Abstract
Öz
Emzirmenin bilinen yararlarına ve güncel emzirme danışmanlığı desteğine önem verilmesine rağmen ülkemizde TNSA-2013 verilerine göre özellikle sezaryen doğumların artması nedeniyle olan gecikmiş laktogenez ve anne sütü yetersizliğine bağlı emzirmenin erken kesilmesi ile formül mama kullanımının artışı gibi anlamlı emzirme sorunları bulunmaktadır. Anne sütünün desteklenmesi ve emzirme danışmanlığı; sadece pozisyon, kavrama, sütün gelmesi olarak değil, her bebek/anne çiftinin anne, bebek, doğum ve aile ilişkili ilgili psikososyal risklerin çok boyutlu değerlendirilmesini gerektiren bütüncül bir yaklaşımdır. Ülkemizde yakın gelecekte emzirmenin başlatılması, sürdürülmesi ve desteklenmesi konusundaki sorunlara yönelik etkin politikalar belirlenip çözümler üretilmelidir.
References
- Kaynaklar 1.Host resstance factors and immunologic significance fo hu-man milk. In: Lawrence RA and Lawrence RM. (Eds), In Bre-astfeeding A guide for the medical profession, 8 th Edition,Saunders, 2016, p 146-193. 2.Premature infants and breastfeeding. In: Lawrence RA andLawrence RM. (Eds), Breastfeeding A guide for the medicalprofession, 8 th Edition, Saunders, 2016, p 524-562. 3.Biochemistry of human milk. In: Lawrence RA and Lawren-ce RM. (Eds), Breastfeeding A guide for the medical profes-sion, 8 th Edition.; Saunders, 2016, p 98-153. 4.Ballard O, Morrow AL. Human milk composition, nutrientsand bioactive factors. Pediatr Clin N Am 2013; 60: 49-74. 5.American Academy of Pediatrics Policy Statement. Section onBreastfeeding Breastfeeding and the use of human milk. Pe-diatrics 2012;129:e827–e841 6.World Health Organization, UNICEF and Wellstart Interna-tional. Baby Friendly Hospital Initiative, Revised Updated andExpanded for Integrated Care, 2009. 7.Breast-feeding: A Commentary by the ESPGHAN Committee onNutrition Journal of Pediatric Gastroenterology and Nutritionby European Society for Pediatric Gastroenterology, Hepato-logy, and Nutrition and North American Society for PediatricGastroenterology, Hepatology, and Nutrition 2009: 49:112–125 8.American College of Obstetricians and Gynecologists.Com-mittee Opinion No. 570. Breastfeeding in underserved women:Increasing initiation and continuation of breastfeeding. Obs-tet Gynecol 2013;122:323–428. 9.Türk Neonatoloji Derneği Tanı ve Tedavi Protokolleri-2015.Pretarm ve hasta term bebeğin besllenmesi, Sağlıklı term be-beğin beslenmesi www.neonatology.org.tr/dernek-hakkinda/mansetler/72-tnd-tani-ve-tedavi-protokoller 10.Agostoni C, Buonocore G, Carnielli VP, et al. Enteral nutri-ent supply for preterm infants: commentary from the Europe-an Society of Pediatric Gastroenterology, Hepatology and Nut-rition (ESPGHAN) Committee on Nutrition. J Pediatr Gas-troenterol Nutr 2010;50:85–91 11.Kramer MS; Kakuma R Optimal duration of exclusive breast-feeding. Cochrane Database of Systematic Reviews. 2012 Coch-rane 2012 DOI: 10.1002/14651858.CD003517. pub2 12.Victora CG, Aluísio J D Barros AJD, França GVA, et al. Bre-astfeeding in the 21st century: epidemiology, mechanisms, andlifelong effect. Lancet 2016; 387: 475–90.
Abstract
Abstract
Despite the known benefits of breastfeeding and importance of current practicein lactational support there has been an increase in breastfeeding problems such asdelayed and insufficient breast milk production causing early discontinuation of breastfeeding and unnecessary formula supplementation especially due to high rates of caesarean section according to the Turkey Demographic and Health Survey-2013 .Breastfeeding support and counseling is not only latching, positioning and milk ejection but also a multidimentional integrated management of every motherinfant dyadtogether with maternal, neonatal, delivery and family-related psychosocial issues. In the near future, effective policies and solutions for problems related initiation, continuation and supporting of breastfeeding should be produced in our country.
References
- Kaynaklar 1.Host resstance factors and immunologic significance fo hu-man milk. In: Lawrence RA and Lawrence RM. (Eds), In Bre-astfeeding A guide for the medical profession, 8 th Edition,Saunders, 2016, p 146-193. 2.Premature infants and breastfeeding. In: Lawrence RA andLawrence RM. (Eds), Breastfeeding A guide for the medicalprofession, 8 th Edition, Saunders, 2016, p 524-562. 3.Biochemistry of human milk. In: Lawrence RA and Lawren-ce RM. (Eds), Breastfeeding A guide for the medical profes-sion, 8 th Edition.; Saunders, 2016, p 98-153. 4.Ballard O, Morrow AL. Human milk composition, nutrientsand bioactive factors. Pediatr Clin N Am 2013; 60: 49-74. 5.American Academy of Pediatrics Policy Statement. Section onBreastfeeding Breastfeeding and the use of human milk. Pe-diatrics 2012;129:e827–e841 6.World Health Organization, UNICEF and Wellstart Interna-tional. Baby Friendly Hospital Initiative, Revised Updated andExpanded for Integrated Care, 2009. 7.Breast-feeding: A Commentary by the ESPGHAN Committee onNutrition Journal of Pediatric Gastroenterology and Nutritionby European Society for Pediatric Gastroenterology, Hepato-logy, and Nutrition and North American Society for PediatricGastroenterology, Hepatology, and Nutrition 2009: 49:112–125 8.American College of Obstetricians and Gynecologists.Com-mittee Opinion No. 570. Breastfeeding in underserved women:Increasing initiation and continuation of breastfeeding. Obs-tet Gynecol 2013;122:323–428. 9.Türk Neonatoloji Derneği Tanı ve Tedavi Protokolleri-2015.Pretarm ve hasta term bebeğin besllenmesi, Sağlıklı term be-beğin beslenmesi www.neonatology.org.tr/dernek-hakkinda/mansetler/72-tnd-tani-ve-tedavi-protokoller 10.Agostoni C, Buonocore G, Carnielli VP, et al. Enteral nutri-ent supply for preterm infants: commentary from the Europe-an Society of Pediatric Gastroenterology, Hepatology and Nut-rition (ESPGHAN) Committee on Nutrition. J Pediatr Gas-troenterol Nutr 2010;50:85–91 11.Kramer MS; Kakuma R Optimal duration of exclusive breast-feeding. Cochrane Database of Systematic Reviews. 2012 Coch-rane 2012 DOI: 10.1002/14651858.CD003517. pub2 12.Victora CG, Aluísio J D Barros AJD, França GVA, et al. Bre-astfeeding in the 21st century: epidemiology, mechanisms, andlifelong effect. Lancet 2016; 387: 475–90.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | makale |
| Authors | |
| Publication Date | January 10, 2019 |
| Published in Issue | Year 2019 Volume: 11 Issue: 1 |
