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DSÖ Tavsiyeleri Perspektifinde Pandemi Sürecinde Emzirme Öz Yeterliliğinin Değerlendirilmesi

Yıl 2025, Cilt: 6 Sayı: 2, 237 - 249, 31.07.2025

Öz

Amaç: Bu çalışmanın amacı, pandemi sırasında emziren kadınların DSÖ emzirme önerilerini bilmelerinin ve uygulamalarının emzirme öz yeterlilikleri üzerindeki etkisini belirlemektir.
Gereç ve Yöntem: Çalışmanın örneklemi 382 kadından oluşmaktadır. Veriler 'Hasta Tanıtım Formu', 'Emzirme Öz Yeterlilik Ölçeği (EÖYÖ)' ve 'Covid-19 Sürecinde Emzirme Bilgi ve Davranış Formu' kullanılarak toplanmıştır.
Bulgular: Katılımcıların doğum sonrası emzirme öz-yeterlilik ölçeği puan ortalaması 54.97±10.14 olarak belirlenmiştir. Katılımcıların %31,7'si pandemi döneminin emzirme eylemini olumsuz etkilediğini belirtmiştir. Kadınların %59,2'sinin pandemi sürecine özgü DSÖ Covid-19 emzirme önerileri doğrultusunda bilgilendirilmediği tespit edildi. Bu çalışmada, Covid-19 pandemisi koşullarında, doğumda ten tene temas kuran kadınların ve doğumdan sonraki ilk 30 dakika içinde bebeğini emziren annelerin Emzirme Özyeterlilik Ölçeği (EÖYÖ) puan ortalamalarının daha yüksek olduğu belirlenmiştir (p<0,05).
Sonuç: DSÖ önerileri doğrultusunda bilgi sahibi olan ve Covid-19 pandemisi sürecinde bu önerileri uygulayan kadınların emzirme öz yeterliliklerinin daha yüksek olduğu belirlenmiştir.

