Ebe Annelerin Emzirme Deneyimleri ve Emzirmelerinin Önündeki Engeller

Year 2023, Volume: 8 Issue: 3, 441 - 453, 31.12.2023

Elif Dağlı , Nilüfer Topkara , Feyza Aktaş Reyhan

https://doi.org/10.25279/sak.1081411

Cited By: 1

Abstract

Giriş: Annelerin emzirme başarısında ebeler ön plandadır, ancak anne olan ebelerin kendi emzirme deneyimleri bilinmemektedir. Amaç: Bu çalışma, ebe annelerin emzirme deneyimleri ve emzirmenin önündeki engelleri belirlemek amacıyla planlandı. Gereç ve Yöntemler: Kesitsel ve tanımlayıcı özelliktedir. Araştırmaya, çalışmaya katılmaya gönüllü ve çocuğunu emzirmiş 177 ebe dâhil edildi. Bulgular: Ebe annelerin yaş ortalaması 39.71±7.17 yıl ve %53.1’i 2 çocuğa sahip idi. İlk emzirme zamanı 152.76±471.97 dakika, emzirme süresi 14.88±9.87 ay, sadece anne sütü verme süresi 4.43±1.65 ay ve doğum sonu işe başlama zamanı ise 6.16±6.30 ay olduğu belirlendi. %38.4’ünün pre-lakteal verdiği tespit edildi. %34.5’inin sütünün yeterli olmadığı ve %28.2’sinin kısa doğum izni, %26.6’sının mesai yoğunluğu, %24.9’unun uzun çalışma saatleri, %22.6’sının süt sağmak için uygun yer olmaması, %18.6’sının zaman azlığı ve %10.7’sinin ise COVID-19 bulaştırma endişesi sebebiyle emziremediği belirlendi. İlk 6 ay sadece anne sütü verme durumu ve 2 yaşına kadar emzirme durumu ile pre-lakteal verme, doğum sonu işe başlama zamanı, psikolojik durumu ve uyku durumu arasında istatistiksel olarak anlamlı ilişki tespit edildi (p<0.05). Sonuç: Anne olan ebeler kendi emzirme hedeflerine ulaşmada önemli engellerle karşılaşmaktadırlar.

Keywords

Ebe, Anneler, Emzirme

Supporting Institution

Yok

Project Number

Yok

Breastfeeding Experiences of Midwife Mothers and Barriers to Their Breastfeeding

Abstract

Introduction: Midwives are at the forefront of the breastfeeding success of mothers, but the breastfeeding experiences of midwives who are mothers are unknown. Aim: This study was planned to determine the breastfeeding experiences of midwife mothers and the barriers to their breastfeeding. Materials and Methods: The study used a cross-sectional and descriptive design. A total of 177 midwives who had breastfeeding experience were included in the study. Results: The mean age of the midwife mothers was 39.71 ± 7.17 years and 53.1% had 2 children. The first breastfeeding time was 152.76 ± 471.97 minutes, the duration of breastfeeding was 14.88 ± 9.87 months, the duration of exclusive breastfeeding was 4.43 ± 1.65 months, and the duration of maternity leave was 6.16 ± 6.30 months. It was determined that 38.4% gave pre-lacteal feeding. It was found that some of the participants could not breastfeed because 34.5% of them did not have enough milk, 28.2% took short maternity leave, 26.6% had a busy work schedule, 24.9% had long working hours, 22.6% did not have a suitable place to express milk, 18.6% did not have enough time, and 10.7% were concerned about COVID-19 transmission. A statistically significant correlation was found between exclusive breastfeeding in the first 6 months and breastfeeding up to the age of 2 and pre-lacteal feeding, time of going back to work after maternity leave, psychological status, and sleep status (p <0.05). Conclusion: Midwives who are mothers experience significant barriers to reaching their breastfeeding goals.

