Journals / Sağlık Akademisi Kastamonu / 2023 / Cilt: 8 Sayı: 3

Breastfeeding Experiences of Midwife Mothers and Barriers to Their Breastfeeding

Ebe Annelerin Emzirme Deneyimleri ve Emzirmelerinin Önündeki Engeller

Elif Dağlı(ÇUKUROVA ÜNİVERSİTESİ)0000-0002-4608-8904
Nilüfer Topkara(Eskişehir İl Sağlık Müdürlüğü)0000-0001-7646-3456
Feyza Aktaş Reyhan(KÜTAHYA SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, KÜTAHYA SAĞLIK YÜKSEKOKULU, EBELİK PR.)0000-0002-7927-2361
Pages
441–453
Publication Date
2023-12-31
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was found that some of the participants could not breastfeed because 34.5% of them did not have enough milk, 28.2% took short maternity leave, 26.6% had a busy work schedule, 24.9% had long working hours, 22.6% did not have a suitable place to express milk, 18.6% did not have enough time, and 10.7% were concerned about COVID-19 transmission.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Midwives are at the forefront of the breastfeeding success of mothers, but the breastfeeding experiences of midwives who are mothers are unknown.
📊
Key Findings & Data:A total of 177 midwives who had breastfeeding experience were included in the study.
💡
Conclusion & Impact:It was found that some of the participants could not breastfeed because 34.5% of them did not have enough milk, 28.2% took short maternity leave, 26.6% had a busy work schedule, 24.9% had long working hours, 22.6% did not have a suitable place to express milk, 18.6% did not have enough time, and 10.7% were concerned about COVID-19 transmission.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Ebe · Anneler · Emzirme

Abstract

Introduction: Midwives are at the forefront of the breastfeeding success of mothers, but the breastfeeding experiences of midwives who are mothers are unknown. Aim: This study was planned to determine the breastfeeding experiences of midwife mothers and the barriers to their breastfeeding. Materials and Methods: The study used a cross-sectional and descriptive design. A total of 177 midwives who had breastfeeding experience were included in the study. Results: The mean age of the midwife mothers was 39.71 ± 7.17 years and 53.1% had 2 children. The first breastfeeding time was 152.76 ± 471.97 minutes, the duration of breastfeeding was 14.88 ± 9.87 months, the duration of exclusive breastfeeding was 4.43 ± 1.65 months, and the duration of maternity leave was 6.16 ± 6.30 months. It was determined that 38.4% gave pre-lacteal feeding. It was found that some of the participants could not breastfeed because 34.5% of them did not have enough milk, 28.2% took short maternity leave, 26.6% had a busy work schedule, 24.9% had long working hours, 22.6% did not have a suitable place to express milk, 18.6% did not have enough time, and 10.7% were concerned about COVID-19 transmission. A statistically significant correlation was found between exclusive breastfeeding in the first 6 months and breastfeeding up to the age of 2 and pre-lacteal feeding, time of going back to work after maternity leave, psychological status, and sleep status (p <0.05). Conclusion: Midwives who are mothers experience significant barriers to reaching their breastfeeding goals.

Özet

Giriş: Annelerin emzirme başarısında ebeler ön plandadır, ancak anne olan ebelerin kendi emzirme deneyimleri bilinmemektedir. Amaç: Bu çalışma, ebe annelerin emzirme deneyimleri ve emzirmenin önündeki engelleri belirlemek amacıyla planlandı. Gereç ve Yöntemler: Kesitsel ve tanımlayıcı özelliktedir. Araştırmaya, çalışmaya katılmaya gönüllü ve çocuğunu emzirmiş 177 ebe dâhil edildi. Bulgular: Ebe annelerin yaş ortalaması 39.71±7.17 yıl ve %53.1’i 2 çocuğa sahip idi. İlk emzirme zamanı 152.76±471.97 dakika, emzirme süresi 14.88±9.87 ay, sadece anne sütü verme süresi 4.43±1.65 ay ve doğum sonu işe başlama zamanı ise 6.16±6.30 ay olduğu belirlendi. %38.4’ünün pre-lakteal verdiği tespit edildi. %34.5’inin sütünün yeterli olmadığı ve %28.2’sinin kısa doğum izni, %26.6’sının mesai yoğunluğu, %24.9’unun uzun çalışma saatleri, %22.6’sının süt sağmak için uygun yer olmaması, %18.6’sının zaman azlığı ve %10.7’sinin ise COVID-19 bulaştırma endişesi sebebiyle emziremediği belirlendi. İlk 6 ay sadece anne sütü verme durumu ve 2 yaşına kadar emzirme durumu ile pre-lakteal verme, doğum sonu işe başlama zamanı, psikolojik durumu ve uyku durumu arasında istatistiksel olarak anlamlı ilişki tespit edildi (p<0.05). Sonuç: Anne olan ebeler kendi emzirme hedeflerine ulaşmada önemli engellerle karşılaşmaktadırlar.

