Annelerin emzirme döneminde meme ile ilgili yaşadıkları sorunlar ve çözümünde kullandıkları yöntemler: kesitsel bir araştırma

Yıl 2026, Cilt: 19 Sayı: 1, 80 - 94, 30.03.2026

Dilek Uludasdemir , Evrim Kızıler , Sibel Küçük , Perver Karşıgil

https://izlik.org/JA32NF62YU

Öz

Amaç: Bu araştırma, emzirme dönemindeki annelerin yaşadığı meme sorunlarını, bu sorunlara karşı uyguladıkları çözüm yöntemlerini ve bu sorunların emzirme süreci ile bebek sağlığına etkilerini belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve kesitsel tasarımda yürütülen araştırmada, Ankara ilinde yaşayan ve kartopu örnekleme yöntemiyle ulaşılan 141 anne çalışmaya dahil edilmiştir. Veriler, araştırmacılar tarafından oluşturulan çevrimiçi anket aracılığıyla toplanmıştır. Veriler tanımlayıcı istatistikler ve Ki-kare testi ile analiz edilmiştir. Bulgular: Annelerin %62.4’ü sezaryen doğum yapmış, %86.5’i ilk doğum sonrasında meme sorunları yaşamıştır. Annelerin en sık yaşadıkları meme sorunları memede hassasiyet (%72.3), meme ucunda çatlak (%54.6) ve yara (%51.8)’dır. Bu sorunlar emzirme süresinin kısalmasına (%61.4), sıklığının azalmasına (%26.3) veya tamamen bırakılmasına (%7) neden olmuştur. Meme sorunları en çok sezaryenle doğum yapan, emzirme eğitimi almayan, eğitim düzeyi yüksek olan ve sağlık çalışanı annelerde görülmüştür. Yaşanan meme sorununun zamanı, annenin doğum şekli, doğum öncesi ve sonrası meme bakımı eğitimi alma durumundan etkilenmektedir. Meme sorunlarına müdahale yöntemi ise meslek, doğum şekli ve bebeğin doğum haftasına göre anlamlı şekilde farklılaşmaktadır. Anneler, meme sorununun çözümünde farmakolojik ve nonfarmakolojik yöntemlere başvurmuştur. Yenidoğanla ilk bir saatte ten tene temas eden, meme bakımına yönelik eğitim alan, eğitim düzeyi yüksek ve evli olan anneler meme sorununa rağmen emzirmeye devam etmiştir. Ayrıca, gestasyon haftası düşük (32-37 hafta) olan yenidoğanların meme sorunları nedeniyle anlamlı düzeyde daha fazla sağlık sorunu yaşadıkları saptanmıştır. Sonuç: Emziren annelere yönelik doğum öncesi ve sonrası eğitimler ile evde izlem hizmetlerinin yaygınlaştırılması, nonfarmakolojik yöntemler konusunda sağlık çalışanlarının rehberliği ve sosyal medya gibi bilgi kaynaklarının güvenilir içeriklerle denetlenmesi önerilmektedir.

Anahtar Kelimeler

Emzirme , meme ucu , doğum sonrası dönem , anne sağlığı

Breast-related problems experienced by mothers during breastfeeding and the methods they used to solve them: a cross-sectional study

https://izlik.org/JA32NF62YU

Öz

Aim: This study aimed to determine the breast problems experienced by mothers during the breastfeeding period, the coping strategies they used to manage these problems, and the effects of these problems on the breastfeeding process and infant health. Method: This descriptive and cross-sectional study included 141 mothers residing in Ankara, who were reached through a snowball sampling method. Data were collected via an online questionnaire developed by the researchers. Descriptive statistics and the Chi-square test were used for data analysis. Results: Among the participants, 62.4% had cesarean deliveries, and 86.5% experienced breast problems after their first birth. The most frequently reported breast problems were breast tenderness (72.3%), cracked nipple (54.6%), and nipple sores (51.8%). These problems led to a reduction in breastfeeding duration (61.4%), decreased frequency (26.3%), or complete cessation (7%). Breast problems were more common among mothers who had cesarean deliveries, had not received breastfeeding education, had higher education levels, and were healthcare professionals. The timing of breast problems was significantly associated with delivery mode and the mother’s pre- and postnatal breast care education status. The intervention methods used to manage breast problems varied significantly by occupation, mode of delivery, and gestational week of the newborn. Mothers applied both pharmacological and non-pharmacological methods to manage breast problems. Mothers who engaged in skin-to-skin contact with their newborns within the first hour after birth, received education on breast care, had higher education levels, and were married were more likely to continue breastfeeding despite experiencing breast problems. Additionally, newborns with lower gestational weeks (32–37 weeks) experienced significantly more health problems due to maternal breast issues. Conclusion: It is recommended to expand prenatal and postnatal education programs and home follow-up services for breastfeeding mothers, ensure healthcare professionals provide guidance on non-pharmacological methods, and regulate social media content to promote reliable information sources.

