İlk Altı Ayda Anne Sütü ile Beslenmeye Etki Eden Faktörler

Abstract

Amaç: Anne sütüne başlama zamanına etki eden faktörlerin altıncı ayda sadece anne sütü ile beslenme üzerine etkilerinin incelenmesi. Yöntemler: Çalışma Ocak 2009-Eylül 2009 tarihleri arasında yapıldı. Doğumdan sonra, sağlıklı bebekler 6. aya kadar aylık izlendi. Altıncı ayda sadece anne sütü ile beslenme durumu tek değişkenli ve çok değişkenli lojistik regresyon analizi ile değerlendirildi. Bulgular: Çalışmaya 246 bebek alındı. Bebeklerin 140’ının % 56.9 ilk bir saat içinde erken emzirme , 106’ının % 43.1 bir saatten sonra geç emzirme emzirildiği saptandı. Erken emzirmeye başlama oranının normal ve yüksek doğum tartılı bebek doğuranlarda, 500-2.000 TL arasında aylık geliri olanlarda, gebelikte emzirme eğitimi alanlarda, Doğu Anadolu kökenli ve eğitim seviyesi yüksek olanlarda daha fazla olduğu saptandı p

Keywords

• Anne sütü,emzirme,ilişkili faktörler

Factors Affecting Breast Feeding in the First Six Months of Life

Abstract

Objective: To determine the factors affecting initiation and continuation of exclusive breast feeding within the first 6 months of life. Methods: The study was conducted between January 2009 till September 2009. Healthy neonates without any medical problems after delivery were enrolled and followed up monthly for 6 months. Related factors for exclusive breast feeding at 6 months of age were evaluated by univariate and multivariate logistic regression analyses. Results: Two hundred and forty six neonates were included in the study. One hundred and forty infants 56.9 % were found to be breast- fed beginning from the first hour after birth early breast feeding whereas 106 43.1 % were breast fed after 1 hour postnatally late breast feeding . Early breast feeding was associated with term deliveries, macrosomic infants delivered vaginally, and in families with a monthly income of 500-2000 TL having a higher educational status, those who received breast feeding education during their pregnancies, and mothers residing in Eastern Anatolian region p

Keywords

• Human milk,exclusive breast feeding,related factors

References

1. 1. Rowe-Murray HJ, Fisher JR. Baby friendly hospital practices: cesarean section is a persistent barrier to early initiation of breastfeeding. Birth 2002;29:124-31. http://dx.doi.org/10.1046/j.1523-536X.2002.00172.x PMid:12000413
2. 2. Orun E, Yalcin SS, Madendag Y, Ustunyurt-Eras Z, Kutluk S, Yurdakok K. Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital. Turk J Pediatr 2010;52:10-6. PMid:20402061
3. 3. Zetterstrom R. Breastfeeding and infant-mother interaction. Acta Paediatr Suppl 1999;88:1-6. http://dx.doi.org/10.1111/j.1651-2227.1999.tb01293.x
4. 4. Agboado G, Michel E, Jackson E, Verma A. Factors associated with breastfeeding cessation in nursing mothers in a peer support programme in Eastern Lancashire. BMC Pediatr 2010;10:3-7. http://dx.doi.org/10.1186/1471-2431-10-3 PMid:20105284 PMCid:2828426
5. 5. Qiu L, Zhao Y, Binns CW, Lee AH, Xie X. Initiation of breastfeeding and prevalence of exclusive breastfeeding at hospital discharge in urban, suburban and rural areas of Zhejiang China. Int Breastfeed J 2009;4:1-9. http://dx.doi.org/10.1186/1746-4358-4-1 PMid:19175909 PMCid:2637253
6. 6. http://www.saglik.gov.tr/TR/belge/1-10965/ana-ve-cocukbeslenmesiprogrami.html?vurgu=bebek+dostu. In. (Erişim tarihi 20.06.2010).
7. 7. http://www.hips.hacettepe.edu.tr/tnsa2003/analizrapor. In; 2003 (Erişim tartihi: 26.05.2010)
8. 8. http://www.hips.hacettepe.edu.tr/TNSA2008-AnaRapor.pdf In; (Erişim tarihi:26.05.2010).

9. 9. Flood JL, Dodgson JE. Health care and social service providers’ descriptions of pacific islander mothers’ breastfeeding patterns. J Midwifery Womens Health 2010;55:162-70. http://dx.doi.org/10.1016/j.jmwh.2009.04.009
10. 10. Lande B, Andersen LF, Baerug A, Trygg KU, Lund-Larsen K, Veierod MB, et al. Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta Paediatr 2003;92:152-61. http://dx.doi.org/10.1111/j.1651-2227.2003.tb00519.x
11. 11. Nakao Y, Moji K, Honda S, Oishi K. Initiation of breastfeeding within 120 minutes after birth is associated with breastfeeding at four months among Japanese women: a selfadministered questionnaire survey. Int Breastfeed J 2008;3:1- 5. http://dx.doi.org/10.1186/1746-4358-3-1PMid:18184440 PMCid:2249574
12. 12. Baker EJ, Sanei LC, Franklin N. Early initiation of and exclusive breastfeeding in large-scale community-based programmes in Bolivia and Madagascar. J Health Popul Nutr 2006;24:530-9. PMid:17591350 PMCid:3001157
13. 13. Mullany LC, Katz J, Li YM, et al. Breast-feeding patterns, time to initiation, and mortality risk among newborns in southern Nepal. J Nutr 2008;138:599-603. PMid:18287373 PMCid:2366167
14. 14. Kutlu R, Marakoğlu K. Evaluation of initiating, continuing and weaning time of breastfeeding. Marmara Medical Journal 2006;19:121-6.
15. 15. Durand M, Labarere J, Brunet E, Pons JC. Evaluation of a training program for healthcare professionals about breastfeeding. Eur J Obstet Gynecol Reprod Biol 2003;106:134-8. http://dx.doi.org/10.1016/S0301-2115(02)00225-7
16. 16. Vessiere-Varigny M, Garlantezec R, Gremmo-Feger G, Collet M, Sizun J. Breastfeeding in a population of preterm infants: A prospective study in a university-affiliated hospital. Arch Pediatr 2010;17:1416-24. PMid:20542416
17. 17. Michaelsen KF, Larsen PS, Thomsen BL, Samuelson G. The Copenhagen cohort study on infant nutrition and growth: duration of breast feeding and influencing factors. Acta Paediatr 1994;83:565-71. http://dx.doi.org/10.1111/j.1651-2227.1994.tb13082.x
18. 18. Al-Sahab B, Lanes A, Feldman M, Tamim H. Prevalence and predictors of 6-mont exclusive breastfeeding among Canadian women: a national survey. BMC Pediatr 2010;10:20. http://dx.doi.org/10.1186/1471-2431-10-20 PMid:20377899 PMCid:2858135
19. 19. Taveras EM, Capra AM, Braveman PA, Jensvold NG, Escobar GJ, Lieu TA. Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics 2003;112:108-15. http://dx.doi.org/10.1542/peds.112.1.108 PMid:12837875