Research Article
BibTex RIS Cite

Prenatal Breastfeeding Training in Turkish Women: How are the effects?

Year 2019, Volume: 13 Issue: 2, 183 - 190, 18.06.2019
https://doi.org/10.21763/tjfmpc.569762

Abstract

Objective: Mothers should be trained and
supported to enable them to breastfeed effectively, as the mother’s milk is the
most important nutrient in an infant’s feeding.  This study intends to show the effect of
breastfeeding training during pregnancy on mothers’ breastfeeding experiences
and emphasize its importance.
Materials and Methods: This study was performed between December 2013 and February
2014. A cross-sectional study was conducted with 190 mothers. In this study, we
compared two groups, who were educated or not educated on breastfeeding and
breast milk. The data was collected through a face to face
interview. Results: The study group consisted of 190 mothers; 100 in the control group and
90 in the training group. There was a significant difference in the frequency
(88,8 %) and duration of breastfeeding (62,2 %) among the mothers in the
training group. There was a significantly high tendency among mothers in the
control group to feed their babies water, supplementary food / baby formula and
use pacifiers during the first 6 months. Using feeding bottles has been shown
to cause mothers to feed their babies only with breast milk for less than 6
months. Conclusion: It has been
concluded that breastfeeding training given to mothers before delivery
increases breastfeeding frequency and duration while lowering the use of
feeding bottles and making the practice of feeding babies water in the first 6
months less common. Mothers should be trained on breast milk and breastfeeding
starting from the period before delivery.


Amaç: Bebek beslenmesinde en önemli
besin olan anne sütünün etkili ve bilinçli olarak bebeklere verilmesi için
annelerin bilgilendirilmesi ve desteklenmesi şarttır. Bu çalışma, gebelik
döneminde verilen anne sütü ve emzirme eğitiminin emzirme üzerine olan etkisini
göstermek ve eğitimin önemini vurgulamak amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışma Aralık 2013
ile Şubat 2014 arasında gerçekleştirilmiştir. 190 anne ile kesitsel bir çalışma
yapılmıştır. İki ayrı grubu, emziren ve anne sütü üzerine eğitimli ve
eğitilmemiş annelerle karşılaştırmayı amaçlayan bu çalışmada veriler yüz yüze
yapılan görüşme sonucu toplanmıştır. Bulgular:
Kontrol grubu 100, eğitim grubuna 90 olmak üzere toplam 190 anne çalışmaya
alınmıştır. Eğitim grubu annelerde anne sütü ile beslenme sıklığı (%88,8) ve süresinde
(%62,2) anlamlı olarak fark bulunmuştur. Kontrol grubu annelerde ilk altı ayda
su, emzik, tamamlayıcı gıda/mamaya başlanma davranışı anlamlı derecede
yüksektir. Biberon kullanımının altı aydan az sadece anne sütü ile beslenmeye
neden olduğu gösterilmiştir. Sonuç:
Doğum öncesi dönemde annelere verilen eğitimle emzirme sıklığı ve süresinin
arttığı, biberon kullanma davranışı ve ilk altı ayda su vermenin azaldığı
sonucuna varılmıştır. Anneler, doğum öncesi dönemden başlayarak anne sütü ve
emzirme ile ilgili eğitimler verilerek bilgilendirilmelidir.

