Öz
Amaç
Bu araştırma, annelerin gebelikte emzirmenin sürdürülmesine ilişkin görüş ve davranışlarını belirlemek amacıyla yapılmıştır.
Yöntemler
Araştırma tanımlayıcı tipte olup, veriler Mart 2019-Aralık 2019 tarihleri arasında toplanmıştır. Veriler, yüz yüze görüşme yöntemiyle anket kullanılarak toplanmıştır. İstanbul’da bir doğum hastanesinde yeni doğum yapan ve dahil edilme kriterlerini karşılayan toplam 358 anne çalışmaya dahil edilmiştir. Elde edilen veriler tanımlayıcı istatistikler ve ki-kare testi ile analiz edilmiştir.
Bulgular
Araştırmaya katılan annelerin %74,6’sı emzirme döneminde gebe kalan kadınların bebeklerini emzirmemeleri gerektiğini bildirmiştir. Multiparite öyküsü olan annelerin %32’si emzirme döneminde gebe kalma deneyimi yaşamış, %49’u emzirmeyi hemen bıraktığını, geri kalanlar bebeklerini kısa bir süre daha emzirmeye devam ettiklerini bildirmiştir. Annelerin %21,4’ü önceki bebeklerini hamile kaldıkları için, tekrar hamile kalmak istedikleri için veya hamile olduklarını düşündükleri için sütten kestiklerini belirtmişlerdir.
Sonuç
Anneler, emzirme döneminde hamile kalan kadınların bebeklerini emzirmeye devam etmemeleri gerektiğine inanıyordu. Ayrıca emzirme döneminde gebelik deneyimi yaşayan annelerin gebeliklerini öğrendikten hemen sonra veya kısa bir süre sonra emzirmeyi bıraktıkları saptanmıştır.
Anahtar Kelimeler: Anne sağlığı, bebek sağlığı, emzirme, gebelik, tandem emzirme
Kaynakça
World Health Organization, UNICEF. Baby-Friendly Hospital İniative Revised, Updated and Expanded for Integrated Care. Section 2, Strengthening and sustaining the baby-friendly hospital iniative: a course for decision-makers. Geneva, Switzerland: 2009.
World Health Organization, UNICEF. Facts for Life (4). New York: 2010.
World Health Organization, UNICEF. Global Breastfeeding Scorecard, 2018 Enabling Women to Breastfeed Through Better Policies and Programmes. Geneva, Switzerland: 2018.
Hacettepe University Institute of Population Studies. Turkey Demographic and Health Survey 2018. Elma Teknik Basım Matbaacılık Ltd. Şti. Ankara, Turkey; 2018.
Baranowska B, Malinowska M, Stanaszek E, Sys D, Bączek G, Doroszewska A, et al. Extended breastfeeding in Poland: knowledge of health care providers and attitudes on breastfeeding beyond infancy. J Hum Lact. 2019;35:371-80.
Fang Z, Liu Y, Wang H, Tank K. The patterns and social determinants of breastfeeding in 12 selected regions in china: a population- based cross-sectional study. J Hum Lact. 2019;36:436-47.
Ramiro González MD, Ortiz Marrón H, Arana Cañedo-Argüelles C, Esparza Olcina MJ, Cortés Rico O, Terol Claramonte M, et al. Prevalence of breastfeeding and factors associated with the start and duration of exclusive breastfeeding in the community of Madrid among participants in the ELOIN. An Pediatr (Engl Ed). 2018;89:32-43.
Gürarslan Baş N, Karatay G, Arikan D. Weaning practices of mothers in eastern Turkey. J Pediatr (Rio J). 2018;94:498-503.
Holmgren T, Lee AHX, Hocaloski S, Hamilton LJ, Hellsing I, Elliott S, et al. The influence of spinal cord injury on breastfeeding ability and behavior. J Hum Lact. 2018;34:556-65.
Magarey A, Kavian F, Scott JA, Markow K, Daniels L. Feeding mode infants in the first months of life. J Hum Lact. 2016;32:95-104.
Mikami FCF, Francisco RPV, Rodrigues A, Hernandez WR, Zugaib M, de Lourdes Brizot M. Breastfeeding twins: factors related to weaning. J Hum Lact. 2018;34:749-59.
Po E, Ec N, Cu N. Weaning practices among breastfeeding mothers local communities of Enugu State Nigeria. Clinics Mother Child Health. 2018;15:2-5.
