Emziren annelerde emzirme eğitimi, anne sütü artırıcı ve vitamin desteği: kesitsel bir çalışma

Abstract

Amaç: Bu çalışmanın amacı, emziren annelerde emzirme eğitimi alma durumu ile anne sütünü artırmaya yönelik başvurulan uygulamaların (galaktogog, beslenme değişikliği ve vitamin desteği) kullanım sıklığını ve etkisini değerlendirmektir. Yöntem: Bu kesitsel ve tanımlayıcı çalışmaya, bir üçüncü basamak sağlık merkezine başvuran, bebeği 6-24 ay arasında olan ve bebeğini emzirmeye devam eden 377 anne dahil edildi. Emzirme eğitimi alma sıklığı, ankete katılan annelerin doğum öncesi veya doğum sonrasında hastanemiz emzirme polikliniğine başvurmalarıyla belirlendi. Veriler, yapılandırılmış bir anket formu aracılığıyla toplandı. Tanımlayıcı istatistikler kullanılarak analiz edildi. Bulgular: Katılımcıların önemli bir kısmının (%65) emzirme eğitimi aldığı saptandı. Buna karşın, galaktagog ve vitamin desteği kullanım oranlarının değişkenlik gösterdiği görüldü. Eğitim alan annelerde emzirme davranışlarının daha olumlu olduğu gözlenmekle birlikte, destek ürün kullanımına annenin karar verdiği ancak seçimini eczacıdan talep ettiği dikkati çekti. Doğum öncesi ve sonrası dönemde emzirme destek eğitimi alan annelerin galaktogog kullanımının daha az olduğu ve bebeklerini daha uzun süreli emzirdikleri görüldü. Sonuç: Emzirme eğitiminin yaygınlığına rağmen, emziren annelerde galaktagog ve vitamin desteği kullanımındaki heterojenlik devam etmektedir. Bu durum, kanıta dayalı ve standardize edilmiş emzirme danışmanlığının gerekliliğini ortaya koymaktadır.

Keywords

• Emzirme
• anne sütü
• galaktagog
• vitamin desteği
• emzirme eğitimi

Supporting Institution

Yok

Project Number

20/11/2025-2025/36

Ethical Statement

Mersin Şehir Eğitim ve Araştırma Hastanesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu 20/11/2025 tarih ve 2025/36 sayılı etik kurul onayı alınmıştır

Thanks

Yok

Breastfeeding education, practices to enhance breast milk production, and vitamin supplements for breastfeeding mothers: a cross-sectional study

Abstract

Aim: This study aimed to evaluate breastfeeding education and the frequency of use of practices intended to increase breast milk production (galactagogues, dietary modifications, and vitamin supplementation) among breastfeeding mothers. Methods: This cross-sectional and descriptive study included 377 mothers who visited a tertiary care center, had infants aged 6–24 months, and were continuing to breastfeed. Whether mothers had received breastfeeding education was determined by whether the participating mothers had visited our hospital’s breastfeeding clinic before or after delivery. Data were collected using a structured questionnaire and analyzed using descriptive statistics. Results: A significant proportion of participants (65%) had received breastfeeding education. In contrast, the rates of use of galactagogues and vitamin supplements varied. While breastfeeding behaviors were observed to be more positive among mothers who received education, it was noted that while the mother decided the use of support products, she requested the selection from the pharmacist. It was observed that mothers who received breastfeeding support education during the prenatal and postnatal periods used galactagogues less frequently and breastfed their babies for longer periods. Conclusion: Despite the high rate of breastfeeding education, there remains significant variation in the use of galactagogues and vitamin supplements among breastfeeding mothers. This underscores the need for evidence-based and standardized breastfeeding counseling.

Keywords

• Breastfeeding
• breast milk
• galactagogue
• vitamin supplements
• breastfeeding education

Supporting Institution

No

Project Number

20/11/2025-2025/36

Ethical Statement

Ethical approval was obtained from the Non-Interventional Clinical Research Ethics Committee of Mersin City Training and Research Hospital on November 20, 2025, under approval number 2025/36.

Thanks

No

References

1. Sánchez C, Franco L, Regal P, Lamas A, Cepeda A, Fente C. Breast milk: A source of functional compounds with potential application in nutrition and therapy. Nutrients. 2021;13(3):1026.
2. Organization WH. Breastfeeding. 2022;
3. Vilar-Compte M, Pérez-Escamilla R, Ruano A. Interventions and policy approaches to promote equity in breastfeeding. International journal for equity in health. 2022;21(1):63.
4. Wu Q, Tang N, Wacharasin C. Factors influencing exclusive breastfeeding for 6 months postpartum: A systematic review. International Journal of Nursing Knowledge. 2022;33(4):290-303.
5. Kehinde J, O'Donnell C, Grealish A. The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery. 2023;118:103579.
6. Garbacz A, Juszczak P, Nowicki M, Łukasz Kowalczewski P, Człapka-Matyasik M. Exploring galactagogue use among breastfeeding women: Insights from an observational study. Plos one. 2024;19(10):e0310867.
7. Gabay MP. Galactogogues: medications that induce lactation. Journal of Human Lactation. 2002;18(3):274-279.
8. McBride GM, Stevenson R, Zizzo G, et al. Use and experiences of galactagogues while breastfeeding among Australian women. PloS one. 2021;16(7):e0254049.