References

  • 1. Breastfeeding.www.who.int/topics/breastfeeding/en Date of access: 22.06.2018
  • 2. Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms and lifelong effect. The Lancet, 2016;387:475-490.
  • 3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2008 Türkiye Nüfus ve Sağlık Araştırması. Ankara, Türkiye: Elma Teknik Basım Matbaacılık, 2009, pp:171-178.
  • 4. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2013 Türkiye Nüfus ve Sağlık Araştırması. Ankara, Türkiye: Elma Teknik Basım Matbaacılık, 2014, pp:175-223.
  • 5. Guise JM, Palda V, Westhoff C, et al. The Effectiveness of primary care-based interventions to promote breastfeeding: systematic evidence review and meta-analysis for the US preventive services task force. Ann Fam Med 2003;1:70-80.
  • 6. Kutlu R, Kara F, Durduran Y, Marakoglu K, Civi S. Assessment of effects of pre- and post-training programme for healthcare professionals about breastfeeding. J Health Popul Nutr. 2007;25(3):382-6.
  • 7. Ryan AS, Wenjun Z, Acosta A. Breastfeeding continues to increase into the New Millennium. Pediatrics 2002;110:1103-1109.
  • 8. TC. Sağlık Bakanlığı Eğitimciler için Eğitim Rehberi, Beslenme Modülleri, Gebelik ve Emziklilik Döneminde Beslenme, Ankara, 2008, pp:39-57.
  • 9. T.C. Sağlık Bakanlığı AÇS/AP Genel Müdürlüğü, UNICEF, Emzirme Danışmanlığı El Kitabı, Ankara: Tisamat Basım. 2008, pp:5-37.
  • 10. Betrini G, Perugi S, Dani C, et al. Maternal education and the incidence and duration of breastfeeding: A prospective study. J Pediatr Gastroenterol Nutr 2003;37:447–452.
  • 11. Forster D, McLachlan H, Lumley J, et al. Attachment to the breast and family attitudes to breastfeeding. Theeffect of breastfeeding education in the middle of pregnancy on the initiation and duration of breastfeeding: a randomised controlled trial. BMC Pregnancy and Childbirth 2003;3:1–12.
  • 12. Sheehan A, Schmied V, Cooke M. Australian women’s stories of their baby-feeding decisions in pregnancy. Midwifery 2003;19(4):259-66.
  • 13. Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health 2011;11(3):24.
  • 14. Sharma IK, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breastfeed J 2016;11(1): 17.
  • 15. Li R, Darling N, Maurice E, Barker L. Breastfeeding rates in The United States by characteristics of the child, mother, or family. The 2002 National Immunization Survey. Pediatrics, 2005; 11: 31-7.
  • 16. Dashti M, Scott JA, Edwards CA, Al-Sughayer M. Predictors of breastfeeding duration among women in Kuwait: results of a prospective cohort study. Nutrients. 2014;6:711–728.
  • 17. Maternal and perinatal health. www.who.int /reproductivehealth /publications /maternal_perinatal_health/csstatement/en/ Date of access 11.07.2018
  • 18. Prior E, Santhakumaran S, Gale C, Philipps LH, Modi N, Hyde MJ. Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature. Am J Clin Nutr. 2012;95(5):1113-35.
  • 19. Erbil N, Oral D. Doğum şeklinin emzirme tutumu üzerine etkisi. Ankara: Kök Yayıncılık, pp:255, 2005.
  • 20. Köksal G, Gökmen H. Anne sütü ve emzirme. Köksal G, (editör). Çocuk Hastalıklarında Beslenme Tedavisi. 1. baskı. Ankara: Hatiboğlu Yayınevi; 2000, s:31-66.
  • 21. Haque MF, Hussain M, Sarkar AK, et al. Breastfeeding counselling and its effect on the prevalence of exclusive breast-feeding. J Health Popul Nutr. 2002;20:312-316.
  • 22. Fikre FF, Ali TS, Duracher JM, et al. Newborn care practices in low socioeconomic settlements of Karachi, Pakistan. Social Sciences and Medicine, 2005;60:911-921.
  • 23. Giray H. Anne sütüyle beslenme. Sürekli Tıp Eğitimi Dergisi 2004;13:12-15.
  • 24. Kaya D, Pirinççi E. 0–24 aylık çocuğu olan annelerin anne sütü ve emzirme ile ilgili bilgi ve uygulamalar. TAF Prev Med Bull 2009; 8(6):479-484
  • 25. Şahan H. 0-24 aylık bebeği olan annelerin anne sütü ve emzirme konusunda bilgi, tutum ve davranışları, Erciyes Üniversitesi Tıp Fakültesi, Aile Hekimliği Uzmanlık Tezi, Kayseri, ss:15-25, 2008.
  • 26. World Health Organizatıon. Infant and young child feeding Model chapter for textbooks for medical students and allied health professionals. Fransa, WHO press; pp:37-51, 2009.
  • 27. Donath SM, Amir LH. Breastfeeding and the introduction of solids in Austalian infants: Data from the 2001 National Health Survey. Aust N Z J Public Health 2005;29:171-175.
  • 28. Lande B, Andersen LF, Baerug A, et al. Infant feeding practices and associated factors in first six months of life: The Nonvegian infant nutrition survey. Acta Paediatr 2003;92:152-161.
  • 29. Betrini G, Perugi S, Dani C, et al. Maternal education and the incidence and duration of breastfeeding: A prospective study. J Pediatr Gastroenterol Nutr 2003;37:447–452.
  • 30. Breastfeeding Rates. www.cdc.gov/breastfeeding/data/nis_data/results.html. Date of access 25.06.2018
  • 31. Aksu H, Küçük M, Düzgün G. Theeffect of postnatal breastfeeding education/support offered at home 3 days after delivery on breastfeeding duration and knowledge: A randomized trial. J Matern Fetal Neonatal Med 2011;24:354-361.
  • 32. Sankar MJ, Sinha B, Chowdhury R, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015;104(467):3-13.
  • 33. Howard CR, Howard FM, Lanphear B, Eberly S, Oakes D, Lawrence RA. Randomized Clinical Trial of Pacifier use and Bottle-Feedingor Cup feeding and Their Effect on Breastfeeding. Pediatrics, 2003;111: 511-518.
  • 34. Gümüstakım RS, Aksoy HD, Cebeci SE, Kanuncu S, Çakır L, Yavuz E, 0-2 yaş çocuklarda beslenme alışkanlıklarının değerlendirilmesi: Çok merkezli çalışma. Fam Pract Palliat Care. 2017;2(1):1-8
  • 35. Yılmazbaş P, Kural B, Uslu A, Sezer GM, Gökçay G. Annelerin gözünden ek besinlere başlama nedenleri ve annelerin mamalar hakkındaki düşünceleri. İst Tıp Fak Derg 2015; 78: 3
  • 36. Collins CT, Ryan P, Crowther CA, et al. Effect of bottles, cups, and dummies on breastfeeding in preterm infants: a randomised controlled trial. BMJ 2004;379:193-198.
Year 2019, Volume: 13 Issue: 2, 183 - 190, 18.06.2019
https://doi.org/10.21763/tjfmpc.569762

