Yavuz Dönmez Amine, Korğalı Elif Ünver
Department of Child Health and Diseases, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
Turk Arch Pediatr. 2021 Jan 12;56(2):164-172. doi: 10.14744/TurkPediatriArs.2020.75875. eCollection 2021 Mar.
Breast milk is the ideal food that meets all kinds of nutritional contents of babies. The World Health Organization recommends that all babies be fed exclusively breastfeeding for the first 6 months. This study aimed to evaluate the relationship between the perception of breast milk of mothers and fathers with term babies and exclusively breastfeeding status in the first 6 months and to investigate the factors affecting exclusively breastfeeding status.
Our longitudinal type study includes healthy/term infants and their parents born between 1 July-30 September 2018. In the postpartum period "adult's perception level of breast milk scale" was completed by the parents. The nutritional properties of the babies were recorded by reaching the families by phone when they were 2, 4, and 6 months old. Of the 341 families that participated in the study, 332 were evaluated and the study was completed with 304, 297, and 292 families at the 2, 4, and 6 months, respectively.
Exclusively breastfeeding ratio was 85.5%, 68%, and 50% in the 2, 4, and 6 months, respectively. The mean score of the mothers on perception level of milk scale was significantly higher than the fathers (133.97±10.01 vs 123.91±13.41, p<0.001, respectively). The scale score of the mothers receiving breastfeeding training was significantly higher than the mothers without training (135.19±8.55 vs 130.91±12.25, respectively, p=0.008). The mode of delivery is related to the level of perception of breast milk of mothers and fathers. Mothers who had the last cesarean section had lower scale scores than those who delivered normally (131.71±12.11 vs 134.94±8.80, respectively, p=0.007). In the fathers whose spouse had a cesarean section, the scale scores were significantly higher than those whose spouses had normal delivery (126.42±12.73 vs 122.83±13.57, p=0.026, respectively). There was no correlation between exclusively breastfeeding status and breastmilk perception levels of the parents in the first 6 months. The mother's breastfeeding her previous child for ≥6 months and the use of pacifier/baby bottle were associated with exclusively breastfeeding status in the first 6 months.
Fathers should be included in breastmilk and breastfeeding training.
母乳是满足婴儿各种营养成分的理想食物。世界卫生组织建议所有婴儿在出生后的前6个月纯母乳喂养。本研究旨在评估足月儿父母对母乳的认知与前6个月纯母乳喂养状况之间的关系，并调查影响纯母乳喂养状况的因素。
我们的纵向研究纳入了2018年7月1日至9月30日出生的健康足月儿及其父母。在产后阶段，父母完成了“成人对母乳的认知水平量表”。当婴儿2、4和6个月大时，通过电话联系家庭记录婴儿的营养状况。在参与研究的341个家庭中，332个家庭接受了评估，分别在2、4和6个月时，最终有304、297和292个家庭完成了研究。
在2、4和6个月时，纯母乳喂养率分别为85.5%、68%和50%。母亲在母乳认知水平量表上的平均得分显著高于父亲（分别为133.97±10.01和123.91±13.41，p<0.001）。接受母乳喂养培训的母亲的量表得分显著高于未接受培训的母亲（分别为135.19±8.55和130.91±12.25，p=0.008）。分娩方式与父母对母乳的认知水平有关。最后一次剖宫产的母亲的量表得分低于顺产的母亲（分别为131.71±12.11和134.94±8.80，p=0.007）。配偶进行剖宫产的父亲的量表得分显著高于配偶顺产的父亲（分别为126.42±12.73和122.83±13.57，p=0.026）。前6个月纯母乳喂养状况与父母对母乳的认知水平之间没有相关性。母亲前一个孩子纯母乳喂养≥6个月以及使用安抚奶嘴/奶瓶与前6个月纯母乳喂养状况有关。
父亲应纳入母乳和母乳喂养培训。