🔖

Cite This Article

Dağlı, E., Topkara, N., Reyhan, F. A. (2023). Breastfeeding Experiences of Midwife Mothers and Barriers to Their Breastfeeding. Sağlık Akademisi Kastamonu, Cilt: 8 Sayı: 3, 441–453. https://doi.org/10.25279/sak.1081411

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (34)

  1. Alb, C.H., Theall, K., Jacobs, M.B., & Bales, A. (2016). Awareness of United States law for nursing mothers among employers in New Orleans, Louisiana. Women’s Heal Issues. Jacobs Institute of Women’s Health, 27 (1), 14-20. http://doi.10.1016/j.whi.2016.10.009
  2. Bai, D.L., Fong, D.Y.T., & Tarrant, M. (2015). Factors associated with breastfeeding duration and exclusivity in mothers returning to paid employment postpartum. Maternal Child Health Journal, 19 (5), 990-999. http://doi.10.1007/s10995-014-1596-7
  3. Brodribb, W., Fallon, A., Jackson, C., & Hegney, D. (2008). The relationship between personal breastfeeding experience and the breastfeeding attitudes, knowledge, confidence, and effectiveness of Australian GP registrars. Matern Child Nutrition, 4, 264-274. http://doi.10.1111/j.1740-8709.2008.00141.x
  4. Cantu, R M., Gowen, M.S., Tang, X., & Mitchell, K. (2018). Breastfeeding Medicine, 13 (5), 341-345. http://doi.org/10.1089/bfm.2018.0022
  5. Centers for disease control and prevention. Breastfeeding report card. (2021). United States/2013.https://www.cdc.gov/breastfeeding/pdf/2013breastfeedingreportcard.pdf.
  6. Darwent, K.L., McInnes, R.J., & Swanson, V. (2016). The Infant feeding genogram: a tool for exploring family infant feeding history and identifying support needs. BMC Pregnancy Childbirth, 16 (315), 2-10. http://doi.org/10.1186/s12884-016-1107-5
  7. Dixit, A., Feldman-Winter, L., & Szucs, K.A. (2015). Frustrated, depressed, and devastated pediatric trainees: us academic medical centers fail to provide adequate workplace breastfeeding support. Journal of Human Lactation, 31 (2), 240-248. http://doi.10.1177/0890334414568119
  8. Eren, T., Kural, B., Yetim, A., Boran, P., & Gökçay, G. (2018). Breastfeeding experiences of female physician. Türk Pediatri Arsivi, 53 (4), 238-244. http://doi.10.5152/TurkPediatriArs.2017.6497
  9. Ersen, G., Kasim, I., Agadayi, E., Demir-Alsancak, A., Sengezer, T., & Ozkara, A. (2020). Factors affecting the behavior and duration of breastfeeding among physician mothers. Journal of Human Lactation, 36 (3), 471-477. http://doi.org/10.1177/0890334419892257
  10. Juengst, S. B., Royston, A., Huang, I., & Wright, B. (2019). Family leave and return-to-work experiences of physician mothers. JAMA Network Open. 2 (10), 471-477. http://doi.10.1001/jamanetworkopen.2019.13054
  11. Khaliq, A., Qamar, M., Hussaini, S.A., Azam, K., Zehra, N., Hussain, M., & Jaliawala, H. A. (2017). Assessment of knowledge and practices about breastfeeding and weaning among working and non-working mothers. Journal of Pakistan Medical Association. 67 (3), 332-338.
  12. Khanal, V., Adhikari, M., Sauer, K., & Zhao, Y. (2013). Factors associated with the introduction of pre-lacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011. International Breastfeeding Journal, 8 (1), 2-9. http://doi.10.1186/1746-4358-8-9.
  13. Lafçı, D., & Erdem, E. (2014). 15-49 yaş grubu evli kadınların doğum sonu dönemde anne ve bebek bakımına yönelik geleneksel uygulamaları. Gaziantep Medical Journal, 20 (3), 226-236.
  14. Melnitchouk, N., Scully, R.E., & Davids, J.S. (2018). Barriers to breastfeeding for US physicians who are mothers. JAMA Internal Medicine. 178 (8), 1130-1132. http://doi.10.1001/jamainternmed.2018.0320
  15. Novianti, N., & Rizkianti., A. (2014). Pemberian asupan pre-lakteal sebagai salah satu faktor kegagalan asi eksklusif pada pekerja buruh ındustri tekstil di Jakarta. Indonesian Journal of Reproductive Health, 5 (1), 23-36.
  16. Pemo, K., Phillips, D., & Hutchinson, A.M. (2020). Midwives’ perceptions of barriers to exclusive breastfeeding in Bhutan: A qualitative study, Women and Birth, 33 (4). http://doi.org/10.1016/j.wombi.2019.07.003
