Ayşegül DURMAZ, Emel SEZİCİ

Bireysel emzirme eğitiminin emzirme davranışlarına ve geleneksel uygulamalara etkisi: Randomize kontrollü çalışma

Amaç: Bu çalışma, bireysel emzirme eğitiminin emzirme davranışlarına ve geleneksel uygulamalara etkisini belirlemeyi amaçlamaktadır.Gereç ve Yöntem: Araştırma randomize kontrollü çalışma olarak tasarlandı. Araştırma Türkiye’nin Kütahya ilindeki aile sağlığı merkezlerinde gerçekleştirilmiştir. Eğitim grubunda 152 ve kontrol grubunda 152 olmak üzere toplam 304 anne çalışmaya dahil edilmiştir. Ki-Kare, Mann-Whitney U, Kruskal-Wallis ve Multinominal lojistik regresyon testleri yapılmıştır.Bulgular: Eğitim sonrasında müdahale grubundaki annelerde emzirme süresi ve sayısı yeterli olanların, doğru pozisyonda emzirenlerin, emzirme sorunu yaşamayanların, memeyi doğru tutan bebeklerin oranı kontrol grubundakilerden önemli düzeyde yüksektir (p<0,05). Sonuç: Bireysel emzirme eğitimi, emzirme davranışlarını iyileştirmede ve zararlı geleneksel uygulamaları azaltmada etkilidir.

Anahtar Kelimeler:

Emzirme, Eğitim, Davranış, Uygulamalar

The effect of individual breastfeeding training on breastfeeding behaviors and traditional practices: A randomized controlled trial

Aim: This study aims to determine the effect of individual breastfeeding training on breastfeeding behaviors and traditional practices.Materials and Methods: The research was of randomized controlled design. The study was conducted at the family health centers in Kütahya, Turkey. A total of 304 mothers were recruited into the study, 152 in the intervention group and 152 in the control group. The Chi-Square Test, Mann-Whitney U Test and Kruskal-Wallis Test and Multinomial logistic regression were performed. Results: After the training, the rates of the mothers whose breastfeeding duration and frequency were sufficient, who breastfed their babies in the correct position, who did not have any breastfeeding problems, and whose babies latched onto the breast correctly were significantly higher in the training group than were the rates of the mothers in the control group (p<0.05). Conclusion: The individual breastfeeding training had an implication in improving breastfeeding behaviors and reduced harmful traditional practices.

Keywords:

