Preservation of Breast Milk During Natural Disasters

Year 2023, Volume: 8 Issue: 2, 775 - 778, 21.06.2023

Gülay Manav Gonca Karayağız Muslu

Abstract

Feeding the infant with breast milk has great nutritional properties for optimizing its health. It is recognized that babies are the most critical to the consequences of natural disasters and that the unique wishes of mothers and babies should be taken into account in emergency plans. In this study, the continuation of breastfeeding in disasters was examined in line with the recommendations of the World Health Organization / United Nations International Children's Emergency Found Baby and Young Child Nutrition Global Strategy and the Infant Nutrition Group in Emergencies. In addition, the triage plan of the American Academy of Pediatrics for infant feeding in disasters and emergencies, and the nursing interventions necessary for the community to support the mother in breast milk storage and breastfeeding in disasters are also explained. In conclusion; In an emergency, mothers should be supported on the benefits of breastfeeding and disaster preparedness, they should take an active role in ensuring privacy, mother-infant interaction, components of breastfeeding self-efficacy of mothers, controlled distribution of formula foods, provision of special areas reserved for breastfeeding. In case of disaster, measures that can be taken to continue breastfeeding should be included in emergency action plans.

Keywords

Disasters, breast milk, infant nutrition, pediatric nursing

Doğal Afetlerde Anne Sütü ile Beslemenin Sürdürülmesi

Abstract

Bebeğin anne sütü ile beslenmesi sağlığının sürdürülmesi için büyük öneme sahiptir. Bebeklerin doğal afetlerin etkilerine karşı en savunmasız oldukları ve acil durum planlarında annelerin ve çocukların benzersiz ihtiyaçlarının göz önüne alınması gerektiği kabul edilmektedir. Bu çalışmada, kapsamlı bir literatür taraması yapılarak Dünya Sağlık Örgütü/ Birleşmiş Milletler Çocuklara Yardım Fonu Bebek ve Küçük Çocuk Beslenmesi Küresel Stratejisi ve Acil Durumlarda Bebek Beslenmesi Grubunun öneri doğrultusunda afetlerde anne sütü ile beslenmenin sürdürülmesi incelenmiştir. Ayrıca Amerikan Pediatri Akademisinin afet ve acil durumlarda bebek beslenmesine yönelik triyaj planı ve afetlerde anne sütü saklanması ve emzirme konusunda annenin toplum tarafından desteklenmesi için gerekli hemşirelik girişimleri de açıklanmaktadır. Sonuç olarak; hemşire ve ebeler afet ve acil durumda emzirmenin yararları ve afete hazırlık konusunda anneleri desteklemeli, mahremiyetin sağlanması, anne-bebek etkileşimi, annelerin emzirme öz yeterliğinin artırılması, formül mamaların kontrollü dağıtımı, emzirme için ayrılmış özel alanların sağlanması konularında aktif rol almalıdır. Afet durumunda acil eylem planlarına emzirmenin sürdürülmesine yönelik alınabilecek önlemler dahil edilmelidir.

