Bebek Cinsiyetinin Annelerin Emzirme Tutumları ve Süreleri Üzerindeki Etkisinin Araştırılması: Kesitsel bir Çalışma

Yıl 2023, Cilt: 3 Sayı: 3, 326 - 335, 29.12.2023

Selvinaz Albayrak , Eyşan Hanzade Umaç , Nuran Aydın Ateş , Ayfer Aydın

https://doi.org/10.56061/fbujohs.1261735

Öz

Bu çalışmanın amacı, Türkiye'de bebek cinsiyetinin annelerin emzirme tutumları ve süreleri üzerindeki etkisini incelemektir. 2022 yılında aile sağlığı merkezlerine başvuran 1 ile 36 ay arasında çocuğu olan kadınlarla (n:386) kesitsel bir çalışma yapılmıştır. Veriler "Bilgi Formu" ve "Iowa Bebek Besleme Ölçeği (IIFAS)" kullanılarak toplanmıştır. Veriler tanımlayıcı istatistikler, t-testi ile analiz edilmiştir. Annelerin IIFAS puan ortalaması 63.54±7,01 olarak bulunmuştur. Kız annelerin IIFAS puanı 63,31 (SS: 7,04), erkek annelerin IIFAS puanı 64,56 (SS: 6,87) olup aralarındaki fark istatistiksel olarak anlamlı değildir (t: -1,602, p>0,05). Ortalama emzirme süresi kızlarda 14,36 + 7,52 ay, erkeklerde 15,26 + 7,62 ay olup aralarındaki fark istatistiksel olarak anlamlı değildir (t:-1,215, p>0,05). Çalışmaya katılan annelerin her iki cinsiyetteki çocukları için sadece anne sütü ile beslenme ve toplam anne sütü ile beslenme sürelerinde bir farklılık olmadığı sonucuna varılmıştır. Ayrıca annelerin emzirmeye yönelik tutumlarının olumlu olduğu belirlenmiştir.

Anahtar Kelimeler

Emzirme, kesitsel, cinsiyet, annelerin emzirme tutumları

Investigation of the Effect of Infant Gender on Mothers' Breastfeeding Attitudes and Duration: A Cross-sectional Study

Öz

The aim of this study was to examine the effect of infant gender on mothers' breastfeeding attitudes and duration in Turkey. This cross-sectional study was conducted with women (n:386) each of whom had a child between 1 and 36 months old and applied to family health centers in 2022. Data were collected using the “Information Form”’ and the “Iowa Infant Feeding Scale (IIFAS)”. Data were analyzed by descriptive statistics, t-test. The study was carried out according to STROBE. The mothers' IIFAS mean score was 63.54±7.01. The IIFAS score of mothers with girls was 63.31 (SD: 7.04), with boys were 64.56 (SD: 6.87), and the difference between them was not statistically significant (t: -1.602, p>0.05). The mean duration of breastfeeding for girls was 14.36 + 7.52 months, and for boys were 15.26 + 7.62 months, and the difference between them was not significant (t: -1.215, p>0.05). We concluded that there was no disparity in the duration of exclusive breastfeeding and total breastfeeding for the children of both sexes of the mothers in the study. In addition, it was determined that mothers' attitudes toward breastfeeding were positive.

