Dört-yirmi dört ay arası çocuğu olan annelerin tamamlayıcı beslenme ile ilgili bilgi düzeyi ve davranışlarının değerlendirilmesi

Amaç: Tamamlayıcı beslenme süt çocuğu döneminde büyüme gelişmenin devamı için önemlidir. Bu çalışmada, hastanemize çocuğunu muayeneye getiren annelerin tamamlayıcı beslenme ile ilgili bilgi düzeylerin belirlenmesi ve anne ile bebeğe ait özelliklerin tamamlayıcı beslenmeye etkilerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Aralık 2018-Şubat 2019 tarihleri arasında hastanemize başvuran 259 anne çalışmaya dahil edildi. Annelerin tamamlayıcı beslenme hakkındaki bilgi ve davranışları sorgulandı. Bulgular: Çalışmaya dahil edilen 259 annenin ortalama yaşı 28,71±5,09 yıldı. Katılımcı annelerin 94’ü (%36,3) tamamlayıcı beslenmeye altı aydan önce başlamıştı. Tamamlayıcı beslenmeye başlanma zamanı ortalama 5,67±0,84 aydı. Tamamlayıcı beslenmeye en fazla %48,6 yoğurt, %17,8 meyve püresi ve %17 çorba ile başlanmaktaydı. En sık erken başlama sebebi bebeğinin kilo almasında ve anne sütünde azalma olmasıydı. Ailenin aylık geliri, annenin sigara içmesi ve çalışıyor olması ile tamamlayıcı beslenmeye erken başlama arasında anlamlı farklılık saptandı. Biberon ve/veya emzik kullanımının tamamlayıcı beslenmeye erken başlanması ile ilişkili olduğu saptandı. Sonuç: Annelerin tamamlayıcı beslenmeye başlama zamanları farklılık göstermektedir. Bebeklerin sağlıklı gelişimi için annelere bu konuda daha fazla eğitim verilmesi gerekmektedir.

Anahtar Kelimeler:

anne, tamamlayıcı beslenme, bebek

Evaluation of complementary feeding knowledge and behavior of mothers with children between four-twenty four months

Aim: Complementary feeding is important for growth in infancy. In this study, we aimed to determine the knowledge of complementary feeding of mothers who take their children to our hospital and to evaluate the effects of mother’s and baby’s characteristics on complementary feeding. Material and Method: Between December 2018 and February 2019, 259 mothers who admitted to our hospital were included in the study. Mothers’ knowledge and behavior about complementary feeding were questioned. Results: The mean age of 259 mothers was 28.71 ± 5.09 years old. 94 (36.3%) of the participants introduced complementary feeding before six months. The mean time to introduce complementary feeding was 5.67 ± 0.84 months. Complementary feeding was introduced with 48.6% yoghurt, 17.8% fruit puree and 17% soup. The most frequent reason for early onset was the weight gain of the baby and the decrease in breast milk. A significant difference was found between the monthly income of the family, smoking and working of the mother, and early initiation of complementary feeding. The use of feeding bottles and/or pacifiers was also associated with early onset of complementary feeding. Conclusion: Mothers’ time to introduce complementary feeding varies. Mothers should be given more education about complementary feeding for healthy development of babies.

Keywords:

mother, complementary feeding, infant,

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WHO Guiding Principles for Complementary Feeding of the Breastfed Child. WHO: Geneva, 2003.
Devecioğlu E, Gökçay G. Tamamlayıcı Beslenme. Çocuk Dergisi 2012; 12: 159-63.
WHO Exclusive Breastfeeding for six months best for babies everywhere. WHO: Geneva, 2011.
Tarrant M, Fong DY, Wu KM, ve ark. Breastfeeding and weaning practices among Hong Kong mothers: a prospective study. BMC Pregnancy Childbirth 2010; 10: 27.
Bonet M, Marchand L, Kaminski M, ve ark. Breastfeeding duration, social and occupational characteristics of mothers in the French ‘EDENmother-child’ cohort. Matern Child Health J 2013; 17: 714-22.
Ludvigsson JF, Ludvigsson J. Socioeconomic determinants, maternal smoking and coffee consumption, and exclusive breastfeeding in 10205 children. Acta Paediatr 2005; 94 :1310-9.
Türkiye Nüfus ve Sağlık Araştırması (TNSA) 2013. http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf
Tandoi F, Morlacchi L, Bossi A, Agosti M. Introducing complementary foods in the first year of life. Pediatr Med Chir 2017; 39: 186.
Klingberg S, Ludvigsson J, Brekke HK. Introduction of complementary foods in Sweden and impact of maternal education on feedingpractices. Public Health Nutr 2017; 20: 1054-62.
Kaya Z, Yiğit Ö, Erol M, Gayre Bostan Ö. Evaluation of Parents’ Knowledges and Experiences about Infant Feeding in Children between Six-Twenty Four Months. Med Bull Haseki 2016; 54: 70-5.
Giovannini M, Riva E, Banderali G, ve ark. Feeding practices of infants through the first year of life in Italy. Acta Paediatr 2004; 93: 492-7.
Kassa T, Meshesha B, Haji Y, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of childrenage 6-23 months in Southern Ethiopia, 2015. BMC Pediatr 2016; 16: 131.
Berisha M, Ramadani N, Hoxha R, ve ark. Knowledge, Attitudes and Practices of Mothers in Kosova about Complementary Feeding for Infant and Children 6-24 Months. Med Arch 2017; 71: 37-41.
Batal M, Boulghourjian C, Akik C. Complementary feeding patterns in a developing country: a cross-sectional study across Lebanon. East Mediterr Health J 2010; 16:180-6.
Ford RP, Schluter PJ, Mitchell EA. Factors associated with the age of introduction of solids into the diet of New Zealand infants. New Zealand Cot Death Study Group. J Paediatr Child Health 1995; 31: 469-72.
Di Napoli A, Di Lallo D, Pezzotti P, Forastiere F, Porta D. Effects of parental smoking and level of education on initiation and duration of breastfeeding. Acta Paediatr 2006; 95: 678-85.
Schiess S, Grote V, Scaglioni S, ve ark. Introduction of complementary feeding in 5 European countries. J Pediatr Gastroenterol Nutr 2010; 50: 92-8.
Alzaheb RA. Factors Associated with the Early Introduction of Complementary Feeding in Saudi Arabia. Int J Environ Res Public Health 2016;13. pii: E702.
Batista CLC, Ribeiro VS, Nascimento MDDSB, Rodrigues VP. Association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding. J Pediatr (Rio J) 2018; 94: 596-601.
Rigotti RR, de Oliveira MI, Boccolini CS. Association between the use of a baby’s bottle and pacifier and the absence of breastfeeding in the second six months of life. Cien Saude Colet 2015; 20: 1235-44.
Yılmazbaş P, Kural B, Uslu A, Sezer GM, Gökçay G. Annelerin Gözünden Ek Besinlere Başlama Nedenleri ve Annelerin Mamalar Hakkındaki Düşünceleri. İst Tıp Fak Derg 2015; 3: 76-82
Scott JA, Binns CW, Graham KI, Oddy WH. Predictors of the early introduction of solid foods in infants: Results of a cohort study. BMC Pediatr 2009; 9: 702.