Sistematik Derlemeler ve Meta Analiz
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Emzirme Desteğinde Babaların Eğitimi: Randomize Kontrollü Çalışmaların Sistematik İncelemesi

Yıl 2023, , 780 - 790, 15.10.2023
https://doi.org/10.38108/ouhcd.1238181

Öz

Amaç: Doğum sonrası dönemde emzirmenin başlatılması, sürdürülmesinde eş desteği önemlidir. Bu sistematik derlemenin amacı, emzirme desteğinde babaların eğitimine yönelik randomize kontrollü çalışmaların bulgularının sistematik incelenmesidir.
Yöntem: Sistematik derleme niteliğinde olan bu çalışmada, PubMed, Science Direct, Web of Science, Cochrane ve Scopus veri tabanlarından 24.06.2022-01.08.2022 tarihleri arasında tarama yapıldı. Taramada “education of fathers OR breastfeeding”, “education of fathers AND breastfeeding” anahtar kelimeleri kullanıldı. Sistematik derlemeye, alınma kriterlerine uyan 7 randomize kontrollü çalışma dahil edildi. Sistematik derlemenin raporlamasında PRISMA kılavuzundan yararlanıldı.
Bulgular: Çalışmada toplam 401 çalışmaya ulaşılmış ve analiz sonucunda 7 randomize kontrollü çalışma alındı. Babalara verilen emzirme danışmanlığı eğitimlerinin, baba odaklı doğum öncesi emzirme sınıfının ve anne-babalara birlikte verilen emzirme eğitimlerinin emzirme öz yeterlilik, bilgi ve tutumlarında olumlu etkileri olduğu bulundu, ancak anne ve babalara verilen oral stimülasyon programının emzirme süresine etkisi olmadığı saptandı.
Sonuç: Babalara verilen emzirme eğitimlerinin, babaların emzirme öz yeterlilik, bilgi ve tutumlarında olumlu etkilerinin olduğu, prenatal ve postnatal eğitimlere anneler ile birlikte babaların dahil edilmesinin emzirmeyi başlatma ve sürdürmede etkili olacağı sonucuna varıldı. Bununla birlikte, bu konuda daha fazla çalışma yapılması önerilir.