Kaynakça

  • Yıldızhan E. An overview of attachment theory and attachment disorders. Anadolu Clinic Journal of Medical Sciences. 2017;22(1): 66–66. https://doi.org/10.21673/anadoluklin.237462
  • Heidari Z, Keshvari M, Kohan S. Breastfeeding promotion, challenges and barriers: A qualitative research. International Journal of Pediatrics. 2016; 4(5): 1687–95. https://doi.org/10.22038/ijp.2016.6733
  • Riley B, Schoeny M, Rogers L, Asiodu I V., Bigger HR, Meier PP, et al. Barriers to human milk feeding at discharge of very low–birthweight ınfants: Evaluation of neighborhood structural factors. Breastfeeding Medicine. 2016;11(7):335–42. https://doi.org/10.1089/bfm.2015.0185
  • WHO. Breastfeeding advice during the COVID-19 outbreak | COVID-19 | Nutrition site [Internet]. 2020 [cited 2022 Jun 12]. Available from: http://www.emro.who.int/nutrition/news/breastfeeding-advice-during-the-covid-19-outbreak.html
  • UNICEF. Coronavirus disease (COVID-19): What parents should know [Internet]. [cited 2022 Jun 12]. Available from: https://www.unicef.org/easterncaribbean/coronavirus-disease-covid-19-what-parents-should-know CDC. Considerations for Inpatient Obstetric Healthcare Settings [Internet]. 2020 [cited 2022 Jun 12]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html ABM. ABM Statement Coronavırus [Internet]. 2020 [cited 2022 Jun 12]. Available from: https://www.bfmed.org/abm-statement-coronavirus
  • Spatz DL, Davanzo R, Müller JA, Powell R, Rigourd V, Yates A, et al. Promoting and protecting human milk and breastfeeding in a COVID-19 World. Front Pediatr. 2021; 8:633700. https://doi.org/10.3389/fped.2020.633700
  • Brown A, Shenker N. Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Maternal & Child Nutrition. 2021;17(1): e13088. https://doi.org/10.1111/mcn.13088.
  • Lavizzari A, Klingenberg C, Profit J, Zupancic JA, Davis AS, Mosca F, et al. International comparison of guidelines for managing neonates at the early phase of the SARS-CoV-2 pandemic. Pediatric Research. 2021;89(4):940–51. https://doi.org/10.1038/s41390-020-0976-5.
  • Arora KS, Mauch JT, Gibson KS. Labor and delivery visitor policies during the COVID-19 pandemic: balancing risks and benefits. Jama. 2020;323(24):2468–9. https://doi.org/10.1001/jama.2020.7563.
  • Davanzo R, Merewood A, Manzoni P. Skin-to-skin contact at birth in the COVID-19 era: in need of help! American Journal of Perinatology. 2020;37(S02):S1–4.https://doi.org/10.1055/S-0040-1714255/ID/JR20009ICCN-32.
  • Dumitriu D, Emeruwa UN, Hanft E, Liao GV, Ludwig E, Walzer L, et al. Outcomes of neonates born to mothers with severe acute respiratory syndrome coronavirus 2 infection at a large medical center in New York City. JAMA pediatrics. 2021;175(2):157–67. https://doi.org/10.1001/jamapediatrics.2020.4298.
  • Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period. International Journal of Gynecology & Obstetrics. 2020;150(2):184–8. https://doi.org/10.1002/ijgo.13249.
  • Salvatore CM, Han JY, Acker KP, Tiwari P, Jin J, Brandler M, et al. Neonatal management and outcomes during the COVID-19 pandemic: an observation cohort study. The Lancet Child & Adolescent Health. 2020;4(10):72–7. https://doi.org/10.1016/S2352-4642(20)30235-2
  • Oncel MY, Akın IM, Kanburoglu MK, Tayman C, Coskun S, Narter F, et al. A multicenter study on epidemiological and clinical characteristics of 125 newborns born to women infected with COVID-19 by Turkish Neonatal Society. European journal of pediatrics. 2021; 180:733–42.https://doi.org/10.1007/s00431-020-03767-5.
  • Oddy WH. Infant feeding and obesity risk in the child. Breastfeeding review: professional publication of the Nursing Mothers’Association of Australia. 2012;20(2):7–12.
  • RCPCH. 2021. “COVID-19 Resources | RCPCH.” 2021. Available from: https://www.rcpch.ac.uk/key-topics/covid-19/all-resources.
  • Başer A, Sezer H, Şahin H. Covid 19 pandemi sürecinde anne sütü ve emzirme eğitimi yönetimi. DENT, 2020;28(29).
  • Dennis CL. The breastfeeding self-efficacy scale: Psychometric assessment of the short form. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2003;32(6):734–44. https://doi.org/10.1177/0884217503258459.
  • Tokat AM, Okumuş H. The effect of antenatal education based on strengthening the perception of breastfeeding self-efficacy on the perception of breastfeeding self-efficacy and breastfeeding success. Education and Research in Nursing. 2013;10(1):21–9.
  • İnce T, Aktaş G, Aktepe N, Aydın A. The evaluation of the factors affecting mothers’ breastfeeding self-efficacy and breastfeeding success. Journal of Dr Behcet Uz Children's Hospital.2017; 7(3): 183-190. 10.5222/buchd.2017.183
  • Aydin D, Aba YA. The relationship between mothers' health literacy levels and their perceptions of breastfeeding self-efficacy. Dokuz Eylül University Faculty of Nursing Electronic Journal. 2019;12(1):31–9.
  • Lubbe, Welma, et al. Impact of the covid-19 pandemic on breastfeeding support services and women’s experiences of breastfeeding: a review. International journal of women's health. 2022;1447-1457. https://doi.org/10.2147/IJWH.S342754
  • Gonçalves-Ferri WA, Pereira-Cellini FM, Coca K, Aragon DC, Nader P, Lyra JC, et al. The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study. Int Breastfeed J. 2021;16(1). https://doi.org/10.1186/s13006-021- 00377-1
  • Del Río, R., Dip Perez, E., & Marín Gabriel, M. Á. Multi-centre study showed reduced compliance with the World Health Organization recommendations on exclusive breastfeeding during COVID-19. Acta Paediatr. 2021;110(3), 935-936. https://doi.org/10.1111/apa.15642
  • Nismath, S., Rao, S. S., Addala, S., Ravikiran, S. R., & Kamath, N. Breastfeeding self-efficacy in COVID-19 positive postpartum mothers in a community maternal facility in South India: A case control study. Ethiopian journal of health sciences. 2023;33(1):13. https://doi.org/10.4314/ejhs.v33i1.3
  • Gianni ML, Bettinelli ME, Manfra P, Sorrentino G, Bezze E, Plevani L, et al. Breastfeeding difficulties and risk for early breastfeeding cessation. Nutrients. 2019;11(10):2266. https://doi.org/10.3390/nu11102266
  • Costantini C, Joyce A, Britez Y. Breastfeeding experiences during the COVID-19 Lockdown in the United Kingdom: An exploratory study ınto maternal opinions and emotional states. Journal of Human Lactation. 2021;37(4):649–62.
  • Ceulemans M, Verbakel JY, Van Calsteren K, Eerdekens A, Allegaert K, Foulon V. SARS-CoV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. Int J Environ Res Public Health. 2020;17(18):1–10. https://doi.org/10.3390/ijerph17186766
  • Rice, K., & Williams, S. Women’s postpartum experiences in Canada during the COVID-19 pandemic: a qualitative study. Canadian Medical Association Open Access Journal. 2021; 9(2), E556-E562. https://doi.org/10.9778/cmajo.20210008
  • Stojanov J, Stankovic M, Zikic O, Stankovic M, Stojanov A. The risk for nonpsychotic postpartum mood and anxiety disorders during the COVID-19 pandemic. Int J Psychiatry Med. 2021;56(4):228–39. https://doi.org/10.1177/0091217420981533
  • Matsushima, M., Tsuno, K., Okawa, S., Hori, A., & Tabuchi, T. (2021). Trust and well-being of postpartum women during the COVID-19 crisis: Depression and fear of COVID-19. SSM-Population Health. 2021;15, 100903. https://doi.org/10.1016/j.ssmph.2021.100903
  • Lubbe W, Botha E, Niela-Vilen H, Reimers P. Breastfeeding during the COVID-19 pandemic- a literature review for clinical practice. Int Breastfeed J. 2020;15(1). https://doi.org/10.1186/s13006-020-00319-3

Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations

Yıl 2025, Cilt: 6 Sayı: 2, 237 - 249, 31.07.2025

Öz

Objectives: The aim of this study is to determine the effect of knowing and applying WHO recommendations on breastfeeding self-efficacy of breastfeeding women during the pandemic.
Materials and Methods: The sample of the study consisted of 382 women. The data were collected using the 'Patient Identification Form', 'Breastfeeding Self-Efficacy Scale (BSES)', and 'Breastfeeding Information and Behavior Form in the Covid-19 Process'.
Results: Postnatal breastfeeding self-efficacy scale mean score of the participant was determined as 54.97±10.14. According to 31.7% of the participants, they stated that the pandemic period negatively affected the act of breastfeeding. It was determined that 59.2% of the women were not informed about breastfeeding specific to the pandemic process in line with the WHO Covid-19 breastfeeding recommendations. In this study, it was determined that in the conditions of the Covid-19 pandemic, women who had skin-to-skin contact at birth and mothers who breastfed their baby in the first 30 minutes after birth had a higher mean score on the BSES (p<0.05).
Conclusion: It was determined that the women who had knowledge in line with WHO recommendations and applied these recommendations during the Covid-19 pandemic process has higher breastfeeding self-efficacy.

Etik Beyan

Ethics Committee permission was obtained from Yozgat Bozok University Clinical Research Ethics Committee with the number 60174989-2021-21 dated 28/01/2021.

Destekleyen Kurum

No financial support was received for the study.

Teşekkür

We thank all breastfeeding mothers who participated in the study for their contributions to the advancement of science.