Breastfeeding, Training, Behavior, Practices,

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World Health Organization. Infant and young child feeding. 2020. Available from: http://www.who.int/mediacentre/factsheets/fs342/en/. Accessed February 17, 2021.
American Academy of Pediatric. Policies on breastfeeding. 2021. Available from: https://services.aap.org/en/patient-care/breastfeeding/policies-on-breastfeeding/. Accessed February 17, 2021.
United Nations International Children's Fund [Internet]. Global Strategy: breastfeeding critical for child survival. 2004. Available from: https://www.unicef.org/media/media_20045.html Accessed January 23, 2021.
Salone LR, Vann Jr WF, Dee DL. Breastfeeding: an overview of oral and general health benefits. JADA. 2013;144(2):143-151. https://doi.org/10.14219/jada.archive.2013.0093
United Nations International Children's Fund. Infant and young child feeding. 2018. Available from: https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding Accessed February 11, 2021
Yılmaz M, Aykut M. The effect of breastfeeding training on exclusive breastfeeding: a randomized controlled trial. The Journal of Maternal-Fetal & Neonatal Medicine. 2021;34(6):925-932. https://doi.org/10.1080/14767058.2019.1622672
Turkey demographic and health survey. Turkey: Hacettepe University Institute of Population Studies. Ankara, Turkey: 2014. Available from: http://www.hips.hacettepe.edu.tr/eng/TDHS_2013_main.report.pdf. Accessed October 5, 2017
Turkey demographic and health survey. Turkey: Hacettepe University Institute of Population Studies. Ankara, Turkey: 2019. Available from: http://www.hips.hacettepe.edu.tr/eng/tdhs2018/TDHS_2018_main_report.pdf. Accessed January 9, 2020
American Academy of Pediatrics. Policy statement breastfeeding and the use of human milk. Pediatrics. 2012;129(3):827-841. https://doi.org/10.1542/peds.2004-2491
World Health Organization / UNICEF. Baby-Friendly Hospital Initiative: revised, updated, and expanded for integral care. Geneva, Switzerland: 2009. Available from: https://apps.who.int/iris/bitstream/handle/10665/43593/9789241594967_eng.pdf?sequence=1. Accessed March 21, 2020
Hannula L, Kaunonen M, Tarkka MT. A systematic review of professional support interventions for breastfeeding. JCN. 2008;17(9):1132-1143. https://doi.org/10.1111/j.1365-2702.2007.02239.x
Tahir NM, Al-Sadat N. Does telephone lactation counselling improve breastfeeding practices?: a randomised controlled trial. IJNS. 2013;50(1):16-25. https://doi.org/10.1016/j.ijnurstu.2012.09.006
Levesque A, Li HZ. The relationship between culture, health conceptions, and health practices: a qualitative–quantitative approach. JCCP. 2014;45(4):628-45. https://doi.org/10.1177/0022022113519855
Mbada CE, Olowookere AE, Faronbi JO, et al. Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC Research Notes. 2013;6(1):552. https://doi.org/10.1186/1756-0500-6-552
Republic of Turkey Ministry of Health, General Directorate of Mother and Child Health and Family Planning. Successful Breastfeeding. Ankara. 2007; p. 1-17. Available from: https://dosyasb.saglik.gov.tr/Eklenti/1437,basariliemzirmepdf.pdf?0 (Turkish). Accessed March 3, 2017
World Health Organization. Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva, Switzerland: 2017. Available from: https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf;jsessionid=524D34DF6CD663DF95A22E0D67EC96D6?sequence=1. Accessed October 9, 2017
Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387(10017):475-490. https://doi.org/10.1016/S0140-6736(15)01024-7
Rollins NC, Bhandari N, Hajeebhoy N, et al. Why invest, and what it will take to improve breastfeeding practices?. The Lancet. 2016;387(10017):491-504. https://doi.org/10.1016/S0140-6736(15)01044-2
Lee A, Davies P, Mackerra D, et al. Eat for health infant feeding guidelines: information for health workers. Austrailia National Health and Medical Research Council. 2012. https://www.eatforhealth.gov.au/sites/default/files/content/The%20Guidelines/170131_n56_infant_feeding_guidelines_summary.pdf
Subbiah N, Jeganathan A. Socio‐cultural beliefs influencing breastfeeding practices among primi postnatal mothers residing in urban slum area of Delhi. Health Popul Perspect Issues. 2012;35:61‐73. URL: https://www.semanticscholar.org/paper/Socio-cultural-beliefs-influencing-breastfeeding-in-Subbiah-Jeganathan/90accd36f1753dbcf3ef656a195b329bd75e71be
Ibe SNO, Obasi O, Nwoke EA, et al. Cultural practices on infant feeding and nursing-mothers’ adoption of exclusive breastfeeding practice in Imo State Nigeria. MOJ Public Health. 2017;5(5):155-161. https://doi.org/10.15406/mojph.2017.05.00141
Picolo M, Rácz S, Kavle J, et al. Cultural Beliefs and Practices That Influence Infant and Young Child Feeding in Mozambique: Results of Trials of Improved Practices Assessment. Washington, DC: Maternal and Child Survival Program; 2017. URL: https://www.mcsprogram.org/wp-content/uploads/2017/10/MCSP-Mozambique-TIPs-Report-Exec-Summary.pdf
Gallegos D, Vicca N, Streiner S. Breastfeeding beliefs and practices of African women living in Brisbane and Perth, Australia. Matern Child Nutr. 2015;11(4):727-736. https://doi.org/10.1111/mcn.12034
Karahan N, Aydın R, Güven DY, et al. Traditional health practices concerning pregnancy, birth, and the postpartum period of women giving birth in the hospital. South. Clin. Ist. Euras. 2017;28(3):190-198. URL: https://jag.journalagent.com/scie/pdfs/SCIE-33042-RESEARCH_ARTICLE-KARAHAN.pdf
Tella K, Guruvare S, Hebbar S, et al. Knowledge, attitude, and practice of techniques of breast-feeding among postnatal mothers in a coastal district of Karnataka. Int J Med Sci Public Heal. 2016;5(1):28-34. https://doi.org/10.5455/ijmsph.2016.100620159
Thet MM, Aung T, Diamond-Smith N, et al. The influence of a community-level breast-feeding promotion intervention programme on breast-feeding practices in Myanmar. Public Health Nutr. 2018;21(16):3091-3100. https://doi.org/10.1017/S1368980018001799.
Azad MB, Vehling L, Chan D, et al. Infant feeding and weight gain: separating breast milk from breastfeeding and formula from food. Pediatrics. 2018;142(4):e20181092. https://doi.org/10.1542/peds.2018-1092