Kaynakça

  • Aghababaei S, Khodakarami B, Farhadian M, Kamali M. (2022). Promoting maternal self efficacy and paternal attitudes towards breastfeeding: a randomized controlled trial. Global Health Promotion, 17579759221091194, https://doi.org/10.1177/17579759221091194
  • Abbass-Dick J, Sun W, Newport A, Xie F, Godfrey D, Goodman WM. (2020). The comparison of access to an eHealth resource to current practice on mother and co-parent teamwork and breastfeeding rates: A randomized controlled trial. Midwifery, 90, 102812, https://doi.org/10.1016/j.midw.2020.102812
  • Allport BS, Johnson S, Aqil A, Labrique AB, Nelson T, Angela KC et al. (2018). Promoting father involvement for child and family health. Academic Pediatrics, 18(7), 746-753. https://doi.org/10.1016/j.acap.2018.03.011
  • Bolat F, Uslu S, Bolat G, Bülbül A, Arslan S, Çelik M ve ark. (2011). İlk altı ayda anne sütü ile beslenmeye etki eden faktörler. Çocuk Dergisi, 11(1), 5-13. https://doi.org/10.5222/j.child.2011.005
  • Bruney TL, Scime NV, Madubueze A, Chaput KH. (2022). Systematic review of the evidence for resolution of common breastfeeding problems—Ankyloglossia (Tongue Tie). Acta Paediatrica, 111(5), 940-947. https://doi.org/10.1111/apa.16289
  • Chaput KH, Nettel-Aguirre A, Musto R, Adair CE, Tough SC. (2016). Breastfeeding difficulties and supports and risk of postpartum depression in a cohort of womenwho have given birth in Calgary: a prospective cohort study. Canadian Medical Association Open Access Journal, 4(1), E103-E109. https://doi.org/10.9778/cmajo.20150009
  • Crippa BL, Consales A, Morniroli D, Lunetto F, Bettinelli ME, Sannino P et al.(2021). From dyad to triad: a survey on fathers’ knowledge and attitudes toward breastfeeding. European Journal of Pediatrics, 180(9), 2861-2869. https://doi.org/10.1007/s00431-021-04034-x
  • Çiftçi A, Düzkaya DS.(2022). 0-24 ay bebeği olan annelerin emzirme tutumları ile babaların emzirmeye etkisi arasındaki ilişki. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(3), 481-487
  • Daniele MA, Ganaba R, Sarrassat S, Cousens S, Rossier C, Drabo S et al.(2018). Involving male partners in maternity care in Burkina Faso: a randomized controlled trial. Bulletin of the World Health Organization, 96(7), 450. https://doi.org/10.2471/BLT.17.206466
  • Dennis CL, Brennenstuhl S, Abbass-Dick J. (2018). Measuring paternal breastfeeding self-efficacy: A psychometric evaluation of the Breastfeeding Self-Efficacy Scale–Short Form among fathers. Midwifery, 64, 17-22. https://doi.org/10.1016/j.midw.2018.05.005
  • Emmott EH, Mace R. (2015). Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One, 10(7), e0133547. https://doi.org/10.1371/journal.pone.0133547
  • Forster DA, McLachlan HL, Lumley J. (2006). Factors associated with breastfeeding at six months postpartum in a group of Australian women. International Breastfeeding Journal, 1(1), 1-12. https://doi.org/10.1186/1746-4358-1-18
  • Gözükara F. (2014). Emzirmenin başarılmasında anahtar faktör: baba desteğinin sağlanması ve hemşirenin rolleri. Harran Üniversitesi Tıp Fakültesi Dergisi, 11(3), 289-296
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü T.C. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. Türkiye Nüfus ve Sağlık Araştırması. (2018). Erişim Tarihi:01.07.2022, http://www.hips.hacettepe.edu.tr /tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
  • The Joanna Briggs Institute. (2017). Checklist for Randomized Controlled Trials, Erişim Tarihi:20.10.2022 http://joannabriggs.org/research/ critical-appraisal tools.htmlwww.joannabriggs.org
  • Karaçam Z. (2013). Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(1), 26-33.
  • Karaçam Z, Sağlık M. (2018). Emzirme sorunları ve sorunlara ilişkin yapılan girişimler: Türkiye'de yapılan çalışmalara dayalı bir sistematik derleme. Turkish Archives of Pediatrics, 53(3),134-148. https://doi.org/10.5152/TurkPediatriArs.2018.6350 Köpük ŞY, Çekmez Y, Özer N, Şahin Ö, Kıran G. (2018). Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi aile planlaması polikliniğine başvuran emzirme dönemindeki kadınların kontrasepsiyon tercihleri. Okmeydanı Tıp Dergisi, 34(2), 163-66. https://doi.org/10.5152/eamr.2018.02418
  • Meedya S, Fahy K, Kable A. (2010). Factors that positively influence breastfeeding duration to 6 months: a literature review. Women and Birth, 23(4), 135-145. https://doi.org/10.1016/j.wombi.2010.02.002
  • Ogbo FA, Akombi BJ, Ahmed KY, Rwabilimbo AG, Ogbo AO, Uwaibi NE et al.(2020). Breastfeeding in the community—how can partners/fathers help? A systematic review. International Journal of Environmental Research and Public Health, 17(2), 413. https://doi.org/10.3390/ijerph17020413
  • Özkara H, Fidancı BE, Yıldız D, Kaymakamgil Ç. (2016). Emzirme danışmanlığı. TAF Preventive Medicine Bulletin, 15(6), 551-555.https://doi.org/10.5455/pmb.1-1436701913
  • Panahi F, Rashidi Fakari F, Nazarpour S, Lotfi R, Rahimizadeh M, Nasiri M et al.(2022). Educating fathers to improve exclusive breastfeeding practices: a randomized controlled trial. BMC Health Services Research, 22(1), 1-12. https://doi.org/10.1186/s12913-022-07966-8
  • Parfitt Y, Pike A, Ayers S. (2014). Infant developmental outcomes: a family systems perspective. Infant and Child Development, 23(4), 353-373. https://doi.org/10.1002/icd.1830
  • Scott JA, Burns SK, Hauck YL, Giglia RC, Jorgensen AM, White BK et al. (2021). Impact of a face-to-face versus smartphone app versus combined breastfeeding ıntervention targeting fathers: Randomized controlled trial. JMIR Pediatrics and Parenting, 4(2), e24579.
  • Sherriff, N, Hall V, Panton C. (2014). Engaging and supporting fathers to promote breast feeding: A concept analysis. Midwifery, 30(6), 667-677. https://doi.org/10.1016/j.midw.2013.07.014
  • Skaaning D, Carlsen E, Brødsgaard A, Kyhnæb A, Pedersen M, Ravn S et al. (2020). Randomised oral stimulation and exclusive breastfeeding duration in healthy premature infants. Acta Paediatrica, 109(10), 2017-2024. https://doi.org/10.1111/apa.15174
  • Suresh, S, Sharma KK, Saksena M, Thukral A, Agarwal R, Vatsa M. (2014). Predictors of breastfeeding problems in the first postnatal week and its effect on exclusive breastfeeding rate at six months: experience in a tertiary care centre in Northern India. Indian Journal of Public Health, 58(4), 270-273. https://doi.org/10.4103/0019-557X.146292
  • Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH et al.(2020). Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: A single-blind, randomised controlled study. International Journal of Nursing Studies, 111, 103770. https://doi.org/10.1016/j.ijnurstu.2020.103770
  • UNICEF. (2020). Infant and young child feeding. Erişim Tarihi:01.07.2022, https://data.unicef.org/topic/ nutrition/infant-and-young-child-feeding/
  • Winingsih GAM, Salmah U, Indriasari R, Amiruddin R, Birawida, A. B. (2021). Prevent postpartum blues with the implementation of breastfeeding father education model to increase the frequency of breastfeeding in mothers: A systematic review. Gaceta Sanitaria, 35, S400-S403. https://doi.org/10.1016/j.gaceta.2021.10.061
  • World Health Organization (WHO) Breastfeeding. (2021). Erişim Tarihi:01.07.2022, https://www.who.int/health-topics/ breastfeeding#tab=tab_1
  • Wolfberg AJ, Michels KB, Shields W, O'Campo P, Bronner Y, Bienstock J. (2004). Dads as breastfeeding advocates: results from a randomized controlled trial of an educational intervention. American Journal of Obstetrics and Gynecology, 191(3), 708-712. https://doi.org/10.1016/j.ajog.2004.05.019