Anahtar Kelimeler

Breastfeeding, cross-sectional, gender, mothers

Kaynakça

• Ahmed, K., Talha, M., Khalid, Z., Khurshid., M., & Ishtiaq, R. (2018). Breastfeeding and weaning: practices in urban slums of southern punjab, Pakistan. Cureus, 10(2), e2189. https://doi.org/10.7759/cureus.2189
• Akın, B., Demir, E., Gürdal, A., & Yılmaz, S. (2021). Attitudes of mothers with babies of 0-6 months of age regarding infant nutrition and transition times to complementary feeding. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12(2), 472-478. https://doi.org/10.31067/acusaglik.849205
• Alzaheb, R. A. (2017). A review of the factors associated with the timely initiation of breastfeeding and exclusive breastfeeding in the middle east. Clinical Medicine Insights, 11, 1179556517748912. https://doi.org/10.1177/1179556517748912
• Arifunhera, J.H., Srinivasaraghavan, R., Sarkar, S., Kattimani, S., Adhisivam, B., & Bhat, B. V. (2016). Is maternal anxiety a barrier to exclusive breastfeeding? The Journal of Maternal-Fetal & Neonatal Medicine, 29(17), 2798-2801. https://doi.org/10.3109/14767058.2015.1104662
• Avilla, J. C. D., Giugliani, C., Bizon, A. M. B. L., Martins, A. C. M., Senna, A. F. K. D., & Giugliani, E. R. J. (2020). Association between maternal satisfaction with breastfeeding and postpartum depression symptoms. Plos One, 15(11), e0242333. https://doi.org/10.1371/journal.pone.0242333
• Burns, E., Fenwick, J., Sheehan, A., & Schmied, V. (2016). ‘This little piranha’: a qualitative analysis of the language used by health professionals and mothers to describe infant behavior during breastfeeding. Maternal & Child Nutrition, 12(1), 111-124. https://doi.org/10.1111/mcn.12179
• Cai, X., Wardlaw, T., & Brown, D. W. (2012). Global trends in exclusive breastfeeding. International Breastfeeding Journal, 7(1), 1-5. https://doi.org/10.1186/1746-4358-7-12
• Çaylan, N., & Yalçın, S. S. (2020). Status of breastfeeding in Turkey and the world: recommendations for the promotion of breastfeeding. Çocuk Beslenmesi. Türkiye Klinikleri.
• Centers for Disease Control Prevention. (2023, January 15). Key breastfeeding indicators. https://www.cdc.gov/breastfeeding/data/facts.html
• Cevik, E., & Yasar, O. (2023). Interruption of breastfeeding, relactation, relactation awareness, and related factors: A cross-sectional study. Breastfeeding Medicine, 18(1), 48-58. https://doi.org/10.1089/bfm.2022.0199
• Chaabna, N., Mahfoud, Z. R., Letourneau, N., Forgrave, D., & White, D. (2022). Muslim women's attitudes toward infant feeding in Qatar: An exploration using the Iowa infant feeding attitude scale. Midwifery, 114, 103470. https://doi.org/10.1016/j.midw.2022.103470
• Chambers, J. A., Alder, E. M., Hoddinott, P., & McInnes, R. J. (2007). A systematic review of measures assessing mothers' knowledge, attitudes, confidence and satisfaction towards breastfeeding. Breastfeeding Review, 15(3), 17-25.
• Chehab, M. A., Selim, N. A., & Itani, R. (2018). The baby-friendly hospital initiative and Qatar, 2016. Journal of Taibah University Medical Sciences, 13(3), 309-310. https://doi.org/10.1016/j.jtumed.2018.03.001
• Eidelman, AI., & Schanler, RJ. (2012). Breastfeeding and the use of human milk. Pediatrics, 129, e827-e841. https://doi.org/10.1542/peds.2011-3552
• Eksioglu, A., Yeşil, Y., & Çeber Turfan, E. (2016). Bebek beslenmesi tutum ölçeğinin (Iowa) Türkçeye uyarlanması: Geçerlik ve güvenirlik çalışması. Journal of Education and Research in Nursing, 13(3), 209-15. https://doi.org/ 10.5222/HEAD.2016.209
• Ferris, A. M., McCabe, L. T., Allen, L. H., & Pelto, G. H. (1987). Biological and sociocultural determinants of successful lactation among women in eastern Connecticut. Journal of the American Dietetic Association, 87(3), 316-321.
• Fledderjohann, J., Agrawal, S., Vellakkal, S., Basu, S., Campbell, O., Doyle, P., Ebrahim, S., & Stuckler, D. (2014). Do girls have a nutritional disadvantage compared with boys? Statistical models of breastfeeding and food consumption inequalities among Indian siblings. PloS one, 9(9), e107172. https://doi.org/10.1371/journal.pone.0107172
• Galson, S. K. (2008). Mothers and children benefit from breastfeeding. Journal of the American Dietetic Association, 108(7), 1106-1106. https://doi.org/10.1016/j.jada.2008.04.028
• Gebretsadik, S., & Gabreyohannes, E. (2016). Determinants of under-five mortality in high mortality regions of Ethiopia: An analysis of the 2011 Ethiopia Demographic and Health Survey data. International Journal of Population Research, 2016. https://doi.org/10.1155/2016/1602761
• George, D., & Mallery, M. (2010). SPSS for windows step by step: A simple guide and reference, 17.0 update (10a ed.). Pearson.
• Green, V. L., Killings, N. L., & Clare, C. A. (2021). The historical, psychosocial, and cultural context of breastfeeding in the African American community. Breastfeeding Medicine, 16(2), 116-120. https://doi.org/10.1089/bfm.2020.0316
• Gyamfi, A., O'Neill, B., Henderson, W. A., & Lucas, R. (2021). Black/African American breastfeeding experience: cultural, sociological, and health dimensions through an equity lens. Breastfeeding Medicine, 16(2), 103-111.https://doi.org/10.1089/bfm.2020.0312
