THE BREASTFEEDING APPLICATIONS’ OF CHILD HEALTH PROFESSIONALS WORKING IN A UNIVERSITY HOSPITAL

Yıl 2020, Cilt: 14 Sayı: 2, 224 - 229, 20.01.2020

Hatice Akbayram

https://doi.org/10.21763/tjfmpc.649529

Cited By: 1

Öz

Aim: Personal breastfeeding experiences of health professionals are important in influencing the behavior of patients in counseling and managing breastfeeding issues. This study was conducted to evaluate the breastfeeding practices of pediatric health professionals themselves and their mates working in a university hospital and the fact or saffecting this.
Material and Methods: This cross-sectional study was conducted between July 2019 and September 2019 at Gaziantep University Medical Faculty Training and Research Hospital. Sixteen doctors and 36 nurses (52 in total) working in the pediatric health and diseases department were included in the study. Data were collected with a questionnaire form consisting of 17 questions by face to face interview technique. Descriptive statistics were made by using SPSS 24.0 package program.
Results: In this study, it was found that the youngest children of the participants were between 6 month sand 17 years and 76.9 % were born by cesarean section. The breastfeeding rate was 86.5% in the firsth our after delivery and breast milk was given as 82.7% as the first nutrition. The rate of solely breastfeeding in the first six months was 44.2%. It was found that the majority of the participants (90.4%) used bottles and half (50%) used pacifiers. It was found that 30.8 % of the children were given formula in the first month and more than half (59.6%) of them were given before six months. The rate of children who were breastfeding until the age of two and who were younger than two years of age was currently breastfed was 25%. The most important reasons for the termination of breastfeeding before the age of two are; the study of the mother was 38.5% and breastmilk insufficiency was 13.5%.
Conclusion: Breastfeeding was found to be a good start but the breastfeeding process failed. It was thought that thereas on sincluding, mothers' study, giving formula to more than half of the children before 6 months and commonly feeding bottle, affects this situation. Although a woman or her mate is a health professional, she should also be informed and supported during the breastfeeding period.

Anahtar Kelimeler

Child health, physicians, nurses, breastfeeding

Bir Üniversite Hastanesinde Çalışan Çocuk Sağlığı Profesyonellerinin Kendi Çocuklarını Anne Sütüyle Besleme Uygulamaları

Öz

Giriş: Sağlık uzmanlarının kişisel emzirme deneyimleri, hastalardaki emzirme konularını danışma ve yönetme konusundaki davranışları etkilemede önemlidir. Bu çalışma bir üniversite hastanesinde çalışan çocuk sağlığı profesyonellerinin kendi çocuklarını anne sütüyle besleme uygulamalarını belirlemek amacıyla yapılmıştır. Yöntem: Kesitsel tipte olan bu çalışma Temmuz 2019-Eylül 2019 tarihleri arasında Gaziantep Üniversitesi Tıp Fakültesi Eğitim Araştırma Hastanesi'nde yapılmıştır. Çocuk Sağlığı ve Hastalıkları Bölümünde çalışan 16 doktor ve 36 hemşire (toplam 52) çalışmaya alınmıştır. Veriler 17 sorudan oluşan anket formu ile yüz yüze görüşme tekniği ile toplanmıştır. Tanımlayıcı istatistikler SPSS 24.0 paket programı kullanılarak yapılmıştır.
Bulgular: Bu çalışmada katılımcıların en küçük yaştaki çocuklarının 6 ay ile 17 yaş arasında ve %76,9’unun sezaryenle doğduğu bulundu. Doğum sonrası ilk bir saatte emzirilme oranı %86,5, ilk besin olarak anne sütünün verilmesi %82,7 olarak belirlendi. Çalışmada ilk altı ay sadece anne sütüyle beslenme oranı %44,2 idi. Katılımcıların çoğunluğu (%90,4) biberon, yarısı (%50) emzik kullanmıştı. Çocukların %30,8’ine ilk bir ayda, yarısından fazlasına (%59,6) altı aydan önce formül mama verildiği saptandı. İki yaşına kadar emzirilen ve yaşı iki yaşından küçük olup halen emzirilen çocukların oranı %25 idi. Anne sütüyle beslenmenin sonlandırılmasında en önemli nedenler; annenin çalışması %38,5 ve anne sütü yetersizliği %13,5 olarak belirtildi.
Sonuç: Emzirmeye iyi bir başlangıç yapıldığı fakat emzirme sürecinin başarısız olduğu bulunmuştur. Annelerin çalışmasının, çocukların yarıdan fazlasına altı aydan önce formül mama verilmesinin ve biberon kullanılmasının yaygın olmasının bu durumu etkilediği düşünülmüştür. Bir kadın sağlık profesyoneli veya eşi olması durumunda da emzirme süresi boyunca bilgilendirilmeli ve desteklenmelidir.

