Mothers’ Attitudes Toward Feeding Twin Babies in the First Six Months of Life: A Sample From Sakarya, Turkey

Çınar, Nursan; Köse, Dilek; Alvur, Tuncay Müge; Doğu, Özlem

doi:10.5812/ijp.5413

Cited by 11 publications

(8 citation statements)

References 23 publications

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“…Additionally, our findings showed that mothers having twins or triplets were less likely to exclusively breastfeed their children for 6 months and more. This is in line with a Turkish study where the prevalence of breastfeeding in twin babies was low [ 49 ]. Mothers of numerous babies believe they are poorly equipped to offer the best care for their children.…”

Section: Discussionsupporting

confidence: 92%

“…Mothers of numerous babies believe they are poorly equipped to offer the best care for their children. Therefore, it is critical that mothers who are expecting twins or triplets be aware that their milk is sufficient; as well, they should be encouraged to breastfeed and should receive training on the benefits of breastfeeding [ 49 ]. Regarding determinants of complementary feeding, the introduction of solid, semi-solid or soft foods before the age of 6 months was much more common in boys than in girls.…”

Section: Discussionmentioning

confidence: 99%

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Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

et al. 2022

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Sub-optimal feeding practices among under-5 children are the major drivers of malnutrition. This study aims to assess the prevalence of malnutrition and the factors affecting exclusive breastfeeding, bottle feeding, and complementary feeding practices among under 5 children amid the COVID-19 pandemic as well as the economic and the political crises in Lebanon. A nationally representative stratified random sample of mother–child dyads (n = 511) was collected from households using a stratified cluster sampling design. The survey inquired about infant’s feeding and complementary feeding practices using a valid questionnaire. Anthropometric measurements of the mother and child were collected. Multivariate logistic regression was conducted to explore the determinants associated with under-5 children’s practices. The prevalence of underweight, stunting, wasting, overweight and obese children was 0.5%, 8.4%, 6.7%, 16.8% and 8.9%, respectively. In total, among under-5 children, the prevalence of ever breastfeeding, exclusive breastfeeding, and bottle feeding at birth was 95.1%, 59.1% and 25.8%, respectively. Half the children in this study started solid foods between 4 and 6 months. Regression analysis showed that supporting breastfeeding at hospital (aOR = 8.20, 95% CI (3.03–22.17)) and husband’s support (aOR = 3.07, 95% CI (1.9–4.92)) were associated with increased breastfeeding odds. However, mother’s occupation (aOR = 0.18, 95% CI (0.55–0.58)) was inversely associated with breastfeeding practices. Male children (aOR = 2.119, 95% CI (1.37–3.27), mothers diagnosed with COVID-19 (aOR = 0.58, 95% CI (0.35–0.95)), and bottle feeding at hospital (aOR = 0.5, 95% CI (0.32–0.77)) were more likely to induce early initiation of solid foods at 4 months of age. This study demonstrated non-negligible rates of malnutrition, low prevalence of exclusive breastfeeding, and high rates of early introduction of formula feeding and solid foods among Lebanese under-5-children amid escalating crises.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

et al. 2022

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“…that can be utilized during this period. Breastfeeding is more signi cant in multiple pregnancies, particularly since pre-term and low birth weight babies are frequently seen [19]. As a walking properly the other was still crawling with no sign of walking anytime soon.…”

Section: Reasons For a Chosen Daily Frequency Of Exclusivementioning

confidence: 99%

Exclusive Breastfeeding and Associated Factors among Mothers with Twins in the Tamale Metropolis