Abstract

References

  • 1. Breastfeeding.www.who.int/topics/breastfeeding/en Date of access: 22.06.2018
  • 2. Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms and lifelong effect. The Lancet, 2016;387:475-490.
  • 3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2008 Türkiye Nüfus ve Sağlık Araştırması. Ankara, Türkiye: Elma Teknik Basım Matbaacılık, 2009, pp:171-178.
  • 4. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2013 Türkiye Nüfus ve Sağlık Araştırması. Ankara, Türkiye: Elma Teknik Basım Matbaacılık, 2014, pp:175-223.
  • 5. Guise JM, Palda V, Westhoff C, et al. The Effectiveness of primary care-based interventions to promote breastfeeding: systematic evidence review and meta-analysis for the US preventive services task force. Ann Fam Med 2003;1:70-80.
  • 6. Kutlu R, Kara F, Durduran Y, Marakoglu K, Civi S. Assessment of effects of pre- and post-training programme for healthcare professionals about breastfeeding. J Health Popul Nutr. 2007;25(3):382-6.
  • 7. Ryan AS, Wenjun Z, Acosta A. Breastfeeding continues to increase into the New Millennium. Pediatrics 2002;110:1103-1109.
  • 8. TC. Sağlık Bakanlığı Eğitimciler için Eğitim Rehberi, Beslenme Modülleri, Gebelik ve Emziklilik Döneminde Beslenme, Ankara, 2008, pp:39-57.
  • 9. T.C. Sağlık Bakanlığı AÇS/AP Genel Müdürlüğü, UNICEF, Emzirme Danışmanlığı El Kitabı, Ankara: Tisamat Basım. 2008, pp:5-37.
  • 10. Betrini G, Perugi S, Dani C, et al. Maternal education and the incidence and duration of breastfeeding: A prospective study. J Pediatr Gastroenterol Nutr 2003;37:447–452.
  • 11. Forster D, McLachlan H, Lumley J, et al. Attachment to the breast and family attitudes to breastfeeding. Theeffect of breastfeeding education in the middle of pregnancy on the initiation and duration of breastfeeding: a randomised controlled trial. BMC Pregnancy and Childbirth 2003;3:1–12.
  • 12. Sheehan A, Schmied V, Cooke M. Australian women’s stories of their baby-feeding decisions in pregnancy. Midwifery 2003;19(4):259-66.
  • 13. Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health 2011;11(3):24.
  • 14. Sharma IK, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breastfeed J 2016;11(1): 17.
  • 15. Li R, Darling N, Maurice E, Barker L. Breastfeeding rates in The United States by characteristics of the child, mother, or family. The 2002 National Immunization Survey. Pediatrics, 2005; 11: 31-7.
  • 16. Dashti M, Scott JA, Edwards CA, Al-Sughayer M. Predictors of breastfeeding duration among women in Kuwait: results of a prospective cohort study. Nutrients. 2014;6:711–728.
  • 17. Maternal and perinatal health. www.who.int /reproductivehealth /publications /maternal_perinatal_health/csstatement/en/ Date of access 11.07.2018
  • 18. Prior E, Santhakumaran S, Gale C, Philipps LH, Modi N, Hyde MJ. Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature. Am J Clin Nutr. 2012;95(5):1113-35.
  • 19. Erbil N, Oral D. Doğum şeklinin emzirme tutumu üzerine etkisi. Ankara: Kök Yayıncılık, pp:255, 2005.
  • 20. Köksal G, Gökmen H. Anne sütü ve emzirme. Köksal G, (editör). Çocuk Hastalıklarında Beslenme Tedavisi. 1. baskı. Ankara: Hatiboğlu Yayınevi; 2000, s:31-66.
