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Postpartum ağrının emzirme öz-yeterliliğine etkisi
Cukurova Medical Journal, 2019
This study was carried out to identify the effect of postpartum afterpain on breastfeeding self-efficacy. Materials and Methods: This was a descriptive study. The sample consisted of 376 postnatal women who met the criteria for participation in the study. The participants were administered the Personal Information Form, The Short-Form McGill Pain Questionnaire, The Short-Form Breastfeeding Self-Efficacy Scale. Results: The mean total score received from the breastfeeding self-efficacy by the postpartum women was found to be 36.88±8.54 (min:14, max:70). The mean scores of the sensory and affective pain, total pain intensity, and visual analoque scale were found to be 33.53±4.18 (min:0, max:45), 2.60±1.39 (min:0, max:5), 6.23±1.91 (min:0, max:10), respectively. In this study, the breastfeeding self-efficacy was found to be higher in the women who were 35 years and over, found their social support adequate, planned their current pregnancy, received prenatal care, expressed their willingness to breastfeed, had no breastfeeding problem. The selfefficacy of breastfeeding is low for women who experienced postpartum abdominal pain, who described the frequency of pain as 'continuous, continuous and constant', and who stated that they needed analgesia. A statistically significant negative correlation was determined between the postpartum women's breastfeeding selfefficacy scores and their postpartum afterpain scores. The postpartum women with afterpain were found to have low levels of breastfeeding self-efficacy. Conclusion: Postpartum pain negatively affects breastfeeding self-efficacy. Controlling pain contributes to the effective implementation of the breastfeeding process. Amaç: Bu çalışma, postpartum ağrının emzirme özyeterliliği üzerine etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu tanımlayıcı bir çalışmadır. Örnekleme, araştırmaya katılım kriterlerini karşılayan 376 postpartum kadın alınmıştır. Veriler, Kişisel Bilgi Formu, McGill Ağrı Anketi, Emzirme Öz-Yeterlilik Ölçeği ile toplanmıştır. Bulgular: Doğum sonrası kadınların emzirmenin öz yeterliliği toplam puan ortalaması 36.88 ± 8.54 olarak bulunmuştur (min: 14, max: 70). Kadınların duyusal ve afektif ağrı, toplam ağrı şiddeti ve görsel analog ölçek puan ortalamaları sırasıyla 33.53 ± 4.18 (min:0, max:45), 2.60 ± 1.39 (min: 0, max: 5), 6.23 ± 1.91 (min: 0, max: 10)'dir. 35 yaş ve üzerinde olan, sosyal desteklerini yeterli bulan, mevcut gebeliği planlı, prenatal bakım alan, emzirme konusunda "istekli" olduğunu ifade eden, anne sütü ve emzirme ile ilişkili kendi bilgi düzeyini "yeterli" bulan, emzirme problemi yaşamayan kadınların emzirme özyeterliliği yüksekti. Ağrı yerini "abdominal bölge" olarak tanımlayan, ağrı sıklığını "devamlı, sürekli, sabit" olarak tanımlayan, analjezi uygulamasına gereksinim duyduğunu ifade eden kadınların emzirme özyeterliliği düşük bulunmuştur. Postpartum kadınların emzirme özyeterliliği ile postpartum ağrı yaşama durumları arasında negatif bir korelasyon olduğu, ağrı şiddeti arttıkça emzirme özyeterliliğinin azaldığı belirlenmiştir. Sonuç: Postpartum ağrı, emzirme özyeterliliğini negatif yönde etkilemektedir. Ağrının kontrol altına alınması, emzirme sürecinin etkili şekilde gerçekleştirilmesine katkı sağlar.
