COMPARISON OF TIMELY INITIATION OF BREASTFEEDING AND DISCHARGE TIMES OF MOTHERS WITH ETHNIC DIFFERENCES: NORTH MACEDONIA STUDY

Year 2024, , 79 - 89, 29.02.2024

Ebru Halidi , Hatice Kahyaoğlu Süt

https://doi.org/10.33457/ijhsrp.1404851

Abstract

The quality of maternity and newborn care and training in the hospitals in North Macedonia is still inadequate today. This study aimed to examine their readiness for discharge and the first breastfeeding time according to ethnic groups in mothers who were postnatal in Tetovo State Hospital North Macedonia. This cross-sectional study was conducted with 202 Macedonian, Albanian, Turkish, Bosnian, and Romanian mothers who were hospitalized in the maternity service of Tetovo State Hospital in North Macedonia. Data were collected before discharge with a survey form and face-to-face interviews. The mothers reported that the first postpartum breastfeeding started after an average of 22.0±20.6 hours. Macedonian mothers reported that they received more training on shower and hygiene (p<0.05), nutrition and fluid intake (p<0.05), sleep and rest (p<0.01), family planning (p<0.01), and sexual intercourse (p<0.001) than Albanian and other mothers. The Albanian mothers indicated that they received less training on navel care (p<0.05), shower and skin care (<0.01), cleaning and emptying diapers (p<0.01), dressing (p<0.05), gas problems (p<0.01), regular health checks (p<0.05), jaundice (p<0.001), and vaccinations (p<0.05) compared to Macedonian and other mothers (p<0.05). The first breastfeeding time after birth is quite late in North Macedonia. Readiness for discharge differs between ethnic groups. The conditions in the health system and the quality of health care regarding hospital discharge should be improved for all ethnic groups.

Keywords

breasfeeding, discharge, ethnic group, North Macedonia, postnatal

Thanks

We thank Professor Necdet Süt for Data Analysis to this study. We also appreciate our participants who to this research.

