Turkiye Klinikleri Journal of Nursing Sciences

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Başarılı Emzirmede 10 Adım: 6 ve 9. Adımların İhlali, Nedenleri ve Sonuçları
Ten Steps to Successful Breastfeeding: Violation Reasons and Results of Steps 6 and 9
Sevgi ÖZSOYa, Hilmiye AKSUa
aDoğum, Kadın Sağlığı ve Hastalıkları Hemşireliği AD, Aydın Adnan Menderes Üniversitesi Hemşirelik Fakültesi, Aydın, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(1):74-80
doi: 10.5336/nurses.2018-61845
Article Language: TR
Full Text
ÖZET
 Emzirme, çocuğun sağlığını ve hayatta kalmasını sağlamak için en etkili yollardan biridir. Dünya Sağlık Örgütü emzirmenin korunması, yaygınlaştırılması ve desteklenmesi için "Bebek Dostu Hastane" girişimini başlatmış, doğum ve yenidoğan hizmeti veren hastaneler için "Başarılı Emzirme İçin 10 Adım İlkeleri"ni yayımlamıştır. Dünya da ve ülkemizde pek çok hastane Bebek Dostu olmasına karşın, bebeklerin sadece anne sütü alma ve toplam emzirilme süreleri hâlen istendik düzeyde değildir. Bunun en önemli nedenlerinden biri, bebek ve yenidoğana erken dönemde ek gıda verilmeye başlanması ve biberon kullanımıdır. Oysa "Başarılı Emzirme İçin 10 Adım" ilkelerinden 6.sı "Tıbbi bir gereksinme olmadıkça yenidoğana anne sütü dışında herhangi bir yiyecek ya da içecek vermemek", 9.su ise "Anne sütü ile beslenen bebeklere biberon veya yalancı emzik vermemek" gerektiğini belirtmektedir. Bu çalışmada, başarılı emzirme için 10 adım ilkelerinden 6. ve 9.sunun ihlali, nedenleri ve sonuçlarının tartışılmıştır.

Anahtar Kelimeler: Emzirme; başarılı emzirme; bebek dostu; hastane uygulamaları
ABSTRACT
 Breastfeeding is one of the most effective ways to ensure child health and survival. The World Health Organization has launched the "Baby Friendly Hospital" initiative for the protection, dissemination and support of breastfeeding and, has published the "Ten Steps to Successful Breastfeeding" (the Ten Steps) for facilities providing maternity and newborn services. Although there are many hospitals Baby Friendly in the world and in our country, the exclusive breastfeeding and total breastfeeding times of babies are not at desired levels. One of the most important reasons for this is the early addition of new food to the newborn and the use of feeding bottles. However, in the 6th step of the principles "Ten Steps to Successful Breastfeeding" are indicate "Give newborn infants no food or drink other than breastmilk, unless medically indicated" and in the 9th step "Give no artificial teats or pacifiers to breastfeeding infants". In this article, the violation, reasons and results of the 6th and 9th principles of ten-step principles for successful breastfeeding are discussed.

