Yeni Doğum Yapmış Annelerin Anne Sütü Bankacılığına İlişkin Düşünceleri

Öz

Amaç: Bu çalışma yeni doğum yapmış annelerin anne sütü bankacılığına ilişkin düşüncelerini saptamak amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışma Zonguldak Bülent Ecevit Üniversitesi Sağlık Uygulama ve Araştırma Merkezinde 25 Haziran 2019-1 Ocak 2020 tarihleri arasında gerçekleştirilmiştir. Obstetri servisinde yatan 244 anneye anket formu uygulanmıştır. Bu formda literatür doğrultusunda hazırlanan sosyodemografik özellikler ve anne sütü bankacılığına ilişkin sorular yer almıştır. Verilerin analizi SPSS 23.0 istatistik programı ile yapılmıştır. Bulgular: Çalışmada, yeni doğum yapmış annelerin yaş ortalamaları 29.9754±6.38216’dır (min 18, max 42). Annelerin %41’i ilkokul/ortaokul mezunu, %79.5’i çekirdek ailede yaşamakta, %74.6’ü çalışmamaktadır. Katılımcıların çoğunluğu (%73.4) anne sütü bankasının ülkemizde uygulanmasını istemekte, %72.5’i süt bankası olsa sütünü bağışlamayı düşünmekte, %57.4’ü süt bankasından yararlanmak istemektedir. Annelerin sosyo-demografik durumları (yaş, eğitim durumu, çalışma durumu, aile tipi ve yaşayan çocuk sayısı) ile dini açıdan sorun yaratıp yaratmama durumu arasında istatistiksel farklılık saptanmıştır (p<0.05). Sonuç: Annelerin çoğunluğunun süt bankasına bağış yapmak istediği ve süt bankasından süt almak istediği görülmektedir. Ancak süt bankasının olmasının bazı sorunlara (süt kardeş evliliği, evlilik sorunları, annelerde yetersizlik duygusu, bağış yapan annenin sigara ve alkol kullanması, hastalık bulaşma riski ve dini nedenler vb) neden olabileceği de belirtilmiştir. Anne sütü bankacılığının yararlarına rağmen, etik ikilemler, geleneksel inanç ve tutumlar, mitler, sütünün güvenliğine ilişkin endişeler ve bilgi eksikliği tartışılmalıdır.

Anahtar Kelimeler

• Anne Sütü Bankası
• Emzirme
• Postpartum

Views of Postnatal Mothers Regarding Human Milk Banking

Öz

Aim: This study was carried out to determine the views of postnatal mothers regarding human milk banking. Material and Methods: The study was conducted on between 25 June 2019 and 1 January 2020 at Zonguldak Bulent Ecevit University Health Practice and Research Center. A questionnaire was applied to 244 mothers who were hospitalized in the obstetrics service.The data were collected using a questionnaire prepared by the researchers. In this form, questions regarding human milk banking prepared in accordance with the literature and the socio-demographic characteristics of the mothers were included. Data analysis was carried out with SPSS 23.0 statistics program. Results: The mean age of postnatal mothers was 29.9. Of the mothers, 41% were primary school / secondary school graduates, 79.5% were living in nuclear families and 74.6% were unemployed. The majority of mothers (73.4%) wanted human milk banks in Turkey to be active, 72.5% considered donating their milk if there were a milk bank, 57.4% would like to benefit from the milk bank. A statistical difference was found between the socio-demographic status of the mothers (age, education, employment status, family type and number of children alive) and the condition whether or not the milk bank caused problems in terms of religion (p<0.05). Conclusion: It was determined that the majority of mothers would like to donate to the milk bank and get milk there. However, it was also stated that the presence of milk bank would lead to some problems (milk sibling marriage, feeling of inadequacy in mothers, risk of disease transmission and religious reasons, etc.). Despite the benefits of human milk banking, ethical dilemmas, traditional beliefs and attitudes, myths, concerns about the safety of milk and lack of information should be discussed

