Breastfeeding Knowledge and Behaviors of Postpartum Mothers

Yıl 2019, , 160 - 166, 16.06.2019

Çiğdem Örsdemir Gülten Koç

https://doi.org/10.22312/sdusbed.433266

Cited By: 2

Öz

Amaç: Bu
çalışmanın amacı Kuzey Kıbrıs’ta (KK) annelerin doğum sonrası dönemde emzirmeye
ilişkin bilgilerini ve davranışlarını belirlemektir.

Gereç ve Yöntem: Tanımlayıcı
tipteki araştırma KK’nin en büyük ve en
fazla doğum yapılan hastanesinde 290 anne ile yürütülmüştür. Veriler
araştırmacılar Veri Toplama Formu ve LATCH Emzirme Tanılama Ölçeği aracılığı
ile toplanmıştır. Veri toplama
formu, araştırmacı tarafından, yüz yüze görüşme yöntemi ile uygulanmıştır.
Annelerin emzirme davranışları iki kez gözlemlenerek puanlanmıştır.

Bulgular: Annelerin emzirme bilgi puan ortalamalarının 27.88±3.30, LATCH Emzirme Tanılama Ölçeği puan ortalamalarının 7.75±1.95 olduğu ve %30.7’sinin emzirme konusunda desteğe ihtiyaç
duymadıkları belirlenmiştir. Emzirme bilgi puan ortalaması, ortalamanın altında
olan annelerin %35.8’i, emzirme bilgi puan ortalaması, ortalamanın
üstünde olan annelerin %26.1’i LATCH ölçeğinden 10 puan almışlardır
(p=0.050). Sezaryen doğum yapan, emzirme ile ilgili gebeliğinde aldığı bilgiyi
yeterli bulan ve sosyal güvencesi olmayan annelerin emzirme bilgi puanlarının
yüksek olmasına rağmen, ilkokul ve altı eğitim durumuna sahip, çalışmayan, iki
ve üzeri gebelik geçiren ya da yaşayan çocuğu olan, daha önce emzirme deneyimi
yaşayan ve normal doğum yapan anneler daha yüksek oranda doğru emzirme
davranışı göstermişlerdir (p<0.05).   
 

Sonuç: “Bebek Dostu Hastane” kavramının ülke
politikalarına yansıtılması ve doğum yaptırılan tüm hastanelerde uygulanması
emzirme sıklığı ve süresinin iyileştirilmesi açısından önemlidir. Emzirme
davranışının birçok faktörden etkilenmesi nedeniyle, bireye özgü geliştirilecek
eğitim ve danışmanlık hizmetlerinde, hizmetin yürütüldüğü toplumunun kültürünün
iyi tanınması gereklidir.

Anahtar Kelimeler

Emzirme, Bilgi, Davranış, Doğum sonu dönem

Breastfeeding Knowledge and Behaviors of Postpartum Mothers

Öz

Aim: The purpose
of the study is to reveal the breastfeeding knowledge and behaviors of
postpartum mothers in the Northern Cyprus (NC).

Material and
Methods: This descriptive study was conducted in the largest
hospital in the NC where the highest number of delivery, with 290 mothers. The
data were collected with questionnaire and the LATCH Breastfeeding Charting
System. The data collection form was administered face-to-face interviews by
the researchers to mothers. The breastfeeding behaviors of mothers were
evaluated twice.

Results: The mean
breastfeeding knowledge score was 27.88±3.30,
the mean LATCH score was 7.75±1.95, and 30.7% of mothers did not need support
for breastfeeding.  One-third of
the participants (35.8%) who had a below-average breastfeeding knowledge score
got 10 from LATCH, 26.1% of those who had an above-average score. Although
mothers who had cesarean, who were getting adequate breastfeeding information
during pregnancy, and who lacked social insurance had high breastfeeding
knowledge scores, appropriate breastfeeding behaviors were exhibited at a
higher level by mothers who had a lower educational status, who did not work,
who had already had two or more deliveries or had two or more living children,
who had experienced breastfeeding before, and who had a vaginal delivery
(p<0.05).

Conclusion: In order to
improve the incidence and duration of breastfeeding, it is essential that
“baby-friendly hospital initiative”, should be reflected in national policies
and implemented at all hospital. Since breastfeeding is influenced by a number
of factors, any personalized training/counseling service should be based on a
decent recognition of a given culture.