Samlı G, Kara B, Cöbek Ünalan P, Samlı B, Sarper N, Gökalp AS. Knowledge, beliefs and practices of mothers about breastfeeding and infant nutrition: a qualitative study. Marmara Med J. 2006;19:13-20.
Albadran MM. Effect of breastfeeding during pregnancy on the occurence of miscarriage and preterm labour. Iraqi J Med Sci. 2013;11:285-9.
Onwudiegwu U. Is breastfeeding during pregnancy harmful? J Obstet Gynaecol. 2000;20:157.
Şengül Ö, Sivaslıoğlu AA, Kokanali MK, Üstüner I, Avşar AF. The outcomes of the pregnancies of lactating women. Turk J Med Sci. 2013;43:251-4.
Alfianrisa A, Salimo H, Poncorini E. Factors associated with exclusive breastfeeding: application of precede-proceed model and theory of planned behavior. J Maternal and Child Health. 2017;2:42-53.
Tang K, Wang H, Tan SH, Xin T, Qu X, Tang T. Association between maternal education and breastfeeding practices in China: a population-based cross-sectional study. BMJ Open. 2019;9:e028485.
Tsanidou E, Gougoula V, Tselebonis A, Kontogiorgis C, Constantinidis TC, Nena E. Socio-demographic factors affecting initiation and duration of breastfeeding in a culturally diverse area of North Eastern Greece. Folia Med (Plovdiv). 2019;61:566-71.
Ishii H. Does breastfeeding induce spontaneous abortion? J Obstet Gynaecol Res. 2009;35:864-8.
Madarshahian F, Hassanabadi M. A comparative study of breastfeeding during pregnancy: impact on maternal and newborn outcomes. J Nurs Res. 2012;20:74-80.
Marquis GS, Penny ME, Diaz JM, Marín RM. Postpartum consequences of an overlap of breastfeeding and pregnancy: reduced breast milk intake and growth during early infancy. Pediatrics. 2002;109:-e56.
Moscone SR, Moore MJ. Breastfeeding during pregnancy. J Hum Lact. 1993;9:83-8.
Devecioğlu E, Güneş Kürkçü D, Kural B, Eren T, Gökçay G. Breastfeeding during pregnancy and tandem nursing: case reports. Ist Faculty Med. 2014;77:60-3.
Ayrim A, Gunduz S, Akcal B, Kafali H. Breastfeeding throughout pregnancy in Turkish women. Breastfeed Med. 2014;9:157-60.
Bøhler E, Ingstad B. The struggle of weaning: factors determining breastfeeding duration in east Bhutan. Soc Sci Med. 1996;43:1805-15.
Ergenekon-Ozelci P, Elmaci N, Ertem M, Saka G. Breastfeeding beliefs and practices among migrant mothers in slums of Diyarbakir, Turkey, 2001. Eur J Public Health. 2006;16:143-8.
López-Fernández G, Barrios M, Goberna-Tricas J, Gómez-Benito J. Breastfeeding during pregnancy: A systematic review. Women Birth. 2017;30:292-300.
Shaaban OM, Glasier AF. Pregnancy during breastfeeding in rural Egypt. Contraception. 2008;77:350-4.
Pareja RG, Marquis GS, Penny ME, Dixon PM. A case-control study to examine the association between breastfeeding during late pregnancy and risk of a small-for-gestational-age birth in Lima, Peru. Matern Child Nutr. 2015;11:190-201.
O’Rourke MP, Spatz DL. Women’s experiences with tandem breastfeeding. MCN Am J Matern Child Nurs. 2019;44:220-7.
Serhatlıoğlu SG, Yılmaz E. What is tandem breastfeeding? IGUSABDER. 2020;12:433-42.
Marquis GS, Penny ME, Zimmer JP, Díaz JM, Marín RM. An overlap of breastfeeding during late pregnancy is associated with subsequent changes in colostrum composition and morbidity rates among Peruvian infants and their mothers. J Nutr. 2003;133:2585-91.
Çoşkun Erçelik H. Tandem ve gebelikte emzirmede hemşirelik yaklaşımı. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2022;9:95-9.
Uysal B, Akdolun Balkaya N. Getting pregnant while breastfeeding: can i carry on breastfeeding? EGEHF. 2002;38:53-61.