Kaynakça

  • Yıldızhan E. An overview of attachment theory and attachment disorders. Anadolu Clinic Journal of Medical Sciences. 2017;22(1): 66–66. https://doi.org/10.21673/anadoluklin.237462
  • Heidari Z, Keshvari M, Kohan S. Breastfeeding promotion, challenges and barriers: A qualitative research. International Journal of Pediatrics. 2016; 4(5): 1687–95. https://doi.org/10.22038/ijp.2016.6733
  • Riley B, Schoeny M, Rogers L, Asiodu I V., Bigger HR, Meier PP, et al. Barriers to human milk feeding at discharge of very low–birthweight ınfants: Evaluation of neighborhood structural factors. Breastfeeding Medicine. 2016;11(7):335–42. https://doi.org/10.1089/bfm.2015.0185
  • WHO. Breastfeeding advice during the COVID-19 outbreak | COVID-19 | Nutrition site [Internet]. 2020 [cited 2022 Jun 12]. Available from: http://www.emro.who.int/nutrition/news/breastfeeding-advice-during-the-covid-19-outbreak.html
  • UNICEF. Coronavirus disease (COVID-19): What parents should know [Internet]. [cited 2022 Jun 12]. Available from: https://www.unicef.org/easterncaribbean/coronavirus-disease-covid-19-what-parents-should-know CDC. Considerations for Inpatient Obstetric Healthcare Settings [Internet]. 2020 [cited 2022 Jun 12]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html ABM. ABM Statement Coronavırus [Internet]. 2020 [cited 2022 Jun 12]. Available from: https://www.bfmed.org/abm-statement-coronavirus
  • Spatz DL, Davanzo R, Müller JA, Powell R, Rigourd V, Yates A, et al. Promoting and protecting human milk and breastfeeding in a COVID-19 World. Front Pediatr. 2021; 8:633700. https://doi.org/10.3389/fped.2020.633700
  • Brown A, Shenker N. Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Maternal & Child Nutrition. 2021;17(1): e13088. https://doi.org/10.1111/mcn.13088.
  • Lavizzari A, Klingenberg C, Profit J, Zupancic JA, Davis AS, Mosca F, et al. International comparison of guidelines for managing neonates at the early phase of the SARS-CoV-2 pandemic. Pediatric Research. 2021;89(4):940–51. https://doi.org/10.1038/s41390-020-0976-5.
  • Arora KS, Mauch JT, Gibson KS. Labor and delivery visitor policies during the COVID-19 pandemic: balancing risks and benefits. Jama. 2020;323(24):2468–9. https://doi.org/10.1001/jama.2020.7563.
  • Davanzo R, Merewood A, Manzoni P. Skin-to-skin contact at birth in the COVID-19 era: in need of help! American Journal of Perinatology. 2020;37(S02):S1–4.https://doi.org/10.1055/S-0040-1714255/ID/JR20009ICCN-32.
  • Dumitriu D, Emeruwa UN, Hanft E, Liao GV, Ludwig E, Walzer L, et al. Outcomes of neonates born to mothers with severe acute respiratory syndrome coronavirus 2 infection at a large medical center in New York City. JAMA pediatrics. 2021;175(2):157–67. https://doi.org/10.1001/jamapediatrics.2020.4298.
  • Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period. International Journal of Gynecology & Obstetrics. 2020;150(2):184–8. https://doi.org/10.1002/ijgo.13249.
  • Salvatore CM, Han JY, Acker KP, Tiwari P, Jin J, Brandler M, et al. Neonatal management and outcomes during the COVID-19 pandemic: an observation cohort study. The Lancet Child & Adolescent Health. 2020;4(10):72–7. https://doi.org/10.1016/S2352-4642(20)30235-2
  • Oncel MY, Akın IM, Kanburoglu MK, Tayman C, Coskun S, Narter F, et al. A multicenter study on epidemiological and clinical characteristics of 125 newborns born to women infected with COVID-19 by Turkish Neonatal Society. European journal of pediatrics. 2021; 180:733–42.https://doi.org/10.1007/s00431-020-03767-5.
  • Oddy WH. Infant feeding and obesity risk in the child. Breastfeeding review: professional publication of the Nursing Mothers’Association of Australia. 2012;20(2):7–12.
  • RCPCH. 2021. “COVID-19 Resources | RCPCH.” 2021. Available from: https://www.rcpch.ac.uk/key-topics/covid-19/all-resources.
  • Başer A, Sezer H, Şahin H. Covid 19 pandemi sürecinde anne sütü ve emzirme eğitimi yönetimi. DENT, 2020;28(29).
  • Dennis CL. The breastfeeding self-efficacy scale: Psychometric assessment of the short form. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2003;32(6):734–44. https://doi.org/10.1177/0884217503258459.
  • Tokat AM, Okumuş H. The effect of antenatal education based on strengthening the perception of breastfeeding self-efficacy on the perception of breastfeeding self-efficacy and breastfeeding success. Education and Research in Nursing. 2013;10(1):21–9.
  • İnce T, Aktaş G, Aktepe N, Aydın A. The evaluation of the factors affecting mothers’ breastfeeding self-efficacy and breastfeeding success. Journal of Dr Behcet Uz Children's Hospital.2017; 7(3): 183-190. 10.5222/buchd.2017.183
  • Aydin D, Aba YA. The relationship between mothers' health literacy levels and their perceptions of breastfeeding self-efficacy. Dokuz Eylül University Faculty of Nursing Electronic Journal. 2019;12(1):31–9.
  • Lubbe, Welma, et al. Impact of the covid-19 pandemic on breastfeeding support services and women’s experiences of breastfeeding: a review. International journal of women's health. 2022;1447-1457. https://doi.org/10.2147/IJWH.S342754
  • Gonçalves-Ferri WA, Pereira-Cellini FM, Coca K, Aragon DC, Nader P, Lyra JC, et al. The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study. Int Breastfeed J. 2021;16(1). https://doi.org/10.1186/s13006-021- 00377-1
  • Del Río, R., Dip Perez, E., & Marín Gabriel, M. Á. Multi-centre study showed reduced compliance with the World Health Organization recommendations on exclusive breastfeeding during COVID-19. Acta Paediatr. 2021;110(3), 935-936. https://doi.org/10.1111/apa.15642
  • Nismath, S., Rao, S. S., Addala, S., Ravikiran, S. R., & Kamath, N. Breastfeeding self-efficacy in COVID-19 positive postpartum mothers in a community maternal facility in South India: A case control study. Ethiopian journal of health sciences. 2023;33(1):13. https://doi.org/10.4314/ejhs.v33i1.3
  • Gianni ML, Bettinelli ME, Manfra P, Sorrentino G, Bezze E, Plevani L, et al. Breastfeeding difficulties and risk for early breastfeeding cessation. Nutrients. 2019;11(10):2266. https://doi.org/10.3390/nu11102266
  • Costantini C, Joyce A, Britez Y. Breastfeeding experiences during the COVID-19 Lockdown in the United Kingdom: An exploratory study ınto maternal opinions and emotional states. Journal of Human Lactation. 2021;37(4):649–62.
  • Ceulemans M, Verbakel JY, Van Calsteren K, Eerdekens A, Allegaert K, Foulon V. SARS-CoV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. Int J Environ Res Public Health. 2020;17(18):1–10. https://doi.org/10.3390/ijerph17186766
  • Rice, K., & Williams, S. Women’s postpartum experiences in Canada during the COVID-19 pandemic: a qualitative study. Canadian Medical Association Open Access Journal. 2021; 9(2), E556-E562. https://doi.org/10.9778/cmajo.20210008
  • Stojanov J, Stankovic M, Zikic O, Stankovic M, Stojanov A. The risk for nonpsychotic postpartum mood and anxiety disorders during the COVID-19 pandemic. Int J Psychiatry Med. 2021;56(4):228–39. https://doi.org/10.1177/0091217420981533
  • Matsushima, M., Tsuno, K., Okawa, S., Hori, A., & Tabuchi, T. (2021). Trust and well-being of postpartum women during the COVID-19 crisis: Depression and fear of COVID-19. SSM-Population Health. 2021;15, 100903. https://doi.org/10.1016/j.ssmph.2021.100903
  • Lubbe W, Botha E, Niela-Vilen H, Reimers P. Breastfeeding during the COVID-19 pandemic- a literature review for clinical practice. Int Breastfeed J. 2020;15(1). https://doi.org/10.1186/s13006-020-00319-3
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Doğum ve Kadın Hastalıkları Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Emine İlkin Aydın