References

• American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Postpartum and Follow-up care. In: Guidelines for Perinatal Care 1997. 4th ed. p.113-280. [Online]. Available: https://www.acog.org/clinical-information/physician-faqs/-/media/3a22e153b67446a6b31fb051e469187c.ashx.
• American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Guidelines for Perinatal Care. Postpartum Care of the Mother 2017. 8th ed. p.284. [Online]. Available: https://shop.aap.org/guidelines-for-perinatal-care-8th-edition-paperback/.
• Akın, B., Şahingeri, M.,“Validity and Reliability of Turkish Version of Readiness for Hospital Discharge Scale–New Mother Form”, J Anatolia Nurs Health Sci., 13(1), 8-14, 2010. doi: 10.1111/jonm.12547.
• World Health Organization. WHO Recommendations on Postnatal Care of the Mother and Newborn 2014. [Online]. Available from: https://apps.who.int/iris/handle/10665/97603.
• World Health Organization. Regional Office for Europe 2020. Perinatal mortality audit: North Macedonia 2019. [Online]. Available: https://apps.who.int/iris/handle/10665/338875.
• Zisovska, E., “Programmes for training on research in public health for Southeastern Europe. Health promotion and disease prevention: a handbook for teachers, researchers, health professionals and decision-makers”, Perinatal health care improvement in Macedonia through education: case study, 4, 695-710, 2008. doi: 10.2390/biecoll-mhcp4-5.10.
• Ministry of Health of the Republic of Macedonia 2010. Improving Maternal and Infant Health Macedonian Safe Motherhood Strategy (SMS) 2011-2015. [Online]. Available: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=1bc8423473a4848c5e313974a68905e44d01ef23.
• Blazhevska, S. K., Donev, D., “Quality of the Clinical Maternal and Neonatal Healthcare Assessment in a Tertiary Public Maternity Hospital in R. Macedonia”, Prilozi, 40(2), 57-65, 2019. doi: 10.2478/prilozi-2019-0015
• Miladinov, G., “Measuring of the socio-economic causes of infant mortality in Macedonia, Turkey and Albania”, J Public Health, 1-14, 2021. doi: 10.1007/s10389-020-014119-4.
• Arif, A., “Minority policy of Republic of Macedonia and its reflection to the education (Master's thesis)”, Yildiz Technical University, Istanbul, 2008. http://localhost:6060/xmlui/handle/1/562.
• Tasic, V., Danilovski, D., Gucev, Z., “The child health care system of Macedonia”, J Pediatr., 177, 127-137, 2016. doi: 10.1016/j.jpeds.2016.04.049.
• Demirtaş, M. S., Kiliçarslan, C., “The Effect of breastfeeding training on TIB in a Baby-Friendly Hospital in Turkey”, Turkish J Sci Health., 4(3), 163-171, 2023. doi.org/10.51972/tfsd.1230409
• World Health Organization. Collaborating Centre for Midwifery 2013. [Online]. Available: http://apps.who.int/whocc/Detail.aspx?cc_ref=UNK-159&.
• Dağ, H., Dönmez, S., Şen, E., Şirin, A., “Postpartum discharge readiness situation of women who had vaginal deliveries”, Gaziantep Med J., 19(2), 65-70, 2013. doi: 10.5455/GMJ-30-2012-115.
• Güleç, T., “The effect of postpartum discharge training on the readiness of the mothers to the discharge (Master's thesis)”, Adnan Menderes University Institute of Medical Sciences, Aydın, 2018. http://hdl.handle.net/11607/3380
• Tunçel, N. P., Süt, H. K., “The Effect of anxiety, depression and prenatal distress levels in pregnancy on prenatal attachment”, JGON, 16(1), 9-17, 2019. https://dergipark.org.tr/tr/download/article-file/931888.
• Bozkurt, Ö. D, Hadımlı, A., Can, H. Ö., Akmeşe, Z. B., “The mothers’ readiness for hospital discharge in the postpartum period and affecting factors”, Med Sci. (NWSAMS), 14(3), 175-188, 2019. doi: 10.12739/NWSA.2019.14.3.1B0080
• Oflu, A., Yalcin, S. S., Bukulmez, A., Balikoglu, P., Celik, E., “Timely initiation of breastfeeding and its associated factors among Turkish mothers: a mixed model research”, Sudan J Paediatr, 22(1), 61-69, 2022. doi: 10.24911/SJP.106-1616630272.
• United Nations Children's Fund. The State Of The World’s Children 2015: Reimagine the Future, Innovation for Every Child 2015. [Online]. Available: http://www.unicef.org/publications/files/SOWC_2015_Summary and_Tables.pdf
• Aydin, D., Ciftci, E. K., Karataş, H., “Identification of the traditional methods of newborn mothers regarding jaundice in Turkey”, J Clinical Nurs., 23(3-4), 524-30, 2014. doi: 10.1111/jocn.12150.
• Petru, A. C., Tişa, I. B., Stanciu, O., Filip, L., Banc, R., Gavrilaş, L., & Ciobârcă, D., “Determinants of early initiation of breastfeeding among mothers of children aged less than 24 months in northwestern Romania”, Nutrients,; 11(12), 2988, 2019. doi: 10.3390/nu11122988
• Daglas, M., Petoussi, V., Dionysiou, G., Athanassakis, I., “Do maternity hospital practices support Greek mothers’ decision to breastfeed”, Clin Exp Obstet Gynecol., 37(1), 43-48. 2010. PMID: 20420281.
• Ivanichka, S., Daniela, L., “The importance of the ınıtıal postpartum/postnatal hour and skın-to-skın contact–a time for a change in Bulgaria”, Proceedings of CBU in Medicine and Pharmacy CBU, International Conference on Innovations in Science and Education 2020 (Medicine and Pharmacy). Prague, Czech Republic, www.CBUIC.CZ., 1, 90-96, 2020. doi: 10.12955/pmp.v1.104
• American Academy of Pediatrics. Section on Breastfeeding, “Breastfeeding and the Use of Human Milk”, Pediatrics., 129(3), 827-841, 2012. doi:10.1542/peds.2011-3552.
• International Crisis Group. The Albanian Question in Macedonia: Implications of the Kosovo Conflict for Inter-Ethnic Relations in Macedonia 1998. [Online]. Available: https://www.refworld.org/docid/3ae6a6d04.html.
• Ramadani, V., Hisrich, R. D., Gërguri-Rashiti, S., “Female entrepreneurs in transition economies: Insights from Albania, Macedonia and Kosovo”, WREMSD, 11(4), 391-413, 2015. doi:10.1504/WREMSD.2015.072066
• Hamza, A., “Albanian Problem in Macedonian-Albanian Relations”. Logos-A, Üsküp, 2006. [Online]. Available: https://books.google.com.tr/books?hl=tr&lr=&id=JKod9my3DXsC&oi=fnd&pg=PA9&dq=Albanian+problem+in+Macedonian-Albanian+relations
• United Nations Children's Fund. Leave No Child Behind Building Equity For Children Country Report: Findings of a situation analysis of girls and boys 2013. [Online]. Available: https://www.unicef.org/northmacedonia/media/3081/file/MK_2013_SitAnChildrenFindings_Report_ENG.pdf.
• Mersini, E., Novi, S., Tushe, E., Gjoni, M., Burazeri, G., “Adoption of the who assessment tool on the quality of hospital care for mothers and newborns in Albania”, Acta Inform Med., 20(4), 226-234. 2012. doi: 10.5455/aim.2012.20.226-234.
• Janevic T, Sripad P, Bradley E, Dimitrievska, V., "There's no kind of respect here: A qualitative study of racism and access to maternal health care among Romani women in the Balkans”, Int J Equity Health., (10), 53, 2011. doi: 10.1186/1475-9276-10-53.
• Dol, J., Hughes, B., Bonet, M., Dorey, R., Dorling, J., Grant, A.,& Curran, J., “Timing of neonatal mortality and severe morbidity during the postnatal period: a systematic review”, JBI Evid Synth., 21(1), 98-199, 2023. doi: 10.11124/JBIES-21-00479.