Keywords

Afetler, Anne sütü, Bebek beslenmesi, Pediatri hemşireliği

References

• Busch DW, Silbert-Flagg J, Ryngaert M, Scott A. NAPNAP Position Statement on Breastfeeding. J Pediatr Heal Care. 2019;33(1):A11–5.
• American Academy of Pediatrics. Infant feeding in disasters and emergencies, Breastfeeding and Other Options [Internet]. 2020. Available from: https://publications.aap.org/DocumentLibrary/ Solutions/PCO/FormsTools/disasterfactsheet.pdf
• American Academy of Pediatrics. Breastfeeding Benefits Your Baby’s Immune System [Internet]. 2022 [cited 2023 Feb 15]. p. Available from: https://www.healthychildren.org/En. Available from: https://www. healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/ Breastfeeding-Benefits-Your-Babys-Immune-System.aspx
• An Office of the Administration for Children & Families. Infant Feeding During Disasters | The Administration for Children and Families [Internet]. 2013 [cited 2023 Feb 18]. Available from: https://www.acf. hhs.gov/ohsepr/fact-sheet/infant-feeding-during-disasters.
• Victora CG, Horta BL, de Mola CL, Quevedo L, Pinheiro RT, Gigante DP, et al. Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. Lancet Glob Heal. 2015 Apr;3(4):e199–205 DOI: 10.1016/S2214-109X(15)70002-1 .
• Yan J, Liu L, Zhu Y, Huang G, Wang PP. The association between breastfeeding and childhood obesity: a meta-analysis. BMC Public Health. 2014 Dec 13;14(1):1267 DOI: 10.1186/1471-2458-14-1267 DOI: 10.1016/j.pedn.2020.04.024.
• Qiao J, Dai L-J, Zhang Q, Ouyang Y-Q. A Meta-Analysis of the Association Between Breastfeeding and Early Childhood Obesity. J Pediatr Nurs. 2020 Jul;53:57–66.
• Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 Jan;387(10017):475–90 DOI:10.1016/S0140- 6736(15)01024-7.
• Badem A. Afet durumlarında beslenme ve hijyen. Öztürk M, Kırca M, editörler. Kahramanmaraş Merkezli Depremler Sonrası İçin Akademik Öneriler. Özgür Yayınları; 2023. p.611.
• World Health Organization. Emergency Response Framework Second Edition [Internet]. Vol. 69, Geneva. 2017 [cited 2023 Feb 15]. p. 1–76. Available from: https://www.who.int/publications/i/ item/9789241512299
• Eryılmaz M, Tezel O, Ulusoy S. Afet: Tanımı ve Sınıflaması. 1st ed. Köse Ş, editor. Türkiye Klinikleri. Ankara; 2021. 1–5 p.
• Ratnayake Mudiyanselage S, Davis D, Kurz E, Atchan M. Infant and young child feeding during natural disasters: A systematic integrative literature review. Women and Birth. 2022 Nov;35(6):524–31 DOI: 10.1016/j.wombi.2021.12.006
• Limoncu S. Child-Centered Disaster Management. MEGARON / Yıldız Tech Univ Fac Archit E-Journal. 2018;
• World Health Organization. Global Strategy for Infant and Young Child Feeding [Internet]. Fifthy-fourth world health assembly. 2003 [cited 2023 Feb 15]. p. 8. Available from: https://www.who.int/ publications/i/item/9241562218
• IFE Core Group. Infant and young child feeding in human evolution [Internet]. Human Diet and Nutrition in Biocultural Perspective: Past Meets Present. 2017 [cited 2023 Feb 21]. Available from: https://www. ennonline.net/operationalguidance-v3-2017
• Hwang CH, Iellamo A, Ververs M. Barriers and challenges of infant feeding in disasters in middle- and high-income countries. International Breastfeed Journal. 2021 Dec 23;16(1):62.
• EAPRO, UNICEF. Supporting families to optimally feed infants and young children in emergencies: An important guide for health and relief workers [Internet]. 2006 [cited 2023 Feb 16]. Available from: https://www.ennonline.net/unicefguidelines
• Gribble KD, Berry NJ. Emergency preparedness for those who care for infants in developed country contexts. International Breastfeed Journal. 2011;6(1):16.
• Reyers M, Gaul J, Rodriguez E. Breastfeeding Issues. In: Goodhue CJ, Blake N, editors. Nursing Management of Pediatric Disaster. Springer International Publishing; 2020.
• Wellstart International. Infant and Young Child Feeding in Emergency Situations [Internet]. 2005 [cited 2023 Feb 15]. Available from: https://www.ennonline.net/attachments/378/infant-feedingemergency- wellstart.pdf
• Human Milk Banking Association of North America. Milk Banking Frequent Questions [Internet]. 2023 [cited 2023 Feb 22]. Available from: https://www.hmbana.org/about-us/frequent-questions.html
• Uçtu AK, Özerdoğan N. Anne Sütü Bankası. Celal Bayar Üniversitesi Sağlık Bilim Enstitüsü Derg. 2017;4(2):593–6.
• MirMohamadaliIe M, Khani Jazani R, Sohrabizadeh S, Nikbakht Nasrabadi A. Barriers to Breastfeeding in Disasters in the Context of Iran. Prehosp Disaster Med. 2019 Feb 14;34(1):20–4.
• DiMaggio D. Tips for Freezing & Refrigerating Breast Milk [Internet]. 2016 [cited 2023 Feb 20]. Available from: https://www.healthychildren. org/English/ages-stages/baby/breastfeeding/Pages/Storing-and- Preparing-Expressed-Breast-Milk.aspx
• Moro GE, Billeaud C, Rachel B, Calvo J, Cavallarin L, Christen L, et al. Processing of Donor Human Milk: Update and Recommendations From the European Milk Bank Association (EMBA). Front Pediatr. 2019 Feb 28;7(FEB):1–10 DOI: 10.3389/fped.2019.00049
• United States Department of Agriculture Food and Safety Inspection Service. Keep your food safe during emergencies: Power outages, floods&fires. Retrieved from United States Department of Agriculture Food and Safety Inspection Services. 2013.
• Branca F, Schultink W. Breastfeeding in emergencies: a question of survival [Internet]. 2016 [cited 2023 Feb 5]. Available from: https://apps. who.int/mediacentre/commentaries/breastfeeding-in-emergencies/ en/index.html