Anahtar Kelimeler

• Human Milk Bank
• Breastfeeding
• Postpartum

Kaynakça

1. Ku CM, Chow SKY. Factors influencing the practice of exclusive breastfeeding among Hong Kong Chinese women: a questionnaire survey. J Clin Nurs 2010;19:2434–2445.
2. World Health Organization, Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals. France, 2009.
3. Hanif HM. Trends in breastfeeding and complementary feeding practices in Pakistan, 1990-2007. Int Breastfeed 2011;6:1–7.
4. Mackenzie C, Javanparast S, Newman L. Mothers’ knowledge of and attitudes toward human milk banking in South Australia: a qualitative study. J Hum Lact 2013;29(2):222–229.
5. Chang FY, Cheng SW, Wu TZ, Fang LJ. Characteristics of the first human milk bank in Taiwan. Pediatr Neonatol 2013;54(1):28–33.
6. Georgieff M, Piovanetti Y, Queenan J. Breastfeeding and the use of human milk. Am Acad Pediatr 2012;129(3):600–603.
7. Updegrove K. Human milk banking in the United States. Newborn Infant Nurs 2005;5:27–33.
8. Kim J, Unger S. Human milk banking. Paediatr Child Health 2010;15(9):595–602.

9. Ramli N, Ibrahim NR, Hans VR. Human milk banks – The benefits and issues in an Islamic setting. Eastern Journal of Medicine 2010;15:163–167.
10. Hsu HT, Fong TV, Hassan NM, Wong HL, Rai JK, Khalid Z. Human milk donation is an alternative to human milk bank. J Acad Breastfeed Med 2012;7(2):118–122.
11. El-Khuffash A, Unger S. The concept of milk kinship in Islam: issues raised when offering preterm infants of Muslim families donor human milk. J Int Lact Consult Assoc 2012;28(2):125–127.
12. Gribble KD. Peer-to-peer milk donors’ and recipients’ experiences and perceptions of donor milk banks. JOGNN 2013;42(4):451–461.
13. Gürol A, Özkan H, Celebioğlu A. Turkish women’s knowledge and views regarding mother’s milk banking. Collegian 2014;21(3):239–244.
14. Aykut M, Yılmaz M, Balcı E, Sağıroğlu M, Gün İ, Öztürk A. Knowledge, attitude and behavior of mothers about nursing and breast milk banking. 15th National Public Health Congress, Uludağ University 2012; Bursa.
15. Ekşioğlu A, Yeşil Y, Çeber Turfan E. Mothers’ views of milk banking: sample of İzmir. Turkısh Archıves of Pedıatrıcs 2015;50:83-89.
16. Ergin A, Uzun SU. Turkish Women’s Knowledge, Attitudes, and Behaviors on Wet-Nursing, Milk Sharing and Human Milk Banking. Matern. Child Health 2018;22(4):454–460.
17. Şenol DK, Aslan E. Women’s opinions about human milk donation and human milk banking .Biomedical Research 2017;28(15):6866–6871.
18. Can Ş, Ünülü M. Knowledge of mother regarding wet nursery and breast milk banking. Ankara Med J 2019;19(1):60–70.
19. Kimani-Murage EW, Wanjohi MN, Kamande EW, Macharia TN, Mwaniki E, Zerfu T, et al. Perceptions on donated human milk and human milk banking in Nairobi, Kenya. Matern Child Nutr 2019;15(4):e12842.
20. Kabakoğlu Ünsür E, Demir Gündoğan B, Ünsür MT, Okan FF. Evaluation of knowledge and attitude of the nursing mothers on breastfeeding. Euras J Fam Med 2014;3(1):33–40.
21. Karadağ A, Özdemir R, Ak M, Özer A, Doğan DG, Elkiran O. Human milk banking and milk kinship: Perspectives of mothers in a Muslim country. J Trop Pediatr 2015;61(3):188–196.
22. Azema E, Callahan S. Breast milk donors in France: a portrait of the typical donor and the utility of milk banking in the French breastfeeding context. J Hum Lact 2003;19(2):199-202.
23. Coutsoudis I, Petrites A, Coutsoudis A. Acceptability of donated breast milk in a resource limited South African setting. Int Breastfeed J 2011;6(3):1–10.
24. Chung J, Leung Y, YauSY. Perceptions of breastfeeding mothers on breast milk donation and establishment of human breast milk bank in Hong Kong : A qualitative study. Int J Nurs 2015;2(2):72–80.
25. Büyükcan T. Anne Sütü bankacılığı ve çeşitli ülke uygulamaları. Türkiye Büyük Millet Meclisi Aylık Bülteni. 2013;189:28–30.
26. AL-Naqeeb NA, Azab A, Eliwa MS, Mohammed BY. The Introduction of breast milk donation in a muslim country. J Hum Lact 2000;16(4):346–350.
27. Kaur M, Raghuvanshi S, Kang HK. Knowledge and attitude of indian parous women toward human milk banking. Indian J Community Med 2019;44(2):175–176.