• Ho, Y. J., & McGrath, J. M. (2010). A review of the psychometric properties of breastfeeding assessment tools. Journal of Obstetric, Gynecologic & Neonatal Nursing, 39(4), 386-400. https://doi.org/10.1111/j.1552-6909.2010.01153.x
• Hoang Nguyen, P. T., Binns, C. W., Vo Van Ha, A., Nguyen, C. L., Khac Chu, T., Duong, D. V., Do, D. V., & Lee, A. H. (2020). Caesarean delivery associated with adverse breastfeeding practices: a prospective cohort study. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, 40(5), 644–648. https://doi.org/10.1080/01443615.2019.1647519
• Horta, B. L., & Victora, C. G. (2013). A systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. World Health Organization. https://apps.who.int/iris/handle/10665/95585?show=full
• İsbay, B., & Gerçek Öter, E. (2021). Maternal Opinions on the Effects of Grandmothers on Breastfeeding Behavior: Descriptive Research. Turkiye Klinikleri Journal of Nursing Sciences, 13(4). https://doi.org/10.5336/nurses.2021-81434
• Jayachandran, S., & Kuziemko, I. (2011). Why do mothers breastfeed girls less than boys? Evidence and implications for child health in India. The Quarterly Journal of Economics, 126(3), 1485-1538. https://doi.org/10.1093/qje/qjr029
• Li, J. Y., Huang, Y., Liu, H. Q., Xu, J., Li, L., Redding, S. R., & Ouyang, Y. Q. (2020). The relationship of previous breastfeeding experiences and factors affecting breastfeeding rates: A follow-up study. Breastfeeding Medicine, 15(12), 789-797. https://doi.org/10.1089/bfm.2020.0165
• Mannion, C. A., Hobbs, A. J., McDonald, S. W., & Tough, S. C. (2013). Maternal perceptions of partner support during breastfeeding. International Breastfeeding Journal, 8(1), 1-7. https://doi.org/10.1186/1746-4358-8-4
• Timurturkan, M. (2020). Biopower, nutrition, and motherhood: The cultural and political appearances of breastfeeding. Istanbul University Journal of Sociology, 40(1), 219-248. https://doi.org/10.26650/SJ.2020.40.1.0034
• Mihrshahi, S., Kabir, I., Roy, S. K., Agho, K. E., Senarath, U., Dibley, M. J., & South Asia Infant Feeding Research Network (SAIFRN)*. (2010). Determinants of infant and young child feeding practices in Bangladesh: Secondary data analysis of demographic and health survey 2004. Food and Nutrition Bulletin, 31(2), 295-313. https://doi.org/10.1177/156482651003100220.
• Mora, A. D. L., Russell, D. W., Dungy, C. I., Losch, M., & Dusdieker, L. (1999). The Iowa infant feeding attitude scale: analysis of reliability and validity. Journal of Applied Social Psychology, 29(11), 2362-2380. https://doi.org/10.1111/j.1559-1816.1999.tb00115.x
• Morrow, A. L., McClain, J., Conrey, S. C., Niu, L., Kinzer, A., Cline, A. R., Piasecki, A. M., DeFranco, E., Ward, L., Ware, J., Payne, D. C., Staat, M. A., & Nommsen-Rivers, L. A. (2021). Breastfeeding Disparities and Their Mediators in an Urban Birth Cohort of Black and White Mothers. Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine, 16(6), 452–462. https://doi.org/10.1089/bfm.2020.0327
• Rehayem, A., Taki, S., Brown, N., & Denney-Wilson, E. (2020). Infant feeding beliefs and practices of Arabic mothers in Australia. Women and Birth, 33(4), e391-e399. https://doi.org/10.1016/j.wombi.2019.07.004
• Rito, A. I., Buoncristiano, M., Spinelli, A., Salanave, B., Kunešová, M., Hejgaard, T., García Solano, M., Fijałkowska, A., Sturua, L., Hyska, J., Kelleher, C., Duleva, V., Musić Milanović, S., Farrugia Sant'Angelo, V., Abdrakhmanova, S., Kujundzic, E., Peterkova, V., Gualtieri, A., Pudule, I., Petrauskienė, A., … Breda, J. (2019). Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative - COSI 2015/2017. Obesity facts, 12(2), 226–243. https://doi.org/10.1159/000500425
• Scott, V. C., Taylor, Y. J., Basquin, C., & Venkitsubramanian, K. (2019). Impact of key workplace breastfeeding support characteristics on job satisfaction, breastfeeding duration, and exclusive breastfeeding among health care employees. Breastfeeding Medicine, 14(6), 416-423. https://doi.org/10.1089/bfm.2018.0202
• Shafer, E. F., & Hawkins, S. S. (2017). The impact of sex of child on breastfeeding in the United States. Maternal and Child Health Journal, 21, 2114-2121. https://doi.org/10.1007/s10995-017-2326-8 Turkish Statistical Institution. (2019, January 10). Birth Statistics. https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri-2019-33706#
• World Health Organization (WHO). (2018, January 15). WHO recommendations on intrapartum care for a positive childbirth experience: World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf
• Yıldız, İ., & Gölbaşı, Z. (2020). Determination of breastfeeding behaviors and infant feeding attitudes of mothers with 4-6 months old baby. Turkish Journal of Family Medicine and Primary Care, 14(4), 554-563. https://doi.org/10.21763/tjfmpc.744227
• Yu J., Wei, Z., Lukoyanova, O., Borovik, T., & Fewtrell, M.S. (2020). Maternal infant-feeding attitudes, infant eating behaviors, and maternal feeding choice at 3 and 6 months postpartum: A comparative multicenter international study. Breastfeeding Medicine,15(8), 528-534. https://doi.org/10.1089/bfm.2020.0066