Oflu Ayse, Yalcin Siddika Songul, Bukulmez Aysegul, Balikoglu Pelin, Celik Esra
Afyonkarahisar Health Sciences University, Department of Pediatrics, Afyonkarahisar, Turkey.
Hacettepe University, Institute of Child Health, Department of Social Pediatrics, Ankara, Turkey.
Sudan J Paediatr. 2022;22(1):61-69. doi: 10.24911/SJP.106-1616630272.
Exploring the determinants of timely initiation of breastfeeding is necessary for planning efficient breastfeeding promotion programmes. The present study aimed to investigate the frequency and related factors of timely initiation of breastfeeding among Turkish mothers. This study was a cross-sectional, descriptive, mixed model study, which was carried out on mothers with healthy children up to 3 years old who presented to the paediatric clinic between 01 November 2019 and 30 December 2019 in a university hospital. Of the 307 participant mothers, the mean age was 28.3 ± 3.9 years. The frequency of timely initiation of breastfeeding was 70.7%. Significant associations were found between timely initiation of breastfeeding status and residence, type of delivery, type of anaesthesia, birth weight of babies, counselling on timely initiation of breastfeeding during antenatal care and consultant medical staff. In order to increase the breastfeeding rate in the first hour, spontaneous vaginal delivery should be supported and spinal/epidural anaesthesia method should be preferred in cases where caesarean delivery is indicated. Other important steps to increase the ratio of timely initiation of breastfeeding are strengthening breastfeeding counselling services and the midwifery system.
探索母乳喂养及时开始的决定因素对于规划有效的母乳喂养促进项目是必要的。本研究旨在调查土耳其母亲中母乳喂养及时开始的频率及相关因素。本研究是一项横断面、描述性、混合模型研究，对2019年11月1日至2019年12月30日期间到某大学医院儿科门诊就诊的3岁以下健康儿童的母亲进行。在307名参与研究的母亲中，平均年龄为28.3±3.9岁。母乳喂养及时开始的频率为70.7%。发现母乳喂养及时开始状况与居住地址、分娩方式、麻醉类型、婴儿出生体重、产前护理期间关于母乳喂养及时开始的咨询以及咨询医护人员之间存在显著关联。为了提高产后第一小时的母乳喂养率，应支持自然阴道分娩，在指征剖宫产的情况下应首选脊髓/硬膜外麻醉方法。提高母乳喂养及时开始比例的其他重要措施是加强母乳喂养咨询服务和助产系统。
