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Factors associated with the initiation and continuation of breastfeeding

Year 2019, Volume: 44 Issue: Supplement 1, 223 - 232, 29.12.2019
https://doi.org/10.17826/cumj.557926

Abstract

Purpose: We aimed to investigate the relationship between initiation/continuation of breastfeeding and socio-demographic, lifestyle-related, clinical and lactation-related factors

Materials and Methods: This cross-sectional study was conducted in three hospitals in Turkey. A total of 360 mothers with children aged 0-24 months underwent face-to-face interview, using a structured questionnaire about the initiation of breastfeeding, exclusive and any breastfeeding, as well as potentially related characteristics and factors. 

Results: The mean age of mother was 28  5.36 years; the mean of parity was two years; and the percentage of vaginal birth frequency was 56.9. It was found out that 43.6% of babies were initiated early to breastmilk, the majority of the babies (78%) started additional food at 4-6 months and the first additional food started to be milk in the majority (49.6%). Mode of birth, breastfeeding information and first feeding style (exclusive breastmilk) affected babys’ feeding style in the last 24 hours. Mode of childbirth (vaginal), complicated pregnancy and birth, rooming-in, and breastfeeding information were found to be important for the initiation and continued breastfeedin.

Conclusion: Breastfeeding practice is influenced by a variety of factors. Health professionals are significant people who are effective in women’s decision to breastfeed, to start breastfeeding and continue to breastfeed. Baby-friendly hospitals, which provide the highest level of medical care and which support rooming-in after delivery, must be established and training on breastfeeding should be increased and maintained.