Fathers' Education in Breastfeeding Support: A Systematic Review of Randomized Controlled Studies

Yıl 2023, , 780 - 790, 15.10.2023
https://doi.org/10.38108/ouhcd.1238181

Öz

Objective: Spousal support is important in the initiation and maintenance of breastfeeding in the postpartum period. The purpose of this systematic review is to systematically review the findings of randomized controlled trials on fathers' education in breastfeeding support.
Methods: In this systematic review, PubMed, Science Direct, Web of Science, Cochrane and Scopus databases were searched between 24 June 2022 and 1 August 2022. The keywords "education of fathers OR breastfeeding", "education of fathers AND breastfeeding" were used in the search. Seven randomized controlled trials that met the inclusion criteria were included in the systematic review. PRISMA guideline was used in reporting the systematic review.
Results: A total of 401 studies were reached in the study and 7 randomized controlled studies were included as a result of the analysis. Breastfeeding counseling training given to fathers, father-focused prenatal breastfeeding class and breastfeeding training given to parents together had positive effects on breastfeeding self-efficacy, knowledge and attitudes, but the oral stimulation program given to mothers and fathers had no effect on breastfeeding duration.
Conclusion: It was concluded that breastfeeding education given to fathers had positive effects on fathers' breastfeeding self-efficacy, knowledge and attitudes, and the inclusion of fathers and mothers in prenatal and postnatal education would be effective in initiating and maintaining breastfeeding. However, further work on this is recommended.