Keywords

Midwife, mothers, breasfeeding

Project Number

Yok

References

• Alb, C.H., Theall, K., Jacobs, M.B., & Bales, A. (2016). Awareness of United States law for nursing mothers among employers in New Orleans, Louisiana. Women’s Heal Issues. Jacobs Institute of Women’s Health, 27 (1), 14-20. http://doi.10.1016/j.whi.2016.10.009
• Bai, D.L., Fong, D.Y.T., & Tarrant, M. (2015). Factors associated with breastfeeding duration and exclusivity in mothers returning to paid employment postpartum. Maternal Child Health Journal, 19 (5), 990-999. http://doi.10.1007/s10995-014-1596-7
• Brodribb, W., Fallon, A., Jackson, C., & Hegney, D. (2008). The relationship between personal breastfeeding experience and the breastfeeding attitudes, knowledge, confidence, and effectiveness of Australian GP registrars. Matern Child Nutrition, 4, 264-274. http://doi.10.1111/j.1740-8709.2008.00141.x
• Cantu, R M., Gowen, M.S., Tang, X., & Mitchell, K. (2018). Breastfeeding Medicine, 13 (5), 341-345. http://doi.org/10.1089/bfm.2018.0022
• Centers for disease control and prevention. Breastfeeding report card. (2021). United States/2013.https://www.cdc.gov/breastfeeding/pdf/2013breastfeedingreportcard.pdf.
• Darwent, K.L., McInnes, R.J., & Swanson, V. (2016). The Infant feeding genogram: a tool for exploring family infant feeding history and identifying support needs. BMC Pregnancy Childbirth, 16 (315), 2-10. http://doi.org/10.1186/s12884-016-1107-5
• Dixit, A., Feldman-Winter, L., & Szucs, K.A. (2015). Frustrated, depressed, and devastated pediatric trainees: us academic medical centers fail to provide adequate workplace breastfeeding support. Journal of Human Lactation, 31 (2), 240-248. http://doi.10.1177/0890334414568119
• Eren, T., Kural, B., Yetim, A., Boran, P., & Gökçay, G. (2018). Breastfeeding experiences of female physician. Türk Pediatri Arsivi, 53 (4), 238-244. http://doi.10.5152/TurkPediatriArs.2017.6497
• Ersen, G., Kasim, I., Agadayi, E., Demir-Alsancak, A., Sengezer, T., & Ozkara, A. (2020). Factors affecting the behavior and duration of breastfeeding among physician mothers. Journal of Human Lactation, 36 (3), 471-477. http://doi.org/10.1177/0890334419892257
• Juengst, S. B., Royston, A., Huang, I., & Wright, B. (2019). Family leave and return-to-work experiences of physician mothers. JAMA Network Open. 2 (10), 471-477. http://doi.10.1001/jamanetworkopen.2019.13054
• Khaliq, A., Qamar, M., Hussaini, S.A., Azam, K., Zehra, N., Hussain, M., & Jaliawala, H. A. (2017). Assessment of knowledge and practices about breastfeeding and weaning among working and non-working mothers. Journal of Pakistan Medical Association. 67 (3), 332-338.
• Khanal, V., Adhikari, M., Sauer, K., & Zhao, Y. (2013). Factors associated with the introduction of pre-lacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011. International Breastfeeding Journal, 8 (1), 2-9. http://doi.10.1186/1746-4358-8-9.
• Lafçı, D., & Erdem, E. (2014). 15-49 yaş grubu evli kadınların doğum sonu dönemde anne ve bebek bakımına yönelik geleneksel uygulamaları. Gaziantep Medical Journal, 20 (3), 226-236.
• Melnitchouk, N., Scully, R.E., & Davids, J.S. (2018). Barriers to breastfeeding for US physicians who are mothers. JAMA Internal Medicine. 178 (8) , 1130-1132. http://doi.10.1001/jamainternmed.2018.0320
• Novianti, N., & Rizkianti., A. (2014). Pemberian asupan pre-lakteal sebagai salah satu faktor kegagalan asi eksklusif pada pekerja buruh ındustri tekstil di Jakarta. Indonesian Journal of Reproductive Health, 5 (1), 23-36.
• Pemo, K., Phillips, D., & Hutchinson, A.M. (2020). Midwives’ perceptions of barriers to exclusive breastfeeding in Bhutan: A qualitative study, Women and Birth, 33 (4). http://doi.org/10.1016/j.wombi.2019.07.003