  17. Renfrew, M.J., McFadden, A., Bastos, M.H., Campbell, J., Channon, A.A., Cheung, N.F., Silva, D.R., Downe, S., Kennedy, H.P., Malata, A., McCormick, F., Wick, L., & Declercq, E. (2014). Midwifery and quality care: findings from a new evidence‐informed framework for maternal and newborn care. Lancet, 384 (9948), 1129-1145. http://doi.10.1016/S0140-6736(14)60789-3
  18. Riaz, S., & Condon, L. (2019). The experiences of breastfeeding mothers returning to work as hospital nurses in Pakistan: a qualitative study. Women Birth, 32 (2), 252-258.
  19. Sari, Y., & Angraini, D. (2019). Determinan pemberian makanan pre-lakteal dini pada bayi usia 0-7 Hari. Journal Ilmu Dan Teknologi Kesehatan, 7 (1), 47-59. http://doi.org/10.32668/jitek.v7i1.216
  20. Sattari, M., Levine, D., Bertram, A., & Serwint J. R. (2010). Breastfeeding intentions of female physicians. Breastfeeding Medicine, 5 (6), 297-302. http://doi.10.1089/bfm.2009.0090
  21. Sattari, M., Levine, D., Neal, D., & Serwin, J.R. (2013). Personal breastfeeding behavior of physician mothers ıs associated with their clinical breastfeeding advocacy. Breastfeeding Medicine, 8 (1), 31-39. http://doi.org/10.1089/bfm.2011.0148
  22. Sattari, M., Levine, D.M., Mramba, L.K., Pina, M., Raukas, R., Rouw, E., & Serwint, J.R. (2020). Physician mothers and breastfeeding: a cross-sectional survey. Breastfeeding medicine, 15 (5), 312-320. http://doi.org/10.1089/bfm.2019.0193
  23. Sriraman, N.K., & Kellams, A. (2016). Breastfeeding: what are the barriers? why women struggle to achieve their goals. Journal of Women's Health. 25 (7). http://doi.10.1089/jwh.2014.5059
  24. Hoope-Bender, T.P., De Bernis, L., Campbell, J., Downe, S., Fauveau, V., Fogstad, H., Homer, C.S., Kennedy, H.P., Matthews, Z., McFadden, A., Renfrew, M.J., & Van-Lerberghe, W. (2014). Improvement of maternal and newborn health through midwifery. Lancet, 384 (9949), 1226-1235. http://doi.10.1016/S0140-6736(14)60930-2.
  25. Thepha, T., Marais, D., Bell, J., & Muangpin, S. (2017). Facilitators and barriers to exclusive breastfeeding in Thailand: a narrative review. Journal of Communitive Public Health Nursing, 3 (1). http://doi.10.4172/2471-9846.1000160
  26. Thussanasupap, B., Lapvongwatana, P., Kalampakorn, S., & Spatz, D.L. (2016). Effects of the community-based breastfeeding promotion program for working mothers: a quasi-experimental study. Pacific Rim International Journal of Nursing Research, 20 (3), 196-209. http://doi.he02.tci-thaijo.org/index.php/PRIJNR/article/view/43772
  27. Türkiye Nüfus ve Sağlık Araştırması Raporu, (2018). http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf
  28. Waite, W.M., & Christakis, D. (2015). Relationship of maternal perceptions of workplace breastfeeding support and job satisfaction. Breastfeed Medicine, 10 (4), 222-227. http://doi.10.1089/bfm.2014.0151
  29. World Health Organisation Exclusive breastfeeding (2019). http://www.who.int/elena/titles/exclusive_breastfeeding/en/Google Scholar
  30. Vedam S, Stoll K, MacDorman M, Declercq, E., Cramer, R., Cheyney, M., Fisher, T., & Kennedy, H.P. (2018). Mapping integration of midwives across the United States: impact on access, equity, and outcomes. PLoS One, 13 (2), e0192523. http://doi.org/10.1371/journal.pone.0192523
  31. Victora, C.G., Bahl, R., Barros, A.J., França, G.V., Horton, S., Krasevec, J., Murch, S., Sankar, M.J., Walker, N., & Rollins, N.C. (2016). Breastfeeding series group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. Jan 30, 387 (10017), 475-490. http://doi.10.1016/S0140-6736(15)01024-7. PMID: 26869575.
  32. Yalçın, S.S, Çaylan N., Yalçın S., & Eryurt M.A. (2020). Trends and determinants of pre-lacteal feeding in Turkey: analysis of 2003-2018 demographic and health surveys. Public Health Nutrition. 1-14. http://doi.10.1017/S1368980020002037
  33. Yiğitalp, G., & Gümüş, F. (2017). Diyarbakır’da 15-49 yaş kadınların bebek bakımıyla ilgili geleneksel uygulamaları. Türkiye Çocuk Hastalıkları Dergisi, 3, 188-196. http://doi.10.12956/tjpd.2017.266
  34. Melnitchouk, N., Scully, R.E., & Davids, J.S. (2018). Barriers to breastfeeding for US physicians who are mothers. JAMA Internal Medicine. 178 (8), 1130-1132. http://doi.10.1001/jamainternmed.2018.0320