Anahtar Kelimeler

Breastfeeding

Kaynakça

• 1. who.int [Internet]. World Health Organization/United Nations Children’s Fund. Global strategy for infant and young child feeding. World Health Organization; 2003. [Updated: 2003; Cited: 2011 Oct 21]. Available from: http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/
• 2. Kramer MS., Kakuma R. The optimal duration of exclusive breastfeeding: review, Issue 4. The Cochrane Library;2009. 3. Unicef.org [Internet]. United Nations Children’s Fund. Children and The Millennium Development Goals. 2007. [Updated: 2007; Cited: 2013 Jan 21]. Available from: http://www.unicef.org/publications/files/Children_and_the_MDGs.pdf
• 4. who.int [Internet]. World Health Organization. World Health Statistics 2011. [Updated: 2011; Cited: 2013 Jan 6 21]. Available from: http://www.who.int/publications/world_health_statistics/EN_WHS2011_full.pd
• 5. Hips.hacettepe.edu.tr [Internet]. Turkish Demographic and Health Survey 2013. [Updated: 214; Cited: 2015 March 2]. Available from: http://www.hips.hacettepe.edu.tr/TDHS_2013_main.report.pdf
• 6. Backström CA, Wahn EH, Ekström AC. Two sides of breastfeeding support: experiences of women and nurses. International Breastfeeding Journal 2010; 5: 1-8.
• 7. Qiu L, Zhao Y, Binns CW, Lee AH, Xie X. Initiation of breastfeeding and prevalence of exclusive breastfeeding at hospital discharge in urban, suburban and rural areas of Zhejiang China. International Breastfeeding Journal 2009; 4: 1-7.
• 8. Li L, Zhang M, Scott JA, Bins CW. Factors associated with the initiation and duration of breastfeeding by Chinese mothers in Perth, Western Australia. Journal of Human Lactation 2004; 20: 188-195.
• 9. Earle S. Factors affecting the initiation of breastfeeding: implications for breastfeeding promotion. Health Promotion International 2002; 17: 205-214.
• 10. Gibson-Davis CM, Brooks-Gunn J. Breastfeeding and verbal ability of 3-year-olds in a multicity sample. Pediatrics 2006; 118: 1444-1451.
• 11. Ingram J. Multiprofessional training for breastfeeding management in primary care in the UK. International Breastfeeding Journal 2006; 1: 9.
• 12. Khassawneh M, Khader Y, Amarin Z, Alkafajei A. Knowledge, attitude and practice of breastfeeding in the North Jordan: a cross-sectional study. International Breastfeeding Journal 2006; 1: 44-56.
• 13. Guise JM, Palada V, Westhoff C, Lieu A.The effectiveness of primary care- based interventions to promote breastfeeding: systematic evidence review and meta-analysis for the US preventive services task force. Annals of Family Medicine 2003; 1: 70-80.
• 14. Duman N. Home care after postpartum early discharge. TAF Preventive Medicine Bulletin 2009; 8: 73-82.
• 15. Dyson L. McCormick FM, Renfrew MJ. Interventions for promoting the initiation of breastfeeding. Cochrane Database of Systematic Reviews 2005; 1: 592-616.
• 16. Jensen D, Wallace S, Kelsay P. LATCH: A breastfeeding charting system and documentation tool. Journal Obstetric Gynecology Neonatal Nursing. 1995 ; 24(1):13.
• 17. Lee CY, Ip WY. The efficacy of breastfeeding in Chinese women with different intrapartum experiences: a Hong Kong study. Hong Kong Journal of Gynaecology, Obstetrics and Midwifery. 2008; 8(1): 13-20.
• 18. Çelebioğlu A, Tezel A, Özkan H. Comparision of breastfeeding circumstance in baby friendly and non- baby friendly hospitals. Atatürk Journal of Anatolia Nursing and Health Sciences 2006; 9: 12-19.
• 19. Demirtaş B, Ergöçmen B,Taşkın L. Breastfeeding experiences of Turkish women. Journal of Clinical Nursing 2012; 2: 1109-1118.
• 20. Creedy DK, Dennis CL, Blyth R, Moyle W, Pratt J, De Vries SM. Psychometric characteristics of the Breastfeeding Self-Efficacy Scale: data from an Australian sample. Research In Nursing And Health 2003; 26: 143-152.
• 21. Betzold CM, Laughlin KM, Shi CA. Family practice breastfeeding education pilot program: an observational descriptive study. International Breastfeeding Journal 2007; 5: 4.
• 22. Bonuck KA, Trombley M, Freeman K, McKee K. Randomized, controlled trial of a prenatal and postnatal lactation consultant intervention on duration and intensity of breastfeeding up to 12 Months. Pediatrics 2005; 116: 1413-1426.
• 23. Rosen I, Krueger MV, Carney L, Graham J. Prenatal breastfeeding education and breastfeeding outcomes. American Journal of Maternal Child Nursing 2008; 33: 315-319.
• 24. Wen LM, Baur LA, Rissel C, Alperstein G, Simpson M. Intention to breastfeed and awareness of health recommendations: findings from first-time mothers in Southwest Sydney, Australia. International Breastfeeding Journal 2009; 4: Doi:10.1186/1746-4358-4-9.
• 25. Betrini G, Perugi S, Dani C, Rezzati M, Trochini M, Rubaltelli FF. Maternal education and the incidence and duration of breastfeeding: a prospective study. Journal of Pediatric Gastroenterology and Nutrition 2003; 37: 447-52.
• 26. Ekambaram M, Bhat B, Vishnu B, Padiyath Ahamed MA. Knowledge, attitude and practice of breastfeeding among postnatal mothers. Current Pediatric Research 2010; 14: 119-124.
• 27. Demirtaş B. Breastfeeding support received by Turkish first-time mothers. International Nursing Review 2013; 59: 338-344.
• 28. Frei IA, Mander R. The relationship between first-time mothers and care providers in the early postnatal phase: an ethnographic study in a Swiss postnatal unit. Midwifery 2011; 27: 716-722.
• 29. Ambike D , Ambike A , Raje S , Chincholikar, S. Knowledge, awareness and breast feding practices of postnatal mothers in a rural teaching hospital: a cross sectional survey. International Journal of Reproduction, Contraception, Obstetrics and Gynecolog, 2017; 6(12): 5429-5434.
• 30. Zanardo V, Svegliado G, Cavallin F, Giustardi A, Cosmi E, Litta P, Trevisanuto D. Elective cesarean delivery: does it have a negative effect on breastfeeding? Birth 2010; 37: 275-279.
• 31. Çakmak H, Kuguoglu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system. International Journal of Nursing Studies 2007; 44: 1128-1137.