• Renfrew, M.J., McFadden, A., Bastos, M.H., Campbell, J., Channon, A.A., Cheung, N.F., Silva, D.R., Downe, S., Kennedy, H.P., Malata, A., McCormick, F., Wick, L., & Declercq, E. (2014). Midwifery and quality care: findings from a new evidence‐informed framework for maternal and newborn care. Lancet, 384 (9948), 1129-1145. http://doi.10.1016/S0140-6736(14)60789-3
• Riaz, S., & Condon, L. (2019). The experiences of breastfeeding mothers returning to work as hospital nurses in Pakistan: a qualitative study. Women Birth, 32 (2), 252-258.
• Sari, Y., & Angraini, D. (2019). Determinan pemberian makanan pre-lakteal dini pada bayi usia 0-7 Hari. Journal Ilmu Dan Teknologi Kesehatan, 7 (1), 47-59. http://doi.org/10.32668/jitek.v7i1.216
• Sattari, M., Levine, D., Bertram, A., & Serwint J. R. (2010). Breastfeeding intentions of female physicians. Breastfeeding Medicine, 5 (6), 297-302. http://doi.10.1089/bfm.2009.0090
• Sattari, M., Levine, D., Neal, D., & Serwin, J.R. (2013). Personal breastfeeding behavior of physician mothers ıs associated with their clinical breastfeeding advocacy. Breastfeeding Medicine, 8 (1), 31-39. http://doi.org/10.1089/bfm.2011.0148
• Sattari, M., Levine, D.M., Mramba, L.K., Pina, M., Raukas, R., Rouw, E., & Serwint, J.R. (2020). Physician mothers and breastfeeding: a cross-sectional survey. Breastfeeding medicine, 15 (5), 312-320. http://doi.org/10.1089/bfm.2019.0193
• Sriraman, N.K., & Kellams, A. (2016). Breastfeeding: what are the barriers? why women struggle to achieve their goals. Journal of Women's Health. 25 (7). http://doi.10.1089/jwh.2014.5059
• Hoope-Bender, T.P., De Bernis, L., Campbell, J., Downe, S., Fauveau, V., Fogstad, H., Homer, C.S., Kennedy, H.P., Matthews, Z., McFadden, A., Renfrew, M.J., & Van-Lerberghe, W. (2014). Improvement of maternal and newborn health through midwifery. Lancet, 384 (9949), 1226-1235. http://doi.10.1016/S0140-6736(14)60930-2.
• Thepha, T., Marais, D., Bell, J., & Muangpin, S. (2017). Facilitators and barriers to exclusive breastfeeding in Thailand: a narrative review. Journal of Communitive Public Health Nursing, 3 (1). http://doi.10.4172/2471-9846.1000160
• Thussanasupap, B., Lapvongwatana, P., Kalampakorn, S., & Spatz, D.L. (2016). Effects of the community-based breastfeeding promotion program for working mothers: a quasi-experimental study. Pacific Rim International Journal of Nursing Research, 20 (3), 196-209. http://doi.he02.tci-thaijo.org/index.php/PRIJNR/article/view/43772
• Türkiye Nüfus ve Sağlık Araştırması Raporu, (2018). http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf
• Waite, W.M., & Christakis, D. (2015). Relationship of maternal perceptions of workplace breastfeeding support and job satisfaction. Breastfeed Medicine, 10 (4), 222-227. http://doi.10.1089/bfm.2014.0151
• World Health Organisation Exclusive breastfeeding (2019). http://www.who.int/elena/titles/exclusive_breastfeeding/en/Google Scholar
• Vedam S, Stoll K, MacDorman M, Declercq, E., Cramer, R., Cheyney, M., Fisher, T., & Kennedy, H.P. (2018). Mapping integration of midwives across the United States: impact on access, equity, and outcomes. PLoS One, 13 (2), e0192523. http://doi.org/10.1371/journal.pone.0192523
• Victora, C.G., Bahl, R., Barros, A.J., França, G.V., Horton, S., Krasevec, J., Murch, S., Sankar, M.J., Walker, N., & Rollins, N.C. (2016). Breastfeeding series group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. Jan 30, 387 (10017), 475-490. http://doi.10.1016/S0140-6736(15)01024-7. PMID: 26869575.
• Yalçın, S.S, Çaylan N., Yalçın S., & Eryurt M.A. (2020). Trends and determinants of pre-lacteal feeding in Turkey: analysis of 2003-2018 demographic and health surveys. Public Health Nutrition. 1-14. http://doi.10.1017/S1368980020002037
• Yiğitalp, G., & Gümüş, F. (2017). Diyarbakır’da 15-49 yaş kadınların bebek bakımıyla ilgili geleneksel uygulamaları. Türkiye Çocuk Hastalıkları Dergisi, 3, 188-196. http://doi.10.12956/tjpd.2017.266