Evaluation of the Traditional Practices of Breastfeeding, Complementary Feeding and Increasing Breast Milk in Mothers with 0-24 Month-Old Infants
DOI:
https://doi.org/10.14306/renhyd.26.S2.1319Keywords:
Breast Feeding, Infant Nutritional Physiological Phenomena, Knowledge, Feeding Behavior, exclusively breastfeeding, breastfeeding knowledge, breastfeeding practices, complementary feedingAbstract
Introduction: To evaluate the traditional practices of breastfeeding, complementary feeding, and increasing breast milk in mothers with 0-24 month-old infants.
Material and methods: The study sample includes 215 mothers with 0-24 month-old infants. The mothers’ socio-demographic characteristics, knowledge and behaviors regarding breast milk, complementary feeding, and traditional practices for increasing breast milk were questioned.
Results: 60.0% of the infants were exclusively breastfed in the first six months. There was a significant difference between the mothers’ educational levels and the frequency of breastfeeding (p<0.001). A significant difference was observed between the educational level of the mothers and the first complementary food given to the infants (p=0.046). The rate of mothers who breastfed less frequently after introducing to complementary feeding was significantly lower in the group with a low level of education compared to the group with a high level of education (p=0.040). The rate of receiving training from a healthcare professional specialized in breastfeeding before and after birth was significantly higher in the group with a high level of education (41.1% and 52.8%, respectively) than the group with a low level of education (17.3% and 15.4%) (p=0.002 and p<0.001, respectively). The rate of those who knew that breast milk alone was sufficient for feeding the infant in the first six months was significantly higher in the group with a high level of education (96.3%) than the group with a low level of education (86.5%) (p=0.017). Percentage of mothers with a high educational level who consume herbal tea (17.8%) is higher than those with low educational level (4.0%). There is a statistically significant difference between the educational status of mothers and traditional practices to increase breast milk (p<0.001).
Conclusions: Mothers had imperfect knowledge regarding breastfeeding and complementary feeding. They should be educated by healthcare professionals to eliminate deficiencies and correct their current practices.
References
(1) World Health Organization. Breastfeeding. [Internet]. 2021. Available from: https://www.who.int/health-topics/breastfeeding#Tab=Tab_1: Breastfeeding
(2) Tetik BK. Anne sütü ve emzirme danışmanlığında güncel bilgiler. Ankara Med J. 2016;16:115-8. https://doi.org/10.17098/amj.12772
(3) Raju TN. Breastfeeding is a dynamic biological process-not simply a meal at the breast. Breastfeed Med. 2011;6:257–59. https://doi.org/10.1089/bfm.2011.0081
(4) Victora CG, Bahl R, Barros AJ, Franca GV, Horton S, Krasevec J. Breastfeeding in the 21st Century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016; 387:475-90. https://doi.org/10.1016/S0140-6736(15)01024-7
(5) United Nations Children's Fund. Breasfeeding. [Internet]. 2021. Available from: https://www.unicef.org/nutrition/index_24824.html
(6) World Health Organization. Global Nutrition Targets 2025: Breastfeeding policy brief. 2014. [Internet]. 2014. Available from: https://apps.who.int/iris/handle/10665/149022
(7) Beyzanur İşbay EG. Anne sütünün önemi ve emzirme davranışı üzerinde büyükanneler ve babaların etkisi. Turkiye Klinikleri J Pediatr. 2019;28:87-96. https://doi.org/10.5336/pediatr.2018-62695
(8) United Nations Children's Fund. United nations children’s fund, division of data, analysis, planning and monitoring. [Internet]. 2019. Available from: https://www.unicef.org/about/annualreport/files/DAPM-2019-HQAR.pdf
(9) Centers for Disease Control and Prevention. Breastfeeding report card. United States. [Internet]. 2018. Available form: https://www.cdc.gov/breastfeeding/pdf/2018breastfeedingreportcard.pdf
(10) Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2018 Türkiye Nüfus ve Sağlık Araştırması 2019. Available from: https://fs.hacettepe.edu.tr/hips/dosyalar/yayinlar/2019_tnsa_anarapor_compressed.pdf
(11) TC. Sağlık Bakanlığı.Sağlık İstatistikleri Yıllığı. Türkiye İstatistik Kurumu (TUİK). Ankara: 2019. Available form: https://www.saglik.gov.tr/TR,62400/saglik-istatistikleri-yilligi-2018-yayinlanmistir.html
(12) Wood NK, Sanders EA. Mothers with perceived ınsufficient milk: Preliminary evidence of home ınterventions to boost mother-ınfant ınteractions. West J Nurs Res. 2018; 40:1184-202. https://doi.org/10.1177/0193945916687552
(13) Safon C, Keene D, Guevara WJU, Kiani S, Herkert D, Muñoz EE, et al. Determinants of perceived insufficient milk among new mothers in León, Nicaragua. Matern Child Nutr. 2017;13: E12369. https://doi.org/10.1111/mcn.12369
(14) Ali-Shtayeh MS, Jamous RM, Jamous RM. Plants used during pregnancy, childbirth, postpartum and infant healthcare in Palestine. Complement Ther Clin Pract. 2015;21:84-93. https://doi.org/10.1016/j.ctcp.2015.03.004
(15) Birdee GS KK, Rothman R, Gardiner P. Use of complementary and alternative medicine during pregnancy and the postpartum period: An analysis of the national health ınterview survey. J Womens Health. 2014;23:824–9. https://doi.org/10.1089/jwh.2013.4568
(16) Teoh CS, M H I A, W M WF, Ang SH, M Z NH, M I NA, J R. Herbal ingestion during pregnancy and post-partum period is a cause for concern. Med J Malaysia. 2013;68(2):157-60.
