Abstract
ABSTRACT
Purpose: This descriptive study aimed to assess the breastfeeding self-efficacy and breastfeeding success of mothers whose infants were diagnosed with indirect hyperbilirubinemia (IHB).
Methods: The research was conducted on 115 mothers whose infants were undergoing phototherapy treatment in the neonatal intensive care, postpartum, and postoperative care units of a maternity hospital in Ankara. Data were collected through face-to-face interviews. Mothers completed the Mother-Infant Identification Form and the Breastfeeding Self-Efficacy Scale (BSES); their breastfeeding processes were evaluated using the LATCH scale.
Results: The average BSES score among the 115 mothers surveyed was found as 51.79 ± 9.4. The average of LATCH scores was 7.46 ± 1.93. LATCH scores differed significantly by the gender of the infants, their birth weight, and the time of discharge, whereas the average BSES scores showed no significant differences across these variables.
Conclusion: The study revealed that the level of self-efficacy and breastfeeding success of mothers whose infants diagnosed with IHB was insufficient. Also, multiple factors are considered to influence the initiation and continuation of breastfeeding behaviors.
Key Words: breastfeeding self-efficacy, indirect hyperbilirubinemia, newborn, phototherapy
ÖZET
Amaç: Bu araştırma, bebeği indirekt hiperbilirubinemi (İHB) tanısı almış annelerin emzirme öz-yeterliliği ve emzirme başarısının değerlendirilmesi amacıyla tanımlayıcı olarak yapılmıştır.
Yöntem: Araştırma, Ankara’da bir kadın doğum hastanesinde yenidoğan yoğun bakım, postpartum ve postoperatif bakım servislerinde, fototerapi tedavisi alan 115 annenin katılımıyla gerçekleştirilmiştir. Veriler, yüz yüze görüşme yöntemiyle toplanmıştır. Anneler, Anne-Bebek Tanıtım Formu ve Emzirme Öz-Yeterlilik Ölçeği’ni (EÖYÖ) doldurmuş; emzirme süreçleri LATCH ölçeği ile değerlendirilmiştir.
Bulgular: Araştırmaya katılan 115 annenin EÖYÖ puan ortalaması 51,79 ± 9,4, LATCH puan ortalaması ise 7,46 ± 1,93 olarak bulunmuştur. Bebeklerin cinsiyetine, doğum ağırlığına ve taburcu olma zamanına göre LATCH puanları ortalamaları anlamlı farklılık gösterirken, EÖYÖ puan ortalamalarının anlamlı farklılık göstermediği belirlenmiştir.
Sonuç: İHB tanısı alan bebeklerin annelerinde emzirme öz yeterliliği ve emzirme başarısının düşük düzeyde olduğu belirlenmiştir. Ayrıca, emzirme davranışlarının başlatılması ve sürdürülmesinde birden fazla faktörün etkili olduğu değerlendirilmiştir.
Anahtar Kelimeler: emzirme öz yeterliliği, indirekt hiperbilirubinemi, yenidoğan, fototerapi
Project Number
This article is a part of a thesis submitted to Ankara University Institute of Health Sciences with the thesis number 473741
References
- 1. Hansen TWH, Bratlid D. Physiology of neonatal unconjugated hyperbilirubinemia. In: Stevenson DK, Maisels MJ, Watchko JF, eds. Care of Jaundiced Neonate. New York: McGraw-Hill; 2012. p. 65-95.
- 2. Gomella TL. Neonatology. Coban A, İnce Z, translators. Istanbul, Türkiye; 2012. p. 488-509.
- 3. Erdeve O, Okulu E, Olukman O, et al. Turkish Neonatal Jaundice Registry Collabolators. The Turkish Neonatal Jaundice Online Registry: A national root cause analysis. PLoS One 2018; 13: e0193108. https://doi.org/10.1371/journal.pone.0193108
- 4. American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297.
- 5. Turkish Neonatal Society (TNS). Approach to Newborn Jaundice, Follow-up and Treatment Guide. Coban A, Turkmen M, Gursoy T, eds. Ankara, Türkiye; 2014.
- 6. Maisels MJ, Newman TB. Prevention, screening and postnatal management of neonatal hyperbilirubinemia. In: Stevenson DK, Maisels MJ, Watchko JF, editors. Care of Jaundiced Neonate. New York: McGraw-Hill; 2012. p. 175-194.
- 7. Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self‐Efficacy Scale. Res Nurs Health. 1999;22:399-409. https://doi.org/10.1002/(SICI)1098-240X(199910)22:5%3C399::AID-NUR6%3E3.0.CO;2-4
- 8. Dennis R, Winston BE. A factor analysis of Page and Wong’s servant leadership instrument. Leadership Organ Dev J. 2003;24:455-459. https://doi.org/10.1108/01437730310505885
- 9. Caylan N, Yalcin SS. Baby-friendly hospital initiative and formula code. Turkey Clinics Social Pediatrics-Special Topics, 2021; 2(2), 7–15.