Anahtar Kelimeler

Breastfeeding , nipple , postpartum period , maternal health

Kaynakça

• Prentice AM. Breastfeeding in the modern world. Ann Nutr Metab. 2022;78(suppl 2):29-38. doi:10.1159/000524354
• Vieira ES, Caldeira NT, Eugênio DS, Lucca MMD, Silva IA. Breastfeeding self-efficacy and postpartum depression: a cohort study. Rev Lat Am Enfermagem. 2018;26:e3035. doi:10.1590/1518-8345.2110.3035
• Abou-Dakn M. Health effects of breastfeeding on the mother. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018;61(8):986-989. doi:10.1007/s00103-018-2776-1
• Babic A, Sasamoto N, Rosner BA, et al. Association between breastfeeding and ovarian cancer risk. JAMA Oncol. 2020;6(6):e200421. doi:10.1001/jamaoncol.2020.0421
• Rollins NC, Bhandari N, Hajeebhoy N, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016;387(10017):491-504. doi:10.1016/S0140-6736(15)01044-2
• World Health Organization (WHO). Infant and young child feeding. Fact sheet. Updated July 20, 2023. Accessed February 10, 2025. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
• United Nations Children’s Fund (UNICEF). From the First Hour of Life: Making the Case for Improved Infant and Young Child Feeding Everywhere. UNICEF; 2016. Accessed February 10, 2025. https://www.unicef.org/media/49801/file/From-the-first-hour-of-life-ENG.pdf
• Çaka SY, Topal S, Altınkaynak AS. Anne sütü ile beslenmede karşılaşılan sorunlar. Türkiye Klin J Pediatr Nurs-Spec Top. 2017;3:20-28.
• Gianni ML, Bettinelli ME, Manfra P, et al. Breastfeeding difficulties and risk for early breastfeeding cessation. Nutrients. 2019;11(10):2266. doi:10.3390/nu11102266
• Demirci JR, Bogen DL. An ecological momentary assessment of primiparous women’s breastfeeding behavior and problems from birth to 8 weeks. J Hum Lact. 2017;33(2):285-295. doi:10.1177/0890334417695206
• Feenstra MM, Kirkeby MJ, Thygesen M, Danbjørg DB, Kronborg H. Early breastfeeding problems: A mixed method study of mothers’ experiences. Sex Reprod Healthc. 2018;16:167-174. doi:10.1016/j.srhc.2018.04.003
• Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2019). 2018 Türkiye Nüfus ve Sağlık Araştırması. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK, Ankara, Türkiye.
• de Barros NR, Dos Santos RS, Miranda MCR, et al. Natural latex‐glycerol dressing to reduce nipple pain and healing the skin in breastfeeding women. Skin Res Technol. 2019;25(4): 461-468. doi:10.1111/srt.12674
• Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. Int Breastfeed J. 2015; 10:1. doi:10.1186/s13006-014-0027-0
• Douglas P. Re-thinking lactation-related nipple pain and damage. Womens Health (Lond). 2022; 18:17455057221087865. doi:10.1177/17455057221087865
• Spannhake M, Jansen C, Görig T, Diehl K. Well-Informed and Willing, but breastfeeding does not work: a qualitative study on perceived support from health professionals among German Mothers with breastfeeding problems. Healthcare (Basel). 2022;10(6):1009. doi:10.3390/healthcare10061009
• Eshgizade M, Basiri Moghaddam M, Mohammadzadeh Moghaddam H, Mahmoudian A, Mina M. Comparison of the effect of olive oil, aloe vera extract and breast milk on healing of breast fissure in lactating mothers: A randomized clinical trial. Qom Univ Med Sci J. 2016;10(3):19-27.