Rukiye Höbek Akarsu 0000-0002-3476-0740

Gönderilme Tarihi 5 Mart 2025
Kabul Tarihi 20 Mayıs 2025
Yayımlanma Tarihi 31 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 6 Sayı: 2

Kaynak Göster

APA İlkin Aydın, E., & Höbek Akarsu, R. (2025). Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 6(2), 237-249.
AMA İlkin Aydın E, Höbek Akarsu R. Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. Temmuz 2025;6(2):237-249.
Chicago İlkin Aydın, Emine, ve Rukiye Höbek Akarsu. “Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 6, sy. 2 (Temmuz 2025): 237-49.
EndNote İlkin Aydın E, Höbek Akarsu R (01 Temmuz 2025) Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 6 2 237–249.
IEEE E. İlkin Aydın ve R. Höbek Akarsu, “Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations”, YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 6, sy. 2, ss. 237–249, 2025.
ISNAD İlkin Aydın, Emine - Höbek Akarsu, Rukiye. “Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 6/2 (Temmuz2025), 237-249.
JAMA İlkin Aydın E, Höbek Akarsu R. Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2025;6:237–249.
MLA İlkin Aydın, Emine ve Rukiye Höbek Akarsu. “Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 6, sy. 2, 2025, ss. 237-49.
Vancouver İlkin Aydın E, Höbek Akarsu R. Evaluation of Breastfeeding Self-Efficacy During The Pandemic Period in The Perspective of WHO Recommendations. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2025;6(2):237-49.