- 10. Ministry of Health of the Republic of Turkey, Public Health Institution of Turkey, Department of Child and Adolescent Health. Breastfeeding Counseling Handbook. 2018.
- 11. Hacettepe Institute of Population Studies. 2018 Türkiye Demographic and Health Survey Advanced Analysis Study. Hacettepe University Institute of Population Studies; 2021. Available from: https://dspace.ceid.org.tr/handle/1/1299
- 12. Kucukoglu S. The effect of natural nutrition education given to mothers with low-birth weight babies on mothers’ breastfeeding self-efficacy level, breastfeeding success, and baby’s growth [Ph.D. thesis]. Erzurum: Ataturk University Health Sciences Institute, Child Health and Diseases Nursing Department; 2011.
- 13. Jensen D, Wallace S, Kelsay P. LATCH: A breastfeeding charting system and documentation tool. JOGNN. 1994;23:27-32. https://doi.org/10.1111/j.1552-6909.1994.tb01847.x
- 14. Demirhan F. Assessment of breastfeeding in Sakarya province [Unpublished master’s thesis]. Istanbul: Marmara University Health Sciences Institute, Child Health and Diseases Nursing Department; 1997.
- 15. Aslan Y, Ege E. Breastfeeding self-efficacy of mothers and its relationship with depression risk. J Hum Sci. 2016;13:3160-3172. http://dx.doi.org/10.14687/jhs.v13i2.3759
- 16. Ören EDT, Atan, ŞÜ, Kavlak O. Breastfeeding Attitudes of Women in Postpartum Period and Affecting Factors. İzmir Kâtip Çelebi University Faculty of Health Sciences Journal, 2023; 8(1), 27-35.
- 17. Sankar MJ, Agarwal R, Mishra S, et al. Feeding of low birth weight infants. Indian J Pediatr. 2008;75:459-469. https://doi.org/10.1007/s12098-008-0073-y.
- 18. Bertini G, Dani C, Tronchin M, Rubaltelli FF. Is breastfeeding really favoring early neonatal jaundice? Pediatrics. 2001;107:41-44.https://doi.org/10.1542/peds.107.3.e41
- 19. Lain SJ, Roberts CL, Bowen JR, Nassar N. Early discharge of infants and risk of readmission for jaundice. Pediatrics. 2015;135:314-321. https://doi.org/10.1542/peds.2014-2388.
- 20. Niestijl AL, Sauer PJ. Breastfeeding during the first few days after birth: sometimes insufficient. Ned Tijdschr Geneeskd. 2003;147:2405-2407. PMID: 14694547.
- 21. Tokat MA. The effect of antenatal education on mothers’ breastfeeding self-efficacy and breastfeeding success [Ph.D. thesis]. İzmir: Dokuz Eylül University, Nursing School, Department of Obstetrics and Gynecology Nursing; 2009. Available from: https://dspace.deu.edu.tr/xmlui/handle/12345/10357.
- 22. Hunter T, Cattelona G. Breastfeeding initiation and duration in first-time mothers: Exploring the impact of father involvement in the early postpartum period. Health Promot Perspect. 2014;4:132-136. https://doi.org/10.5681/hpp.2014.017
- 23. Rempel LA, Rempel JK, Moore KJ. Relationships between types of father breastfeeding support and breastfeeding outcomes. Matern Child Nutr. 2017;13:e12337. https://doi.org/10.1111/mcn.12337.
- 24. Şahin BB, Özyurt BC. Manisa’da yarı-kentsel bir bölgede 0-24 ay çocuklarda anne sütü alma durumu ve beslenme alışkanlıkları. Turk J Public Health. 2017;15:164-175. http://tjph.org/ojs/index.php/
- 25. Cayonu N, Bulbul A, Uslu S, et al. Indirect hyperbilirubinemia in newborn infants: Change over the last decade. Med Bull Sisli Etfal Hosp. 2011;45:85-93.
- 26. Uslu S, Bulbul A, Bolat F, et al. Effect of maternal education for neonatal jaundice and breastfeeding with early follow-up visits of newborn on rehospitalization due to hyperbilirubinemia. Nobel Med. 2012;8:16-21.
Details
| Primary Language | English |
|---|---|
| Subjects | Public Health (Other) |
| Journal Section | Research Articles |
| Authors | |
| Project Number | This article is a part of a thesis submitted to Ankara University Institute of Health Sciences with the thesis number 473741 |
| Early Pub Date | June 18, 2025 |
| Publication Date | |
| Submission Date | November 29, 2024 |
| Acceptance Date | April 10, 2025 |
| Published in Issue | Year 2025Volume: 16 Issue: Erken Çevrimiçi Yayınlar |