Tahiru

Agbozo

Garti

et al. 2020

International Journal of Pediatrics

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Background. Exclusive breastfeeding (EBF) for the first six months after birth has been recommended by the WHO as the best infant feeding strategy. Data on EBF rates among twin infants in Ghana remain limited and for that matter hypothesized to be low. Aim. The study sought to measure the prevalence of EBF and identify associated factors among twins in the Tamale metropolis. Methods. A cross-sectional survey involving 185 mother-twin pairs was conducted in four health facilities in the Tamale metropolis providing Child welfare Clinic (CWC) services. Socio-demographics data on both mother and twin were taken. Biomedical (e.g. perceived onset of lactation, confidence of producing enough milk, parity, delivery place, delivery type, time of breastfeeding initiation) and bio cultural factors (e.g. family cooperation for current infant feeding, breastfeeding counselling) were also obtained. In-depth interviews were also conducted with a sub sample of mothers (30) who were purposively selected to generate qualitative data on breastfeeding and associated cultural factors in twins as this data was necessary to aid in the explanation of the quantitative results. Results. Only 17% of twin infants were exclusively breastfed for six months. Women who were not confident that they could produce enough breast milk were about 83% less likely to practice exclusive breast-feeding (EBF) compared to those who were confident that they could produce enough breast milk (AOR = 0.17; CI = 0.04, 0.73; p-value = 0.017). Moreover, mothers who had no access to radio were about 87% less likely to practice EBF (AOR = 0.13; CI = 0.02, 0.79; p-value = 0.027). The qualitative analysis also revealed that babies are frequently breastfed because according to the mothers, breastmilk was the only food for the baby. It was also found that begging when you have twins had spiritual underpinnings in the study area. Conclusions. The study shows that, ownership of radio, confidence of producing enough breast milk and admission of the children into NICU were identified as the most important factors affecting exclusive breastfeeding of twins. Beyond Educating, encouraging and assuring twin mothers of their abilities to produce enough breast milk to satisfy their children, healthcare professionals should pay more attention on providing appropriate information on breastfeeding to mothers and caregivers.

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“…The breastfeeding rates in multiple pregnancies were reported to be between 24% and 79% in different cultures and at a different time (e.g., at 2 months and at discharge) intervals (1)(2)(3)(4). However, the rates of exclusive breastfeeding were reported as 3.3% in the 5 th month and 4.1% in the 6 th month (4,5).…”

Section: Introductionmentioning

confidence: 99%

“…The use of breast milk is associated with a decreased incidence of complications however, many babies from multiple births cannot obtain the amount of milk they need due to the inexperience of mothers in breastfeeding, inadequate knowledge, and the belief that mothers have insufficient breast milk for two babies. The mothers of twins have sufficient potential to breastfeed their babies, but they need support from their families and health professionals (5).…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding Experience of Mothers with Multiple Babies: A Phenomenological Study

Suderman

Karakoç

2022

Clinical and Experimental Health Sciences

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Objective: To determine the needs and underline the experiences of mothers by focusing on the experiences of mothers with multiple babies during their breastfeeding period.Methods: This is a phenomenological, qualitative study. A total of 13 mothers with three -to 13-month-old babies were interviewed in-depth and individually. The data were collected by a single observer with a personal information form containing individual characteristics of the participants and an interview form with semi-structured, open-ended questions. Results:The three main themes formed based on the interviews with mothers were the meaning of being a mother with multiple babies and breastfeeding them, challenging life experiences during breastfeeding, and the factors that affect motivation. The majority of the mothers expressed feelings including concern, fear, guilt, and frustration. All mothers stated that, after delivery, they needed a knowledgeable and dependable helper preferably not from the family and that they experienced conflicts in their relationships. Conclusion:It is important to maintain social, emotional, and physical support for mothers with multiple babies. Similarly, avoiding judgmental, questioning, and accusing expressions is essential to circumvent conflicts in relationships. It is recommended for mothers' concerns to be addressed according to the source of the concern and for breastfeeding education content to be prepared accordingly. Each mother should be evaluated individually, and care plans and consultations should be prepared accordingly.

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Mothers’ Attitudes Toward Feeding Twin Babies in the First Six Months of Life: A Sample From Sakarya, Turkey

Cited by 11 publications

References 23 publications

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study

Exclusive Breastfeeding and Associated Factors among Mothers with Twins in the Tamale Metropolis

Breastfeeding Experience of Mothers with Multiple Babies: A Phenomenological Study

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