References

  • nces1. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane database of systematic reviews. 2012(8).2. Paul IM, Bartok CJ, Downs DS, Stifter CA, Ventura AK, Birch LL. Opportunities for the primary prevention of obesity during infancy. Advances in pediatrics. 2009;56(1):107-133.3. Cattaneo A, Monasta L, Stamatakis E, et al. Overweight and obesity in infants and pre‐school children in the European Union: a review of existing data. Obesity reviews. 2010;11(5):389-398.4. Luan N-N, Wu Q-J, Gong T-T, Vogtmann E, Wang Y-L, Lin B. Breastfeeding and ovarian cancer risk: a meta-analysis of epidemiologic studies–. The American journal of clinical nutrition. 2013;98(4):1020-1031.5. WHO. Global strategy for infant and young child feeding: World Health Organization; 2003.6. General OotS. The Surgeon General's call to action to support breastfeeding. 2011.7. UNICEF. Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding. Available at: http://www.unicef.org/programme/breastfeeding/innocenti.htm 8. UNICEF. The Baby Friendly Hospital Initiative. Available at: http:// www.unicef.org/programme/breastfeeding/baby.htm 9. WHO. Global targets 2025 to improve maternal, infant and young children nutrition: World Health Organization; 2017.10. Bosi ATB, Eriksen KG, Sobko T, Wijnhoven TM, Breda J. Breastfeeding practices and policies in WHO European region member states. Public health nutrition. 2016;19(4):753-764.11. WHO. Indicators for assessing infant and young child feeding practices: part 1: definitions: conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA. 2008.12. WHO. Long-term effects of breastfeeding: a systematic review. Geneva: WHO. 2013.13. WHO. Development of WHO nutrition guidelines. Available at: http://www.who.int/elena/about/guidelines_process/en/ 14. Khan J, Vesel L, Bahl R, Martines JC. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity—a systematic review and meta-analysis. Maternal and child health journal. 2015;19(3):468-479.15. Rajasekar G. Prevalence and factors associated with breastfeeding in a population with good literacy. International Journal Of Community Medicine And Public Health. 2017;4(5):1652-1655.16. Himani BK, Kumar P. Effect of initiation of breastfeeding within one hour of the delivery on" maternal-infant bonding. Nursing and Midwifery Research Journal. 2011;7(3).17. Moore ER, Anderson GC. Randomized controlled trial of very early mother–infant skin-to-skin contact and breastfeeding status. Journal of midwifery & women's health. 2007;52(2):116-125.18. Genetu H, Yenit MK, Tariku A. Breastfeeding counseling and support are associated with continuous exclusive breastfeeding from one week to six months of age among HIV exposed infants in north Gondar zone, Ethiopia: a cross-sectional study. International breastfeeding journal. 2016;12(1):21.19. Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117(3):e380-e386.20. Brown A, Jordan S. Impact of birth complications on breastfeeding duration: an internet survey. Journal of advanced nursing. 2013;69(4):828-839.21. Crenshaw J. Care practice# 6: No separation of mother and baby, with unlimited opportunities for breastfeeding. The Journal of perinatal education. 2007;16(3):39.22. Pechlivani F, Vassilakou T, Sarafidou J, Zachou T, Anastasiou CA, Sidossis LS. Prevalence and determinants of exclusive breastfeeding during hospital stay in the area of Athens, Greece. Acta Paediatrica. 2005;94(7):928-934.23. Tavoulari E-F, Benetou V, Vlastarakos PV, Andriopoulou E, Kreatsas G, Linos A. Factors affecting breast-feeding initiation in Greece: What is important? Midwifery. 2015;31(2):323-331.24. Kasahun AW, Wako WG, Gebere MW, Neima GH. Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis. International breastfeeding journal. 2016;12(1):20.25. Khanal V, Scott JA, Lee AH, Karkee R, Binns CW. Factors associated with early initiation of breastfeeding in Western Nepal. International journal of environmental research and public health. 2015;12(8):9562-9574.26. Tavoulari E-F, Benetou V, Vlastarakos PV, et al. Factors affecting breastfeeding duration in Greece: What is important? World journal of clinical pediatrics. 2016;5(3):349.27. Vieira TO, Vieira GO, Giugliani ERJ, Mendes CM, Martins CC, Silva LR. Determinants of breastfeeding initiation within the first hour of life in a Brazilian population: cross-sectional study. BMC Public Health. 2010;10(1):760.28. Kelly YJ, Watt RG, Nazroo JY. Racial/ethnic differences in breastfeeding initiation and continuation in the United Kingdom and comparison with findings in the United States. Pediatrics. 2006;118(5):e1428-e1435.29. Su L-L, Chong Y-S, Chan Y-H, et al. Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. Bmj. 2007;335(7620):596.30. Dhakal S, Lee TH, Nam EW. Exclusive Breastfeeding Practice and Its Association among Mothers of under 5 Children in Kwango District, DR Congo. International journal of environmental research and public health. 2017;14(5):455.31. Fahriani R, Rohsiswatmo R, Hendarto A. Faktor yang memengaruhi pemberian ASI eksklusif pada bayi cukup bulan yang dilakukan inisiasi menyusu dini (IMD). Sari Pediatri. 2016;15(6):394-402.32. Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. International breastfeeding journal. 2015;10(1):1.33. Tewabe T, Mandesh A, Gualu T, Alem G, Mekuria G, Zeleke H. Exclusive breastfeeding practice and associated factors among mothers in Motta town, East Gojjam zone, Amhara Regional State, Ethiopia, 2015: a cross-sectional study. International breastfeeding journal. 2016;12(1):12.34. Wong KL, Fong DYT, Lee ILY, Chu S, Tarrant M. Antenatal education to increase exclusive breastfeeding: a randomized controlled trial. Obstetrics & Gynecology. 2014;124(5):961-968.

Emzirmenin başlatılması ve devamlılığı ile ilişkili faktörler

Year 2019, Volume: 44 Issue: Supplement 1, 223 - 232, 29.12.2019
https://doi.org/10.17826/cumj.557926

Abstract

Amaç: Bu çalışmanın amacı, emzirmenin başlatılması/sürdürülmesi ile sosyo-demografik, yaşam tarzı, klinik ve emzirme sürecine yönelik özellikler arasındaki ilişkinin araştırılmasıdır.

Gereç ve Yöntem: Bu kesitsel çalışma Türkiye’de yer alan 3 merkezde gerçekleştirilmiştir. Emzirmenin başlatılması, sadece anne sütü alımı ve bunları etkileyebilecek faktörlere ilişkin yarı yapılandırılmış bir anket kullanılarak veriler 360 anne ile yüzyüze görüşme yöntemi kullanılarak toplanmıştır. 