Emzirmenin başlatılması ve devamlılığı ile ilişkili faktörler
Cukurova Medical Journal, 2019
Purpose: We aimed to investigate the relationship between initiation/continuation of breastfeeding and socio-demographic, lifestyle-related, clinical and lactation-related factorsMaterials and Methods: This cross-sectional study was conducted in three hospitals in Turkey. A total of 360 mothers with children aged 0-24 months underwent face-to-face interview, using a structured questionnaire about the initiation of breastfeeding, exclusive and any breastfeeding, as well as potentially related characteristics and factors. Results: The mean age of mother was 28 5.36 years; the mean of parity was two years; and the percentage of vaginal birth frequency was 56.9. It was found out that 43.6% of babies were initiated early to breastmilk, the majority of the babies (78%) started additional food at 4-6 months and the first additional food started to be milk in the majority (49.6%). Mode of birth, breastfeeding information and first feeding style (exclusive breastmilk) affected babys’ feedi...
PubMed, 2022
Objective.: This study investigated the effect of Extended Theory of Planned Behavior (ETPB) extended theory of planned behavior in comparison with the Theory Of Planned Behavior (TPB) in explaining the intention of Exclusive Breastfeeding Intention (EBF) in Pregnant nulliparous women of Kerman (Iran). Methods.: In this descriptive study, 249 pregnant women in Kerman participated via simple random sampling. The research instruments included Questionnaire related to the structures of the theory of planned behavior, breastfeeding self-efficacy and social support questionnaire for breastfeeding. Results.: The results of the correlation test showed a significant relationship between all constructs of the theory of extended planned behavior and the intention of EBF. The highest correlation belonged to the construct of subjective norms (r=0.49). Path regression coefficients in the second model showed that the Self-Efficacy mediator variable is fully capable of meaningful mediation between Social Support and Intention (p<0.001; B=0.383). The conceptual diagram of Structural equation modeling showed a higher explained variance or R2 index for the intention variable for the developed model compared to that of the first model, i.e. (the first model: R2=0.37, the second model: R2=0.46). The goodness-of-fit index had a better status for the developed model. Conclusion.: Extended TPB with social support and breastfeeding self-efficacy constructs can be appropriate model for predicting the intention and behavior of EBF.
BMC Pregnancy and Childbirth | Full text | What factors
2014
Background: Using a multi-methods approach we aimed to explore the relative prediction of demographic, socioeconomic and modifiable predictors from the Theory of Planned behaviour (TPB) in explaining feeding intentions amongst a multi-ethnic sample. Methods: 476 women completed a questionnaire at 28 weeks gestation. They were grouped into breastfeeding (N = 258), mixed-feeding (N = 50), bottle-feeding (N = 88) intenders, or a no clear intention (N = 88). Multinomial adjusted regressions explored the influence of modifiable TPB factors, along with ethnicity and socioeconomic status in predicting group membership. Free-text responses allowed women to elaborate on reasons behind their intention. Results: TPB factors were significant predictors of feeding intention. Women with high intention to breastfeed were less likely to report high attitudes in any other feeding alternative. Bottle-feeding intenders reported poorer self-efficacy regarding breastfeeding compared to breastfeeding intenders (prevalence rate ratio, PRR = 0.10). Mixed and bottle-feeding intenders reported greater self-efficacy for mixed-feeding (PRR = 1.80, 5.50 respectively). Descriptive norms for mixed (PRR = 13.77) and bottle-feeding (PRR = 10.68) were predictive of mixed-feeding intention. Reasons for breastfeeding intentions related to health considerations, whilst bottle-feeding reasons related to convenience. Mixed-feeding intenders reported both breast and bottle-related factors. Conclusions: Understanding modifiable predictors related to feeding intentions like TPB factors can help professionals target appropriate interventions to encourage breastfeeding.
International Journal of Pediatrics, 2017
BackgroundAlthough exclusive breastfeeding (EBF) is highly emphasized by the experts, nulliparous women do not adhere to this behavior at a desirable level. Since it seems that mothers’ beliefs and values play an important role in their adherence to these behaviors, the present study, aimed to perform a careful analysis of the behavior and evaluation of factors associated with the EBF in nulliparous women referring to healthcare centers in Bushehr using theory of planned behavior.Materials and Methods This is a cross-sectional study, which was conducted on 400 nulliparous mothers with children less than six-months who referred to healthcare centers in Bushehr, Iran. Stratified random-sample was used and data were collected using a researcher-made questionnaire and were later analyzed using statistical tests, including Pearson, Spearman, linear regression and logistic regression in SPSS version 22.0 Software.ResultsThe results showed that 62.5% of infants were exclusively breast-fed....
