/20) the approval and verbal consent was obtained from the mothers. Results: The mean age of the mothers was 29.8±5.3 years, while the mean age of the children was 35.7±10.0 months. 38,6% of the children were born by cesarean section, 8.8% had low birth weight and their mean breastfeeding period was 17.7±8.0 months. The main breastfeeding problems included painful and cracked nipples (46.0%), inadequate lactating (34.2%), excessive lactating (29.8%), flat or inverted nipples (11.6%), mastitis (9.2%), extreme-fullness of the breast (9.0%) and plugged milk ducts (8.2%). Being housewife, moderate and low income status, caesarean delivery, low birth weight and less than 8 lactations a day were the risk factors for inadequate lactating. A maternal age younger than 25 years old, caesarean delivery, premature delivery, less than 8 lactations a day were the risk factors for painful or cracked nipples. The median exclusive breastfeeding duration and total lactation time of the mothers who had concerns about inadequate lactating were significantly lower than the others. The total lactation time of the mothers who had flat and inverted nipples was also shorter. Conclusions: Lactation problems are observed with a high rate. Awareness of the healthcare professionals and supports given by them may reduce these problems. (Turk Arch Ped 2013; 48: 145-151)

The Effect of Information–Motivation–Behavioral Skills on Breastfeeding Success: A Hypothetical Model

“…Although breastfeeding is important in the Turkish culture, the thought that milk is insufficient, chest deformities, painful nipples, and concerns about being a parent can affect breastfeeding competence of mothers, especially in the first days after birth (Balogun et al, 2016; Şahin et al, 2013). The belief that milk is insufficient, a bad breastfeeding pattern in the first 24 hours, and breastfeeding problems were found to negatively affect the self-efficacy levels of Chinese women (Li, Guo, Jiang, & Eldadah, 2018).…”

The Translation and Validation of the Iowa Infant Feeding Attitude Scale into Turkish

“…Türkiye'de yapılan bazı araştırma sonuçlarına göre altıncı ayda sadece anne sütüyle beslenme oranları %8.7 ile %60.8 arasında değişmektedir. [5][6][7][8][9] TNSA 2013 verilerine göre Türkiye'de ilk altı ayda sadece anne sütü verme oranı %30.1'dir. Bu oranın TNSA 2008'e göre (%41.6) oldukça gerilediği görülmektedir.…”

Annelerin doğum sonrası bebek bakım gereksinimlerinin belirlenmesi: Nitel bir çalışma

“…Literatür incelendiğinde; annelerin emzirmeyle ilgili yaşadıkları sorunların çalışmamızla benzer olarak ağrılı çatlak meme başı, mastit, memede aşırı dolgunluk, bebeğin emmemesi, ağlama, huzursuzluk gibi şikâyetler olduğu belirlenmiştir. 23,24 Araştırmamız sonucunda annelerin göz, burun, ağız bakımı yapmadıkları saptanmıştır. Doğan ve ark.…”