• Abdelmawgoud Ahmed N, Ibrahim Badawy Othman A, Ahmed Kanona A, Mostafa Amer H, Salah Shalaby N, Bassuoni Elsharkawy N. A randomized controlled study on the effects of extra virgin olive oil compared to breast milk on painful and damaged nipples during lactation. Egypt J Health Care. 2020;11(4):702-714.
• Hossan D, Dato’ Mansor Z, Jaharuddin NS.Research Population and Sampling in Quantitative Study. IJBT. 2023;13(3), 209–222. https://doi.org/10.58915/ijbt.v13i3.263
• Akkuş H, Çoban A. Sezaryen doğum sonrası emzirmenin başlatılmasında yaşanan sorunlar [Problems encountered in initiating breastfeeding after cesarean delivery]. Adnan Menderes Univ Sağlık Bilim Fak Derg. 2023;7(2):380-392. doi:10.46237/amusbfd.1241863
• Abdelhamed SM, Hassan AM, Abdelghaffar E. Impact of breastfeeding education on nipple pain and breastfeeding success among primiparous women. Int J Nurs Pract. 2024;30(1):e13141. doi:10.1111/ijn.13141
• Wang Z, Liu Q, Min L, et al. The effectiveness of the laid-back position on lactation-related nipple problems and comfort: a meta-analysis. BMC Pregnancy Childbirth. 2021;21(1):248. doi:10.1186/s12884-021-03714-8
• Rodrigues GMM, Ferreira ES, Neri DT, Rodrigues DP, Farias JR, Araújo YIS. Challenges presented by primiparas in the breastfeeding process. O impacto e a importância das PICs no Brasil e na enfermagem. 2021;24(281):6275.
• Demirci J, Caplan E, Murray N, Cohen S. "I Just Want to Do Everything Right:" Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary. J Pediatr Health Care. 2018;32(2):163-172. doi:10.1016/j.pedhc.2017.09.010
• Babakazo P, Bosonkie M, Mafuta E, Mvuama N, Mapatano MA. Common breastfeeding problems experienced by lactating mothers during the first six months in Kinshasa. PLoS One. 2022;17(10):e0275477. doi:10.1371/journal.pone.0275477
• Otsuka K, Dennis CL, Tatsuoka Y. The relationship between social support and breastfeeding self-efficacy in Japanese mothers: A longitudinal study. Midwifery. 2021;94:102917. doi:10.1016/j.midw.2021.102917
• Mahurin-Smith J. Challenges with breastfeeding: Pain, nipple trauma, and perceived insufficient milk supply. MCN Am J Matern Child Nurs. 2023;48(3):161-167. doi:10.1097/NMC.0000000000000909
• Tozluoğlu A, Özkan FS. Annelerin emzirme deneyimleri üzerine: niteliksel bir çalışma [On mothers' breastfeeding experiences: a qualitative study]. Hacettepe Univ Hemşirelik Fak Derg. 2023;10(2):127-134. doi:10.31125/hunhemsire.1333836
• Ozkaya M, Korukcu O. Effect of cold cabbage leaf application on breast engorgement and pain in the postpartum period: A systematic review and meta-analysis. Health Care Women Int. 2023;44(3):328-344. doi:10.1080/07399332.2022.2090567
• Shetty AP, Halemani K, Issac A, et al. Effectiveness of the application of lanolin, aloe vera, and peppermint on nipple pain and nipple trauma in lactating mothers: A systematic review and meta-analysis. Matern Child Health J. Published online February 27, 2024. doi:10.1007/s10995-024-04006-1
• Laageide L, Radke S, Santillan D, Ten Eyck P, Powers J. Postpartum nipple symptoms: risk factors and dermatologic characterization. Breastfeed Med. 2021;16(3):215-221. doi:10.1089/bfm.2020.0030
• Boskabadi H, Rakhshanizadeh F, Zakerihamidi M. Evaluation of maternal risk factors in neonatal hyperbilirubinemia. Arch Iran Med. 2020;23(2):128-140. doi:10.34172/aim.2020.16
• Zukova S, Krumina V, Buceniece J. Breastfeeding preterm born infant: Chance and challenge. Int J Pediatr Adolesc Med. 2021;8(2):94-97. doi:10.1016/j.ijpam.2020.02.006