Keywords: Breastfeeding; successful breastfeeding; baby friendly; hospital practices
REFERENCES:
  1. World Health Organization (WHO), UNICEF. Global strategy for infant and young child feeding. Geneva: World Health Organization; 2003. p.30.
  2. World Health Organization (WHO). Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals. Geneva: World Health Organization; 2009. p.97.
  3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Türkiye Nüfus ve Sağlık Araştırması 2013. Türkiye: Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Sağlık Bakanlığı ve TÜBİTAK. Ankara: Elma Teknik Basım Matbaacılık Ltd Şti; 2014. p.343.
  4. World Health Organization (WHO) and UNICEF. Baby-friendly hospital initiative: revised, updated and expanded for integrated care. Section 1. Background and implementation. Geneva, Switzerland: World Health Organization; 2009. p.64.
  5. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu Çocuk ve Ergen Sağlığı Dairesi. Emzirme Danışmanlığı El Kitabı. Ankara, Türkiye. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu Çocuk ve Ergen Sağlığı Dairesi. Özyurt Matbaacılık İnş. Taah. San. ve Tic. Ltd. Şt; 2015, p.129.
  6. Alikaşifoğlu M, Erginoz E, Gur ET, Baltas Z, Beker B, Arvas A. Factors influencing the duration of exclusive breastfeeding in a group of Turkish Women. J Hum Lact. 2001;17(3):220-6 [Crossref] [PubMed]
  7. Ünalan PC, Akgün T, Çiftçili S, Boler İ, Akman M. Why do mothers attending a baby-friendly mother and child health care unit start early solid food to their babies? Turk Arch Ped. 2008;43(2):59-64.
  8. Yılmazbaş P, Kural B, Uslu A, Sezer GM, Gökçay G. Reasons of complementary feeding from the point of view of mothers and their opinions about formulas. J Ist Fac Med. 2015;78(3):76-82. [Crossref]
  9. Gölbaşı Z, Koç G. [Beastfeeding behaviour of women during postpartum first six months and effect of prenatal breastfeeding attitude on postpartum breastfeeding]. Hacettepe University Faculty of Health Sciences Nursing Journal. 2008;16-31.
  10. Bolat F, Uslu S, Bolat G, Bülbül A, Arslan S, Çelik M, et al. [Factors affecting breast feeding in the first six months of life]. J Child. 2011;11(1):5-13. [Crossref]
  11. Yeşilçiçek-Çalık K, Çetin FC, Erkaya R. [Breastfeeding practices of mothers and influencing practices]. GUSBD. 2017;6(3):80-91.
  12. Şatır G, Çelik M, Kemhacıoğlu M. Infant feeding practices of breast-feeding mothers and affecting factors. Med J SDU. 2017;24(3):606.
  13. Çatak B, Sütlü S, Kılınç AS, Bağ D. [Breastfeeding and nutrition patterns of babies in Burdur]. Pamukkale Med J. 2012;5(3):115-22.
  14. Arslan N, Akbaş A, Kameri M, Korkmaz Ö, Polat B, Aydın A. [Nutrition types in healthy infants and infant feeding practices of mothers: questionnaire study]. DEÜ Tıp Fakültesi Derg. 2007;1(232):1-5.
  15. İnce T, Kondolot M, Yalçın SS, Yurdakök K. [Breastfeeding counseling status of morhers]. Çocuk Sağlığı ve Hast Derg. 2010;53(3):18997.
  16. Üstüner F, Bodur S. [The relationship between breastfeeding alone for the first six months and monitoring monthly and breastfeeding training reinforcement of mother by nurse in infants]. Genel Tıp Derg. 2009; 19(1):25-32.
  17. Meirelles Cde A, Oliveira MI, Mello RR, Varela MA, Fonseca Vde M. [Justifications for formula supplementation in low-risk newborns at a baby-friendly hospital]. Cad Saude Publica. 2008;24(9):2001-12. [Crossref] [PubMed]
  18. Yıldırım-Çifçili S, Yılmaz-Akgün T, Akman M, Cobek-Ünalan P, Uzuner A, Kalaca S. Risk factors for early weaning among babies followed-up in a Baby-Friendly primary care unit in Istanbul. Nobel Med. 2011;7(3):66-71.
  19. Toronto Public Health. Breastfeeding protocols for health care providers. Indications for Supplementation or Cessation of Breastfeeding. Toronto Public Health; 2013. p.125-31.
  20. World Health Organization (WHO), UNICEF. Baby Friendly Hospital Initiative. Section 2. Strengthening and Sustaining the BabyFriendly Hospital Initiative: A Course For Decision-Makers. Geneva: WHO; 2009. p. 428.
  21. World Health Organization (WHO), UNICEF. Baby-Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care. Section 3. Breastfeeding Promotion and Support in a Baby-Friendly Hospital: A 20-Hour Course for Maternity Staff. Geneva: WHO; 2009. p.274.
  22. World Health Organization (WHO), UNICEF. Acceptable medical reasons for use of breastmilk substitutes. Geneva, Switzerland: WHO: 2009. p.12.
  23. Gün İ, Yılmaz M, Şahin H, İnanç N, Aykut M, Günay O, et al. [The breast-feeding status of 0-36-month-old children in Kayseri, Melikgazi education and research area]. Cocuk Sagligi ve Hast Derg. 2009;52(4):176-82.
  24. World Health Organization (WHO). National Implementation of the Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2017. p.45.
  25. World Helath Organization (WHO) and UNICEF. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services-the revised Baby-friendly Hospital Initiative. Geneva, Switzerland: World Health Organization; 2018. p.47.
  26. Zakarija-Grkovic I. Exclusive breastfeeding in the hospital: how accurate are the data? J Hum Lact. 2012;28(2):139-44. [Crossref] [PubMed]
  27. Bakiler AR, Özgür S, Özer Arun E. [Factors influencing on breastfeeding]. İzmir Tepecik Hastan Derg. 2005;15(2):111-5. [Crossref]
  28. Stolzer JM, Hossain SA. Breastfeeding education: a physician and patient assessment. Child Development Research. 2014;2014: 6.
  29. World Health Organization (WHO). Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. World Heal. Geneva: World Health Organization; 2017. p.120.
  30. Munn AC, Newman SD, Mueller M, Phillips SM, Taylor SN. The impact in the United States of the Baby-Friendly Hospital Initiative on early infant health and breastfeeding outcomes. Breastfeed Med. 2016;11(5):222-30.[Crossref] [PubMed] [PMC]

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