Bulgular: Annenin yaş ortalaması 28 5.36 yıl, ortalama doğum sayısı 2, vajinal doğum sıklığı %56.9 olarak belirlenmiştir. Bebeklerin% 43.6'sının emzirmeye erken sürede (ilk 1 saat) başladığı, çoğunluğunun (%78) 4-6 ayda ek gıdalara başladığı ve bunların yaklaşık yarısında (% 49.6) süt ve süt ürünlerinin ilk ek gıda olduğu tespit edildi. Doğum şekli, emzirme eğitimi alma durumu ve ilk beslenme yönteminin sadece anne sütü olması bebeğin son 24 saatte anne sütü ile beslenme ve sadece anne sütü alma durumunu etkilemiştir. Doğum şekli (vajinal), gebelikte komplikasyon olması, anne-bebek birlikteliği ve emzirme eğitimi, emzirmenin başlatılması ve sürdürülmesinde önemli bulunmuştur.

Sonuç: Emzirme çeşitli faktörlerden etkilenebilmektedir. Sağlık çalışanları annelerin emzirmeye karar vermesinde, emzirmenin başlatılmasında ve emzirmenin sürüdürülmesinde etkili olan önemli kişilerdir. En üst düzeyde tıbbi bakım sağlayan ve doğum sonrası anne-bebek birlikteliğini destekleyen bebek dostu hastanelerin kurulmalı, emzirme eğitimleri artırılmalı ve devamlılığı sağlanmalıdır.