  • 21. Haque MF, Hussain M, Sarkar AK, et al. Breastfeeding counselling and its effect on the prevalence of exclusive breast-feeding. J Health Popul Nutr. 2002;20:312-316.
  • 22. Fikre FF, Ali TS, Duracher JM, et al. Newborn care practices in low socioeconomic settlements of Karachi, Pakistan. Social Sciences and Medicine, 2005;60:911-921.
  • 23. Giray H. Anne sütüyle beslenme. Sürekli Tıp Eğitimi Dergisi 2004;13:12-15.
  • 24. Kaya D, Pirinççi E. 0–24 aylık çocuğu olan annelerin anne sütü ve emzirme ile ilgili bilgi ve uygulamalar. TAF Prev Med Bull 2009; 8(6):479-484
  • 25. Şahan H. 0-24 aylık bebeği olan annelerin anne sütü ve emzirme konusunda bilgi, tutum ve davranışları, Erciyes Üniversitesi Tıp Fakültesi, Aile Hekimliği Uzmanlık Tezi, Kayseri, ss:15-25, 2008.
  • 26. World Health Organizatıon. Infant and young child feeding Model chapter for textbooks for medical students and allied health professionals. Fransa, WHO press; pp:37-51, 2009.
  • 27. Donath SM, Amir LH. Breastfeeding and the introduction of solids in Austalian infants: Data from the 2001 National Health Survey. Aust N Z J Public Health 2005;29:171-175.
  • 28. Lande B, Andersen LF, Baerug A, et al. Infant feeding practices and associated factors in first six months of life: The Nonvegian infant nutrition survey. Acta Paediatr 2003;92:152-161.
  • 29. Betrini G, Perugi S, Dani C, et al. Maternal education and the incidence and duration of breastfeeding: A prospective study. J Pediatr Gastroenterol Nutr 2003;37:447–452.
  • 30. Breastfeeding Rates. www.cdc.gov/breastfeeding/data/nis_data/results.html. Date of access 25.06.2018
  • 31. Aksu H, Küçük M, Düzgün G. Theeffect of postnatal breastfeeding education/support offered at home 3 days after delivery on breastfeeding duration and knowledge: A randomized trial. J Matern Fetal Neonatal Med 2011;24:354-361.
  • 32. Sankar MJ, Sinha B, Chowdhury R, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015;104(467):3-13.
  • 33. Howard CR, Howard FM, Lanphear B, Eberly S, Oakes D, Lawrence RA. Randomized Clinical Trial of Pacifier use and Bottle-Feedingor Cup feeding and Their Effect on Breastfeeding. Pediatrics, 2003;111: 511-518.
  • 34. Gümüstakım RS, Aksoy HD, Cebeci SE, Kanuncu S, Çakır L, Yavuz E, 0-2 yaş çocuklarda beslenme alışkanlıklarının değerlendirilmesi: Çok merkezli çalışma. Fam Pract Palliat Care. 2017;2(1):1-8
  • 35. Yılmazbaş P, Kural B, Uslu A, Sezer GM, Gökçay G. Annelerin gözünden ek besinlere başlama nedenleri ve annelerin mamalar hakkındaki düşünceleri. İst Tıp Fak Derg 2015; 78: 3
  • 36. Collins CT, Ryan P, Crowther CA, et al. Effect of bottles, cups, and dummies on breastfeeding in preterm infants: a randomised controlled trial. BMJ 2004;379:193-198.
There are 36 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Orijinal Articles
Authors

Hatice Tuba Akbayram

Hüseyin Avni Şahin

Publication Date June 18, 2019
Submission Date July 10, 2018
Published in Issue Year 2019 Volume: 13 Issue: 2

Cite

Vancouver Akbayram HT, Şahin HA. Prenatal Breastfeeding Training in Turkish Women: How are the effects?. TJFMPC. 2019;13(2):183-90.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.