CO-SLEEPING OF MOTHER-INFANT DYAD AND BREASTFEEDING

Breastfeeding is important for children's health and development. It is recommended that infants are exclusively breastfed for the first six months after birth, followed by continued breastfeeding with appropriate complementary foods until 2 years of age. There is evidence of increased frequency and duration of breastfeeding when mother and infant dyads sleep together. On the other hand, there is a statistical relationship between co-sleeping and sudden infant death syndrome (SIDS). The aim of this article is to investigate the effects of co-sleeping on mother and infant health in light of recent studies

Rusty Pipe Syndrome and Review of Literature

Presence of blood in colostrum may change the color of breast milk and it is known as "rusty pipe syndrome." It may resolve within days, but it may be a barrier for exclusive breastfeeding. Knowledge of "rusty pipe syndrome" among health professionals is very helpful in the management of breastfeeding initiation

Association Between Infant Sleep Location and Breastfeeding

Objective: Studies have shown that mothers sleeping with their babies have longer breastfeeding duration. Bedsharing (BS) is thought to be a risk factor for Sudden Infant Death Syndrome. The aim was to investigate the frequency of BS and roomsharing (RS) and the effect of those on breastfeeding during the first 2 years of life. Also to evaluate risk-bearing situations regarding sleep environment.Methods and Study Design: This is a cross-sectional study, with retrospective cohort features for the evaluation of some data. The setting was a Well-Child Clinic at Bakirkoy Research and Training Hospital. The children were followed from the first month until survey. Feeding history was collected retrospectively from child health records. Parents were surveyed concerning sleeping location and sleeping arrangements with a questionnaire. The study encompassed 351 children and their families.Results: The rate of exclusive breastfeeding was found to be 50.2% for the first 6 months of life and BS increased in exclusively breastfed infants. When breastfeeding continued after 6 months, the trend of increased BS through months was observed. RS, BS, and breastsleeping rates were 80.6%, 22.8%, 56.1%, respectively, in the whole cohort. Working mothers and mothers >35 years of age were significantly more likely to bedshare. Cigarette smoking in BS parents was identified as a child health risk. Unsafe sleep environment was found in 72.4% of the group.Conclusions: BS increases breastfeeding for the first 6 months. Families need guidance on safe sleeping practices and should be advised regarding avoidable risks and unsafe situations in BS. Parents should be counseled to make informed decisions

Bir Geliştiren Bakım Uygulaması: Oyuncak Kütüphanesi: Kesitsel Bir Çalışma

Amaç: Dünya Sağlık Örgütünün önerdiği “geliştiren bakım”; tüm çocukların sağlık, yeterli beslenme, güvenlik, duyarlı bakım ve erken öğrenme fırsatlarına erişebildikleri bir çerçevedir. Oyuncak Kütüphanesi projesine katılan dezavantajlı çocuk ve ailelerin özelliklerinin ve çocuklara sağlanan bakımın geliştiren bakım kapsamında değerlendirilmesi, çalışmanın amacını oluşturmaktadır. Gereç ve Yöntemler: Kesitsel çalışmamıza, Bartın Sosyal Yardımlaşma ve Dayanışma Vakfından nakdi yardım alan dezavantajlı aileler ve çocukları katılmıştır. Oyuncak Kütüphanesi’ne kayıt esnasında (30 Ekim-31 Aralık 2019) ailelere anket uygulanmıştır. Çocuk hekimi tarafından anketler değerlendirilmiş, risk saptanması durumunda gerekli izlem ve yönlendirmeler yapılmıştır. Çalışma kriterlerine uyan 130 anket değerlendirmeye alınmıştır. Bulgular: Çalışmamıza katılan annelerin %76,2’si ve babaların %73,8’i ilköğretim altı eğitim düzeyindedir. Annelerin sadece %4,6’sı, babaların %44,6’sı çalışmaktadır. Anne baba boşanma sıklığı %23,8’dir. Çocukların yaş ortalamasının 4,68±1,36 olduğu, %66,2’sinin hiç kitap okunmadığı, %84,3’ünün okul öncesi eğitime katılmadığı görülmüştür. Günlük TV maruziyeti ortalama 134 dk’dır. Özbakım becerilerinde eksiklik %26,9, sosyal duygusal sorunlar %33,8, düşük kiloluluk %13,8 oranında saptanmıştır. Psikolojik şiddet, fiziksel ceza, aile içi şiddet, evde yalnız bırakılma oranları sırasıyla %34,6, %13,8, %6,9, %13,8 olarak bulunmuştur. Çocukların %3,8’inin gece aç yattığı geceler olduğu belirlenmiştir. Sonuç: Dezavantajlı ailelerin çocuklarının erken çocukluk döneminde gelişimsel desteğe ihtiyaç duydukları gözlenmiştir. Oyuncak Kütüphanesi gibi erken öğrenme fırsatları sunan uygulamaların çocuklara yararlı olacağı öngörülmektedi

Breastfeeding experiences of female physicians and the impact of the law change on breastfeeding

Aim: A recent improvement was made on the law regulating maternity leave in 2011 in Turkey. The leave without pay period was increased, the right to stop working on night shifts was granted, and work hours were improved. It is a known fact that returning to work is a barrier against exclusive and total breastfeeding duration. Legal regulations have crucial importance on the ability of working mothers to breastfeed their infants. The aim of this study was to calculate the effect of the improved law on breastfeeding rates among female physicians. Moreover, the difference in the duration of exclusive breastfeeding and total breastfeeding were evaluated in relation to the new law