Doğum Sonu Dönemdeki Annelerin Emzirmeye İlişkin Bilgileri ve Emzirme Davranışları

Amaç: Bu çalışmanın amacı annelerin doğum sonrası dönemde emzirmeye ilişkin bilgilerini ve davranışlarını belirlemektir. Materyal-Metot: Tanımlayıcı tipteki araştırma, bir Akdeniz ülkesinde en yüksek doğum oranına sahip en büyük hastanede, 290 anne ile yürütülmüştür. Veriler araştırmacılar tarafından hazırlanan 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

Breastfeeding Knowledge and Behaviors of Postpartum Mothers

Objective: The purpose of the study is to reveal thebreastfeeding knowledge and behaviors of postpartummothers.Material-Method: This descriptive study was conducted inthe largest hospital where the highest number of delivery ina Mediterranean country, with 290 mothers. The data werecollected with questionnaire and the LATCH BreastfeedingCharting System. The data collection form was administeredface-to-face interviews by the researchers to mothers. Thebreastfeeding behaviors of mothers were evaluated twice.Results: The mean breastfeeding knowledge score was27.88±3.30, the mean LATCH score was 7.75±1.95, and30.7% of mothers did not need support for breastfeeding.One-third of the participants (35.8%) who had a belowaveragebreastfeeding knowledge score got 10 from LATCH,26.1% of those who had an above-average score. Althoughmothers who had cesarean, who were getting adequatebreastfeeding information during pregnancy, and who lackedsocial insurance had high breastfeeding knowledge scores,appropriate breastfeeding behaviors were exhibited at a higherlevel by mothers who had a lower educational status, whodid not work, who had already had two or more deliveriesor had two or more living children, who had experiencedbreastfeeding before, and who had a vaginal delivery (p

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1. Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: review, Issue 4. The Cochrane Library; 2009.
2. 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
3. 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
4. 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
5. Backström CA, Wahn EH, Ekström AC. Two sides of breastfeeding support: experiences of women and nurses. International Breastfeeding Journal 2010; 5: 1-8.
6. 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.
7. 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.
8. Gibson-Davis CM, Brooks-Gunn J. Breastfeeding and verbal ability of 3-year-olds in a multicity sample. Pediatrics 2006; 118: 1444-1451.
9. Ingram J. Multiprofessional training for breastfeeding management in primary care in the UK. International Breastfeeding Journal 2006; 1: 9.
10. 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.
11. Dyson L. McCormick FM, Renfrew MJ. Interventions for promoting the initiation of breastfeeding. Cochrane Database of Systematic Reviews 2005; 1: 592-616.
12. Jensen D, Wallace S, Kelsay P. LATCH: A breastfeeding charting system and documentation tool. Journal Obstetric Gynecology Neonatal Nursing. 1995; 24(1):13.
13. 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.
14. Demirtaş B, Ergöçmen B, Taşkın L. Breastfeeding experiences of Turkish women. Journal of Clinical Nursing 2012; 2: 1109-1118.
15. Betzold CM, Laughlin KM, Shi CA. Family practice breastfeeding education pilot program: an observational descriptive study. International Breastfeeding Journal 2007; 5: 4.
16. 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.
17. Rosen I, Krueger MV, Carney L, Graham J. Prenatal breastfeeding education and breastfeeding outcomes. American Journal of Maternal Child Nursing 2008; 33: 315- 319.
18. 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.
19. 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.
20. 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.
21. Demirtaş B. Breastfeeding support received by Turkish first-time mothers. International Nursing Review 2013; 59: 338-344.
22. 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.
23. 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.
24. 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.
25. 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.