Salcan Sara, Topal Ismail, Ates Irem
Department of Public Health, Erzincan University School of Medicine, Erzincan, Turkey.
Department of Pediatric Diseases, Erzincan University School of Medicine, Erzincan, Turkey.
Eurasian J Med. 2019 Jun;51(2):145-149. doi: 10.5152/eurasianjmed.2018.18310. Epub 2018 Nov 30.
The World Health Organization emphasizes that it is essential that infants be fed only breast milk for the first six months. This study is designed to investigate the frequency of exclusive breastfeeding and the related factors during the first six months in infants born in 2016 in Erzincan province.
Our study is a cross-sectional study, and the study population consisted of 2166 babies born in 2016, and registered with the family physicians. The sample size was calculated as 635 with a 95% confidence interval and 3% error margin, assuming that the frequency of exclusive breastfeeding in first six months is 30%. The family physicians were randomly selected. Mothers included in the study were determined by random sampling method. The data were collected by interviewing the mothers individually, and then analyzed in the SPSS (IBM, SPSS Corp.; Armonk, NY, USA) 21.0 package program.
In this study, the rate of infants who received only breast milk for the first six months was calculated as 45.7%. The average period of exclusive breastfeeding was 4.4±2.03 months. It was observed that the children of mothers with prenatal and postnatal education received only breast milk for longer time. Also, mothers who do not work, those who do not use tobacco after birth, and those without depression also fed their children with only breast milk for longer time. In pacifiers or bottle users, infants receiving other nutrients after birth had a lower rate of exclusive breastfeeding for the first six months.
In our study, it has been observed that to increase the rate of exclusive breastfeeding, it is necessary to increase the education before and after the birth; to not use any other nutrients, pacifier, or bottle after delivery; and to spend adequate time with the baby.
世界卫生组织强调,婴儿在出生后的前六个月仅喂母乳至关重要。本研究旨在调查2016年在埃尔津詹省出生的婴儿前六个月纯母乳喂养的频率及其相关因素。
我们的研究是一项横断面研究,研究人群包括2016年出生并在家庭医生处登记的2166名婴儿。假设前六个月纯母乳喂养的频率为30%,计算出样本量为635,置信区间为95%,误差幅度为3%。家庭医生是随机选取的。纳入研究的母亲通过随机抽样方法确定。通过单独采访母亲收集数据,然后在SPSS(IBM公司;美国纽约州阿蒙克)21.0软件包程序中进行分析。
在本研究中,前六个月仅接受母乳喂养的婴儿比例计算为45.7%。纯母乳喂养的平均时长为4.4±2.03个月。观察到接受过产前和产后教育的母亲的孩子纯母乳喂养的时间更长。此外,不工作的母亲、产后不吸烟的母亲以及没有抑郁症的母亲也更长时间地仅用母乳喂养孩子。在使用安抚奶嘴或奶瓶的婴儿、出生后接受其他营养物质的婴儿中,前六个月纯母乳喂养的比例较低。
在我们的研究中,已观察到要提高纯母乳喂养率,有必要增加产前和产后教育;产后不使用任何其他营养物质、安抚奶嘴或奶瓶;并与婴儿共度足够的时间。