9. Balkam JJ. Galactagogues and lactation: Considerations for counseling breastfeeding mothers. MCN: The American Journal of Maternal/Child Nursing. 2022;47(3):130-137.
10. Pados BF, Camp L. Physiology of human lactation and strategies to support milk supply for breastfeeding. Nursing for Women's Health. 2024;28(4):303-314.
11. Durá-Travé T, Gallinas-Victoriano F. Pregnancy, breastfeeding, and vitamin D. International Journal of Molecular Sciences. 2023;24(15):11881.
12. Zhao J, Zhao Y, Du M, Binns CW, Lee AH. Maternal education and breastfeeding practices in China: a systematic review and meta-analysis. Midwifery. 2017;50:62-71.
13. Kalhor M, Yazdkhasti M, Simbar M, et al. Predictors of exclusive breastfeeding: a systematic review and meta-analysis. International Breastfeeding Journal. 2025;20(1):52.
14. Karapati E, Sulaj A, Krepi A, et al. Mothers in need of lactation support may benefit from early postnatal galactagogue administration: Experience from a single center. Nutrients. 2021;14(1):140.
15. Oggero MK, Rozmus CL, LoBiondo-Wood G. Effects of prenatal breastfeeding education on breastfeeding duration beyond 12 weeks: a systematic review. Health Education & Behavior. 2024;51(5):665-676.
16. Novianty N, Syarif S, Ahmad M. Influence of breast milk education media on increasing knowledge about breast milk: Literature review. Gaceta Sanitaria. 2021;35:S268-S270.
17. Zaman F, Morgan S, Scalora C, Nelson M, Francis J. Prenatal breastfeeding education with or without hand expressing human milk and breastfeeding duration in a rural population. Nutrients. 2024;16(19):3303.
18. Berwick M, Louis-Jacques AF. Prenatal counseling and preparation for breastfeeding. Obstetrics and gynecology clinics of North America. 2023;50(3):549-565.
19. Kebede SD, Forster EM, Agmas K, Aytenew TM, Creedy DK. Prevalence and contributing factors of early initiation of breastfeeding (EIBF) in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2025;25(1):1377.
20. Gökduman-Keleş M, Akdolun-Balkaya N, Toker E. Attitudes and counselling of healthcare professionals on increasing breast milk: cross-sectional study. Enfermería Clínica (English Edition). 2023;33(3):195-204.
21. Conijn M, Passier AL, Most MKvd, Woestenberg PJ. The Self-Reported Use and Perceived Effectiveness of Galactagogues by Breastfeeding Women in the Netherlands. Journal of Human Lactation. 2026:08903344261425448.
22. Carretero-Krug A, Montero-Bravo A, Morais-Moreno C, et al. Nutritional status of breastfeeding mothers and impact of diet and dietary supplementation: a narrative review. Nutrients. 2024;16(2):301.
23. Liu J, Mantantzis K, Kaufmann L, et al. Clinical benefits and safety of multiple micronutrient supplementation during preconception, pregnancy, and lactation: A review. Nutrition Reviews. 2025;83(12):2352-2371.
24. Schaefer E, Demmelmair H, Horak J, et al. Multiple micronutrients, lutein, and docosahexaenoic acid supplementation during lactation: a randomized controlled trial. Nutrients. 2020;12(12):3849.
25. Abe SK, Balogun OO, Ota E, Takahashi K, Mori R. Supplementation with multiple micronutrients for breastfeeding women for improving outcomes for the mother and baby. Cochrane database of systematic reviews. 2016;(2)
26. Moran L, Sui Z, Cramp C, Dodd J. A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum. International journal of obesity. 2013;37(5):704-711.
27. Daniels L, Gibson RS, Diana A, et al. Micronutrient intakes of lactating mothers and their association with breast milk concentrations and micronutrient adequacy of exclusively breastfed Indonesian infants. The American journal of clinical nutrition. 2019;110(2):391-400.
28. Wang D, Thielecke F, Fleith M, et al. Analysis of dietary patterns and nutritional adequacy in lactating women: a multicentre European cohort (ATLAS study). Journal of nutritional science. 2021;10:e17.
29. Xiao J, He W. The immunomodulatory effects of vitamin D drops in children with recurrent respiratory tract infections. American Journal of Translational Research. 2021;13(3):1750.
30. Heo JS, Ahn YM, Kim A-RE, Shin SM. Breastfeeding and vitamin D. Clinical and experimental pediatrics. 2021;65(9):418.
31. Griffin IJ, Abrams SA. Iron and breastfeeding. Pediatric Clinics. 2001;48(2):401-413.
32. Zych-Krekora K, Sylwestrzak O, Krekora M. The critical role of iron in pregnancy, puerperium, and fetal development. Journal of Clinical Medicine. 2025;14(10):3482.
33. Benson AE, Shatzel JJ, Ryan KS, et al. The incidence, complications, and treatment of iron deficiency in pregnancy. European journal of haematology. 2022;109(6):633-642.