Kaynakça

  • Aghababaei S, Khodakarami B, Farhadian M, Kamali M. (2022). Promoting maternal self efficacy and paternal attitudes towards breastfeeding: a randomized controlled trial. Global Health Promotion, 17579759221091194, https://doi.org/10.1177/17579759221091194
  • Abbass-Dick J, Sun W, Newport A, Xie F, Godfrey D, Goodman WM. (2020). The comparison of access to an eHealth resource to current practice on mother and co-parent teamwork and breastfeeding rates: A randomized controlled trial. Midwifery, 90, 102812, https://doi.org/10.1016/j.midw.2020.102812
  • Allport BS, Johnson S, Aqil A, Labrique AB, Nelson T, Angela KC et al. (2018). Promoting father involvement for child and family health. Academic Pediatrics, 18(7), 746-753. https://doi.org/10.1016/j.acap.2018.03.011
  • Bolat F, Uslu S, Bolat G, Bülbül A, Arslan S, Çelik M ve ark. (2011). İlk altı ayda anne sütü ile beslenmeye etki eden faktörler. Çocuk Dergisi, 11(1), 5-13. https://doi.org/10.5222/j.child.2011.005
  • Bruney TL, Scime NV, Madubueze A, Chaput KH. (2022). Systematic review of the evidence for resolution of common breastfeeding problems—Ankyloglossia (Tongue Tie). Acta Paediatrica, 111(5), 940-947. https://doi.org/10.1111/apa.16289
  • Chaput KH, Nettel-Aguirre A, Musto R, Adair CE, Tough SC. (2016). Breastfeeding difficulties and supports and risk of postpartum depression in a cohort of womenwho have given birth in Calgary: a prospective cohort study. Canadian Medical Association Open Access Journal, 4(1), E103-E109. https://doi.org/10.9778/cmajo.20150009
  • Crippa BL, Consales A, Morniroli D, Lunetto F, Bettinelli ME, Sannino P et al.(2021). From dyad to triad: a survey on fathers’ knowledge and attitudes toward breastfeeding. European Journal of Pediatrics, 180(9), 2861-2869. https://doi.org/10.1007/s00431-021-04034-x
  • Çiftçi A, Düzkaya DS.(2022). 0-24 ay bebeği olan annelerin emzirme tutumları ile babaların emzirmeye etkisi arasındaki ilişki. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(3), 481-487
  • Daniele MA, Ganaba R, Sarrassat S, Cousens S, Rossier C, Drabo S et al.(2018). Involving male partners in maternity care in Burkina Faso: a randomized controlled trial. Bulletin of the World Health Organization, 96(7), 450. https://doi.org/10.2471/BLT.17.206466
  • Dennis CL, Brennenstuhl S, Abbass-Dick J. (2018). Measuring paternal breastfeeding self-efficacy: A psychometric evaluation of the Breastfeeding Self-Efficacy Scale–Short Form among fathers. Midwifery, 64, 17-22. https://doi.org/10.1016/j.midw.2018.05.005
  • Emmott EH, Mace R. (2015). Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One, 10(7), e0133547. https://doi.org/10.1371/journal.pone.0133547
  • Forster DA, McLachlan HL, Lumley J. (2006). Factors associated with breastfeeding at six months postpartum in a group of Australian women. International Breastfeeding Journal, 1(1), 1-12. https://doi.org/10.1186/1746-4358-1-18
  • Gözükara F. (2014). Emzirmenin başarılmasında anahtar faktör: baba desteğinin sağlanması ve hemşirenin rolleri. Harran Üniversitesi Tıp Fakültesi Dergisi, 11(3), 289-296
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü T.C. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. Türkiye Nüfus ve Sağlık Araştırması. (2018). Erişim Tarihi:01.07.2022, http://www.hips.hacettepe.edu.tr /tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
  • The Joanna Briggs Institute. (2017). Checklist for Randomized Controlled Trials, Erişim Tarihi:20.10.2022 http://joannabriggs.org/research/ critical-appraisal tools.htmlwww.joannabriggs.org
  • Karaçam Z. (2013). Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(1), 26-33.
  • Karaçam Z, Sağlık M. (2018). Emzirme sorunları ve sorunlara ilişkin yapılan girişimler: Türkiye'de yapılan çalışmalara dayalı bir sistematik derleme. Turkish Archives of Pediatrics, 53(3),134-148. https://doi.org/10.5152/TurkPediatriArs.2018.6350 Köpük ŞY, Çekmez Y, Özer N, Şahin Ö, Kıran G. (2018). Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi aile planlaması polikliniğine başvuran emzirme dönemindeki kadınların kontrasepsiyon tercihleri. Okmeydanı Tıp Dergisi, 34(2), 163-66. https://doi.org/10.5152/eamr.2018.02418