Anahtar Kelimeler

Çocuk sağlığı, doktorlar, hemşireler, emzirme

Kaynakça

• Mosca F, Giannì ML. Human milk: composition and health benefits. Pediatr Med Chir 2017;39(2):155.
• Colchero MA, Contreras-Loya D, Lopez-Gatell H, Gonzálezde Cosío T. Thecosts of inadequate breastfeeding of infants in Mexico. Am J ClinNutr 2015;101(3):579-86
• Binns C, Lee M, Low WY. The Long-Term Public Health Benefits of Breastfeeding. Asia Pac J Public Health 2016;28(1):7-14
• WHO/UNICEF. Global strategy for infant and Young Child feeding. Geneva: World HealthOrganization;2003https://apps.who.int/iris/bitstream/handle/10665/42590/9241562218.pdf;jsessionid=D1A4DE0B1E5F455D6C79E6C0BB16C7D6?sequence=1 Erişim tarihi:03.05.2019
• Victora CG, Bahl R, Barros AJ, et al. Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet 2016; 387(10017): 475-490.
• Türkiye Nüfus ve Sağlık Araştırması Temel Bulgular. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Ankara, 2008.http://www.hips.hacettepe.edu.tr/TNSA2008-AnaRapor.pdf (Erişim tarihi 03.05.2019)
• Nkoka O, Ntenda PAM, Kanje V, Milanzi EB, Arora A. Determinants of timelyinitiation of breastmilk and exclusive breastfeeding in Malawi: a population-basedcross-sectionalstudy. Int Breastfeed J 2019;14:37.
• Neifert M, Bunik M. Over coming clinical barriers to exclusive breastfeeding. Pediatr Clin North Am 2013;60(1):115-45
• Odom EC, Li R, Scanlon KS, Perrine CG, Grummer-Strawn L. Reasons for earlier than desired cessation of breastfeeding. Pediatrics 2013;131(3):e726–e732.
• Sattari M, Levine D, Neal D, Serwint JR. Personal breastfeeding behavior of physicianmothers is associated with their clinical breastfeeding advocacy. Breastfeed Med 2013;8(1):31–37.
• Labarere J. Gelbert-Baudino N. Aryal AS, et al. Efficacy of breastfeeding support provided by trained clinicians during an early, routine, preventive visit: A prospective, randomized, opentrial of 226 mother-infantpairs. Pediatrics 2005;115:e139–e146.
• Brodribb WE, Jackson C, Fallon AB, Hegney D. Gender and personal breastfeeding experience of rural GP registrars in Australia--a qualitativestudy of theireffect on breastfeeding attitudes and knowledge. Rural Remote Health 2007;7(3):737.
• Stevens J, Schmied V, Burns E, Dahlen H. Immediateor early skin-to-skin contactafter a Caesareansection: a review of theliterature. Matern Child Nutr 2014;10(4):456-73.
• WHO Statement on Caesarean Section Rates. https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf?sequence=1 Erişim tarihi:09.07.2019
• Bag O. Karaaslan U. TheAttitude of Female Pediatricians Towards Birth, Breastfeeding and Child Care on Their Own Children in Turkey. J Pediatr Res 2018;5(2):92-7.
• Al-Binali AM. Knowledge, attitude and practice of breast-feeding among female health care workers in tertiary care hospitals. Med J CairoUniv 2012;80(1):159–64
• Renitha R, Babu TA, Kumar M, Srinivasan S. Breastfeeding practices among health care professionals in a tertiary care hospital from South India. Indian J Public Health 2012 ;56(2):149-51.
• Dachew BA, Bifftu BB. Breastfeeding practice and associated factors among female nurses and midwives at North Gondar Zone, Northwest Ethiopia: a cross-sectional institution based study. Int Breastfeed J 2014 Jul 21;9:11.
• Yaman H. Akçam M. Breastfeeding Practices of Health Professionals and CareWorkers in Turkey. Coll Antropol 2004;28 (2): 877–84.
• Olang B, Heidarzadeh A, Strandvik B, Yngve A. Reasons given by mothers for discontinuing breastfeeding in Iran. Int Breastfeed J 2012;7(1):7.
• Yılmaz E, Ocal FD, Yılmaz ZV, Ceyhan M, Kara OF, Küçüközkan T. Early initiation and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a baby-friendly hospital. Turk J Obstet Gynecol 2017;14(1):1–9
• Buccini GDS, Pérez-Escamilla R, Paulino LM, Araújo CL, Venancio SI. Determinants of using pacifier and bottle feeding. Matern Child Nutr 2017;13(3).
• Tunçel E, Dündar C, Pekşen Y. Ebelerin Anne Sütü İle İlgili Bilgi ve Uygulamalarının Değerlendirilmesi. Kocatepe Tıp Dergisi 2005;6(1):43-48.
• Güraslan Baş N, Karatay G. Arikan D. Weaning practices of mothers in eastern Turkey. J Pediatr 2018; 94(5), 498-503
• Duke PS, Parsons WL, Snow PA, Edwards AC. Physicians as mothers Breastfeeding practices of physician-mothers in New found land and Labrador. Can Fam Physician 2007;53(5):887-91.