Postpartum Kanamada Bakri Balon Uygulamasının Yeri; 6 Yıllık Tecrübemiz
Turkiye Klinikleri Journal of Gynecology and Obstetrics, 2015
To evaluate effectiveness of Bakri Balloon in post-partum haemorrhage treatment. Post-partum haemorrhage is the most common cause of maternal death in the world. It is potentially fatal complication of both vaginal and caesarean deliveries. In situations where medical interventions are unsuccessful in achieving haemostasis in cases of post-partum haemorrhage, either conservative or invasive surgical therapies are needed. Ultimately hysterectomy may be required. Invasive surgical interventions are associated with co-morbidities and potential implications for future fertility. Among the more conservative interventions are intrauterine balloon tamponade such as the Bakri balloon. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this retrospective, observational study, records of 25 patients who were treated for post-partum haemorrhage in the Obstetrics and Gynecology Clinic of Turgut Ozal University Hospital, between January 2009 and August 2014 were examined. Frequency and efficacy of interventions were investigated in terms of haemostasis achievement without recourse to hysterectomy. R Re es su ul lt ts s: : In 12 women who underwent Bakri balloon placement, haemostasis was achieved in all patients without subsequent hysterectomy. By contrast, of 9 women who underwent arterial ligation, 77.8% required hysterectomy as opposed to 31.3% of the 16 women who did not undergo arterial ligation. Use of combinations of surgical techniques was also significantly associated with higher risk of hysterectomy when compared to single techniques. C Co on nc cl lu us si io on n: : Use of Bakri balloon is a highly effective method in achieving haemostasis in post-partum haemorrhage without necessity of hysterectomy. K Ke ey y W Wo or rd ds s: : Postpartum hemorrhage; uterine balloon tamponade Ö ÖZ ZE ET T A Am ma aç ç: : Postpartum kanama tedavisinde Bakri balonun etkinliğini değerlendirmek. Postpartum kanama dünyada doğum sonrası anne ölümlerinin en yaygın sebebidir. Hem vajinal hem de sezaryenle doğumlarda potansiyel ölümcül bir komplikasyondur. Medikal tedavilerle kanama kontrolünün başarısız olduğu postpartum kanama olgularında hem konservatif hem de invaziv cerrahi müdahaleler gereklidir. Son aşamada histerektomi gerekli olabilir. İnvaziv cerrahi müdahaleler komorbidite ve gelecekteki fertilitenin etkilenme potansiyeli ile ilişkilidir. Bakri balon gibi intrauterin balon tamponad sistemleri daha konservatif müdahaleler arasındadır. G Ge er re eç ç v ve e Y Yö ön nt te em m-l le er r: : Bu retrospektif gözlemsel çalışmada Turgut Özal Universitesi Hastanesi Kadın Hastalıkları ve Doğum kliniğinde Ocak 2009 ve Ağustos 2014 tarihleri arasında postpartum kanama nedeni ile tedavi edilen 25 hastaya ait kayıtlar incelendi. Yapılan müdahalelerin sıklığı ve histerektomiye gerek duyulmadan kanamanın durdurulması açısından müdahalelerin etkisi araştırıldı. B Bu ul lg gu ul la ar r: : Bakri balon uygulaması yapılan 12 hastanın tamamında kanama histerektomiye gerek kalmadan durduruldu. Buna karşın arteriyel ligasyon uygulanan 9 kadının %77,8'inde histerektomiye gerek duyulmuşken, arteriyel ligasyon uygulanmayan 16 kadının %31,3'ünde histerektomi gerekli olmuştur. Tek bir cerrahi uygulamaya kıyasla birden fazla cerrahi tekniğin birlikte uygulanması da yüksek histerektomi riskiyle önemli ölçüde ilişkilidir. S So on nu uç ç: : Bakri balon uygulaması histerektomi gerektirmeksizin postpartum kanamanın durdurulmasında oldukça etkili bir yöntemdir.