  • Meedya S, Fahy K, Kable A. (2010). Factors that positively influence breastfeeding duration to 6 months: a literature review. Women and Birth, 23(4), 135-145. https://doi.org/10.1016/j.wombi.2010.02.002
  • Ogbo FA, Akombi BJ, Ahmed KY, Rwabilimbo AG, Ogbo AO, Uwaibi NE et al.(2020). Breastfeeding in the community—how can partners/fathers help? A systematic review. International Journal of Environmental Research and Public Health, 17(2), 413. https://doi.org/10.3390/ijerph17020413
  • Özkara H, Fidancı BE, Yıldız D, Kaymakamgil Ç. (2016). Emzirme danışmanlığı. TAF Preventive Medicine Bulletin, 15(6), 551-555.https://doi.org/10.5455/pmb.1-1436701913
  • Panahi F, Rashidi Fakari F, Nazarpour S, Lotfi R, Rahimizadeh M, Nasiri M et al.(2022). Educating fathers to improve exclusive breastfeeding practices: a randomized controlled trial. BMC Health Services Research, 22(1), 1-12. https://doi.org/10.1186/s12913-022-07966-8
  • Parfitt Y, Pike A, Ayers S. (2014). Infant developmental outcomes: a family systems perspective. Infant and Child Development, 23(4), 353-373. https://doi.org/10.1002/icd.1830
  • Scott JA, Burns SK, Hauck YL, Giglia RC, Jorgensen AM, White BK et al. (2021). Impact of a face-to-face versus smartphone app versus combined breastfeeding ıntervention targeting fathers: Randomized controlled trial. JMIR Pediatrics and Parenting, 4(2), e24579.
  • Sherriff, N, Hall V, Panton C. (2014). Engaging and supporting fathers to promote breast feeding: A concept analysis. Midwifery, 30(6), 667-677. https://doi.org/10.1016/j.midw.2013.07.014
  • Skaaning D, Carlsen E, Brødsgaard A, Kyhnæb A, Pedersen M, Ravn S et al. (2020). Randomised oral stimulation and exclusive breastfeeding duration in healthy premature infants. Acta Paediatrica, 109(10), 2017-2024. https://doi.org/10.1111/apa.15174
  • Suresh, S, Sharma KK, Saksena M, Thukral A, Agarwal R, Vatsa M. (2014). Predictors of breastfeeding problems in the first postnatal week and its effect on exclusive breastfeeding rate at six months: experience in a tertiary care centre in Northern India. Indian Journal of Public Health, 58(4), 270-273. https://doi.org/10.4103/0019-557X.146292
  • Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH et al.(2020). Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: A single-blind, randomised controlled study. International Journal of Nursing Studies, 111, 103770. https://doi.org/10.1016/j.ijnurstu.2020.103770
  • UNICEF. (2020). Infant and young child feeding. Erişim Tarihi:01.07.2022, https://data.unicef.org/topic/ nutrition/infant-and-young-child-feeding/
  • Winingsih GAM, Salmah U, Indriasari R, Amiruddin R, Birawida, A. B. (2021). Prevent postpartum blues with the implementation of breastfeeding father education model to increase the frequency of breastfeeding in mothers: A systematic review. Gaceta Sanitaria, 35, S400-S403. https://doi.org/10.1016/j.gaceta.2021.10.061
  • World Health Organization (WHO) Breastfeeding. (2021). Erişim Tarihi:01.07.2022, https://www.who.int/health-topics/ breastfeeding#tab=tab_1
  • Wolfberg AJ, Michels KB, Shields W, O'Campo P, Bronner Y, Bienstock J. (2004). Dads as breastfeeding advocates: results from a randomized controlled trial of an educational intervention. American Journal of Obstetrics and Gynecology, 191(3), 708-712. https://doi.org/10.1016/j.ajog.2004.05.019
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Sistematik Derleme
Yazarlar

Hilal Gül Boyraz 0000-0003-1177-4004

Nülüfer Erbil 0000-0003-3586-6237

Erken Görünüm Tarihi 15 Ekim 2023
Yayımlanma Tarihi 15 Ekim 2023
Gönderilme Tarihi 17 Ocak 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Boyraz, H. G., & Erbil, N. (2023). Emzirme Desteğinde Babaların Eğitimi: Randomize Kontrollü Çalışmaların Sistematik İncelemesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 6(3), 780-790. https://doi.org/10.38108/ouhcd.1238181