(17) Sağlık Bakanlığı T.C Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu 2014-2017 Stratejik Planı. [Internet]. Available from: https://hsgm.saglik.gov.tr/depo/kurumsal/plan-ve-faaliyetler/2014-2017-stratejik-plan.pdf
(18) Heymann J, Raub A, Earle A. Breastfeeding policy: a globally comparative analysis. Bull World Health Organ. 2013;9:398-406. http://dx.doi.org/10.2471/BLT.12.109363
(19) Gümüştakım RŞ, Aksoy HD, Cebeci SE, Kanuncu S, Çakır L, Yavuz E. 0-2 yaş çocuklarda beslenme alışkanlıklarının değerlendirilmesi: Çok merkezli çalışma. Fam Pract Palliat Care. 2017;2:1-8.
(20) Traore M, Sangho H, Diagne MC, Faye A, Sidibe A, Kone K, et al. Factors associated with exclusive breastfeeding among mothers of children 24 months in Bamako. Sante Publique. 2014;26:259-65.
(21) Lande B, Andersen LF, Baerug A, Trygg KU, Lund-Larsen K, Veierød MB, et al. Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta Paediatr. 2003;92:152-61. https://doi.org/10.1111/j.1651-2227.2003.tb00519.x
(22) Aryal TR. Breastfeeding in Nepal: patterns and determinants. JNMA J Nepal Med Assoc. 2007;46:13-9.
(23) Alvisi P, Brusa S, Alboresi S, Amarri S, Bottau P, Cavagni G, et al. Recommendations on complementary feeding for healthy, fullterm infants. Ital J Pediatr. 2015;41:36.
(24) Barrera CM, Hamner HC, Perrine CG, Scanlon KS. Timing of ıntroduction of complementary foods to US infants, National Health and Nutrition Examination Survey 2009-2014. J Acad Nutr Diet. 2018;118:464-70. http://doi.org/10.1016/j.jand.2017.10.020
(25) Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Türkiye Nüfus ve Sağlık Araştırması 2013. Available from: http://www.sck.gov.tr/wp-content/uploads/2020/02/Turkiye-Nufus-ve-Sa%C4%9Flik-Arastirmasi-2013.pdf
(26) Küçük Ö, Göçmen AY. Çocuk polikliniğine başvuran 6-24 ay arası sağlam çocukların değerlendirilmesi. Bakırköy Tıp Dergisi 2012;8:28-33. https://doi.org/10.5350/BTDMJB201208105
(27) Tokat MA, Okumuş H. Emzirme öz-yeterlilik algısını güçlendirmeye temelli antenatal eğitimin emzirme öz-yeterlilik algısına ve emzirme başarısına etkisi. Hemşirelikte Eğitim ve Araştırma Dergisi. 2013; 10:21-29.
(28) Ludvigsson JF. Breastfeeding in bolivia–information and attitudes. BMC Pediatrics. 2003; 3:4. https://doi.org/10.1186/1471-2431-3-4
(29) Esencan TY, Alioğlu AS, Ayşegül Ü, Şimşek Ç. Anne sütünün faydalarını ve emzirme tekniklerini içeren görsel mesaj içerikli broşür ile annelere verilen eğitimin etkinliğinin değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016; 19(4):252-60.
(30) Eker A, Yurdakul M. Annelerin bebek beslenmesi ve emzirmeye ilişkin bilgi ve uygulamaları. STED. 2006;15:158-63.
(31) Radaelli G, Riva E, Verduci E, Agosti M, Giovannini M. Attitudes and practices of family paediatricians in Italy regarding infant feeding. Acta Paediatr. 2012;10:1063-8. https://doi.org/10.1111/j.1651-2227.2012.02769.x
(32) Smith ER, Hurt L, Chowdhury R, Sinha B, Fawzi W, Edmond KM et al. Neovita Study Group. Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis. PLoS One. 2017;12:e0180722. https://doi.org/10.1371/journal.pone.0180722
(33) United Nations Children’s Fund (UNICEF). Capture the Moment – Early initiation of breastfeeding: The best start for every newborn. New York, 2018. [Internet]. Available from https://www.unicef.org/publications/files/UNICEF_WHO_Capture_the_moment_EIBF_2018.pdf
(34) Erkaya R, Gürsoy AA, Güler H. Annelerin anne sütünü artırmaya yönelik aldıkları besinler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi;2012; 4:373–87.
(35) Dinç A, Dombaz İ, Dinç D. 6-18 ay arası bebeği olan annelerin emzirme ve anne sütüne ilişkin geleneksel uygulamaları. Balıkesir Sağlık Bilimleri Dergisi. 2015;3:129. https://doi.org/10.5505/bsbd.2015.40316
(36) Yazıcı B, Şafak E. Emziren Annelerin Emzirmenin Önemi ve Anne Sütü Hakkındaki Bilgilerinin Değerlendirilmesi. Klinik Tıp Pediatri Dergisi. 2017;9:47-54.
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