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Breast milk is the ideal nutritional source that contains all kinds of nutritional values such as protein, fat, iron and vitamins that the baby needs for the first 6 months. The aim of this study was to evaluate the attitudes and behaviors of families in terms of breast milk and nutrition during infancy. Our study was conducted with mothers who had babies between 0-24 months in Adıyaman University Training and Research Hospital between March 15 and July 15, 2018. A total of 1010 mothers were administered a questionnaire consisting of 45 questions prepared by us to determine the sociodemographic data and breastfeeding status of infants and parents. In the study group consisting of mothers with low education and income levels, the mean age of mothers was 29.47 ± 5.61 (18-45) years, and the percentage of mothers working was 10.6%. The distribution of babies between boys and girls was 54.3% - 45.7%. The percentage of infants receiving breast milk in the first half hour was 53.6%, the pe...
Efektifitas Konseling Laktasi Pada Ibu Hamil Trimester III Terhadap Pelaksanaan Menyusui
Jurnal Keperawatan
Program pembangunan kesehatan di Indonesia masih berfokus pada upaya peningkatan derajat kesehatan ibu dan anak terutama pada masa prenatal. Hal ini disebabkan masih tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). ASI yang diberikan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan angka kematian bayi serta meningkatkan tumbuh kembang bayi secara optimal. Penelitian ini bertujuan untuk mengetahui efektifitas pemberian konseling laktasi terhadap pelaksanaan menyusui pada ibu hamil trimester III. Desain penelitian menggunakan quasi eksperimen dengan rancangan One Group Pre-test dan Post-test Desain. Populasi dalam penelitian ini adalah ibu hamil trimester III dan sampel yang diambil adalah 18 ibu hamil. Alat penggumpulan data menggunakan lembar observasi BREAST (body position, respons, emotional bonding, anatomy dan sucking time). Analisis data menggunakan wilcoxon.Hasil penelitian didapatkan pelaksanaan menyus...
Factors Affecting Exclusive Breastfeeding in the First Six Weeks Postpartum in Bolu, Turkey
Turkiye Klinikleri Journal of Gynecology and Obstetrics, 2009
ABS TRACT Ob jec ti ve: Des pi te strong emp ha si zes and in ten si ve sup ports of many na ti o nal and inter na ti o nal or ga ni za ti ons early-start of bre ast fe e ding and its con ti nu a ti on for a re com men ded ti mepe ri od are still im por tant prob lems worl dwi de. This pros pec ti ve study ai med to de ter mi ne cha rac te ris tics of mot hers and the ir in fants in re la ti on to the bre ast fe e ding sta tus in Bo lu, Tur key. Ma te ri al and Met hods: Study samp le inc lu ded 160 mot hers, who ga ve birth in a one-ye ar pe ri od and we re in the ir first we ek post par tum with a li ving in fant. Da ta we re col lec ted by ho me-vi sits in the 1st and 6th we eks post par tum with fa ce-to-fa ce in ter vi ews vi a a qu es ti on na i re inc lu ding 30 qu es ti ons abo ut mot hers’ so ci o de mog rap hics, type of de li very, in fants’ cha rac te ris tics, and type and status of in fant fe e ding. Da ta we re analy zed by per cen ta ge, Chi squ a re, Fis her's e...
International Journal of Human Sciences, 2006
This study was aimed to determine the time of stopping breastfeeding, reasons for stopping breastfeeding and methods which mothers' used during this period. The study was completed by totally 206 mothers. Data were collected by a questionnaire and in the evaluation of the data percentage calculations have been used. It is determined that 34 % of mothers stopped breastfeeding when their babies were six months. Mothers' main reason for stopping breastfeeding was "lack of milk" (42.7 %). A total of 30.1 percent of the mothers joined to this study expressed that they put away their babies from the breast with different applications to the nipple.