Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Gebelik Sırasında Emzirme ve Tandem Emzirme
Breastfeeding During Pregnancy and Tandem Nursing
Pınar DOĞANCIa, Sevgi ÖZSOYa
aHemşirelik Bölümü, Doğum, Kadın Sağlığı ve Hastalıkları Hemşireliği AD, Aydın Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü, Aydın, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(2):190-9
doi: 10.5336/nurses.2018-62206
Article Language: TR
Full Text
ÖZET
 Bebeklerin ilk altı ay sadece anne sütü almaları, sonrasında uygun besinlerle en az iki yaşına kadar emzirilmesi önerilmesine rağmen, çeşitli nedenlerle annelerin bebeklerine erken dönemde ek gıdaya başladığı ya da bebeklerini sütten kestiği bilinmektedir. Annelerin erken dönemde ek gıdaya başlamasının ya da sütten kesmesinin nedenlerinden biri de laktasyon döneminde iken yeniden gebe kalmasıdır. Hem annenin hem de sağlık personelinin gebeyken emzirmenin sürdürülmesinin anne, bebek ve yenidoğan açısından olumsuz sonuçlar doğuracağına yönelik kaygıları bulunmaktadır. Bu çalışmada, gebelikte emzirme ya da doğumdan sonra tandem emzirme olarak da bilinen iki farklı yaştaki bebeğin emzirilmesini inceleyen çalışmaların sonuçlarının tartışılması amaçlanmıştır. Sonuç olarak, emzirirken yeniden gebe kalan annenin emzirmeye devam etmesinin anne, bebek ve yenidoğan açısından olumsuz sonuçları olmadığı, annenin yeterli ve dengeli beslenmesinin sağlanarak emzirmenin sürdürülebileceği ve bu süreç boyunca annenin, fetüsün ve büyük bebeğin yakından izlenmesi gerektiği saptanmıştır. Aynı zamanda, gebelik sonrasında annenin iki farklı yaştaki bebeklerini emzirmeye devam etmesinin yani tandem emzirme yapmasının zararlı olmadığı, ancak bu konuda az sayıda çalışma olduğu belirlenmiştir.

Anahtar Kelimeler: Gebelik; emzirme; anne sağlığı; çocuk sağlığı
ABSTRACT
 Although it is suggested that babies should be breastfeeding only for the first 6 months and then breastfeeding with appropriate nutrients until at least 2 years old, it is known that mothers start to add food their infants diet or wean their babies for various reasons. One of the reason for early start of additional feding or weaning is that mothers become pregnant again during the lactation period. Both mothers and health care providers have concerns about continuation of breastfeeding during pregnancy have negative consequences for mother, baby and newborn. In this review, the results of studies investigating breastfeeding of two different age babies, also known as tandem breastfeeding after birth, are discussed. As result, it has been determined that breastfeeding for women who get pregnant again while breasfeeding does not adversely affect to mother, fetus and newborn, breastfeeding can be sustained by providing mother with adequate and balanced nutrition, and mother, fetus and toddler should be follow-up closely during this period. At the same time, it has been determined that the mother continue to breastfeeding her babies of two different ages, namely, tandem breastfeeding is not harmful but few studies on this subject.

Keywords: Pregnancy; breastfeeding; maternal health; child welfare
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