References

  • nces1. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane database of systematic reviews. 2012(8).2. Paul IM, Bartok CJ, Downs DS, Stifter CA, Ventura AK, Birch LL. Opportunities for the primary prevention of obesity during infancy. Advances in pediatrics. 2009;56(1):107-133.3. Cattaneo A, Monasta L, Stamatakis E, et al. Overweight and obesity in infants and pre‐school children in the European Union: a review of existing data. Obesity reviews. 2010;11(5):389-398.4. Luan N-N, Wu Q-J, Gong T-T, Vogtmann E, Wang Y-L, Lin B. Breastfeeding and ovarian cancer risk: a meta-analysis of epidemiologic studies–. The American journal of clinical nutrition. 2013;98(4):1020-1031.5. WHO. Global strategy for infant and young child feeding: World Health Organization; 2003.6. General OotS. The Surgeon General's call to action to support breastfeeding. 2011.7. UNICEF. Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding. Available at: http://www.unicef.org/programme/breastfeeding/innocenti.htm 8. UNICEF. The Baby Friendly Hospital Initiative. Available at: http:// www.unicef.org/programme/breastfeeding/baby.htm 9. WHO. Global targets 2025 to improve maternal, infant and young children nutrition: World Health Organization; 2017.10. Bosi ATB, Eriksen KG, Sobko T, Wijnhoven TM, Breda J. Breastfeeding practices and policies in WHO European region member states. Public health nutrition. 2016;19(4):753-764.11. WHO. Indicators for assessing infant and young child feeding practices: part 1: definitions: conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA. 2008.12. WHO. Long-term effects of breastfeeding: a systematic review. Geneva: WHO. 2013.13. WHO. Development of WHO nutrition guidelines. Available at: http://www.who.int/elena/about/guidelines_process/en/ 14. Khan J, Vesel L, Bahl R, Martines JC. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity—a systematic review and meta-analysis. Maternal and child health journal. 2015;19(3):468-479.15. Rajasekar G. Prevalence and factors associated with breastfeeding in a population with good literacy. International Journal Of Community Medicine And Public Health. 2017;4(5):1652-1655.16. Himani BK, Kumar P. Effect of initiation of breastfeeding within one hour of the delivery on" maternal-infant bonding. Nursing and Midwifery Research Journal. 2011;7(3).17. Moore ER, Anderson GC. Randomized controlled trial of very early mother–infant skin-to-skin contact and breastfeeding status. Journal of midwifery & women's health. 2007;52(2):116-125.18. Genetu H, Yenit MK, Tariku A. Breastfeeding counseling and support are associated with continuous exclusive breastfeeding from one week to six months of age among HIV exposed infants in north Gondar zone, Ethiopia: a cross-sectional study. International breastfeeding journal. 2016;12(1):21.19. Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117(3):e380-e386.20. Brown A, Jordan S. Impact of birth complications on breastfeeding duration: an internet survey. Journal of advanced nursing. 2013;69(4):828-839.21. Crenshaw J. Care practice# 6: No separation of mother and baby, with unlimited opportunities for breastfeeding. The Journal of perinatal education. 2007;16(3):39.22. Pechlivani F, Vassilakou T, Sarafidou J, Zachou T, Anastasiou CA, Sidossis LS. Prevalence and determinants of exclusive breastfeeding during hospital stay in the area of Athens, Greece. Acta Paediatrica. 2005;94(7):928-934.23. Tavoulari E-F, Benetou V, Vlastarakos PV, Andriopoulou E, Kreatsas G, Linos A. Factors affecting breast-feeding initiation in Greece: What is important? Midwifery. 2015;31(2):323-331.24. Kasahun AW, Wako WG, Gebere MW, Neima GH. Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis. International breastfeeding journal. 2016;12(1):20.25. Khanal V, Scott JA, Lee AH, Karkee R, Binns CW. Factors associated with early initiation of breastfeeding in Western Nepal. International journal of environmental research and public health. 2015;12(8):9562-9574.26. Tavoulari E-F, Benetou V, Vlastarakos PV, et al. Factors affecting breastfeeding duration in Greece: What is important? World journal of clinical pediatrics. 2016;5(3):349.27. Vieira TO, Vieira GO, Giugliani ERJ, Mendes CM, Martins CC, Silva LR. Determinants of breastfeeding initiation within the first hour of life in a Brazilian population: cross-sectional study. BMC Public Health. 2010;10(1):760.28. Kelly YJ, Watt RG, Nazroo JY. Racial/ethnic differences in breastfeeding initiation and continuation in the United Kingdom and comparison with findings in the United States. Pediatrics. 2006;118(5):e1428-e1435.29. Su L-L, Chong Y-S, Chan Y-H, et al. Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. Bmj. 2007;335(7620):596.30. Dhakal S, Lee TH, Nam EW. Exclusive Breastfeeding Practice and Its Association among Mothers of under 5 Children in Kwango District, DR Congo. International journal of environmental research and public health. 2017;14(5):455.31. Fahriani R, Rohsiswatmo R, Hendarto A. Faktor yang memengaruhi pemberian ASI eksklusif pada bayi cukup bulan yang dilakukan inisiasi menyusu dini (IMD). Sari Pediatri. 2016;15(6):394-402.32. Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. International breastfeeding journal. 2015;10(1):1.33. Tewabe T, Mandesh A, Gualu T, Alem G, Mekuria G, Zeleke H. Exclusive breastfeeding practice and associated factors among mothers in Motta town, East Gojjam zone, Amhara Regional State, Ethiopia, 2015: a cross-sectional study. International breastfeeding journal. 2016;12(1):12.34. Wong KL, Fong DYT, Lee ILY, Chu S, Tarrant M. Antenatal education to increase exclusive breastfeeding: a randomized controlled trial. Obstetrics & Gynecology. 2014;124(5):961-968.
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Details

Primary Language English
Subjects Paediatrics
Journal Section Research
Authors

Hatice Pars 0000-0003-4795-244X

Melike Baş 0000-0002-2389-7696

Nebahat Bora Güneş This is me 0000-0001-8264-7067

Ayşe Tülay Bağcı Bösi This is me 0000-0003-2487-8099

Publication Date December 29, 2019
Acceptance Date July 10, 2019
Published in Issue Year 2019 Volume: 44 Issue: Supplement 1

Cite

MLA Pars, Hatice et al. “Factors Associated With the Initiation and Continuation of Breastfeeding”. Cukurova Medical Journal, vol. 44, 2019, pp. 223-32, doi:10.17826/cumj.557926.