OBJECTIVE: Breastfeeding in women with aflatoxin M1 exposure may be a risk factor for the newborn. Thus, it is crucial to determine aflatoxin M1 levels in breast milk and raise mothers' awareness about nutrition in lactation and other periods. This study was carried out to determine aflatoxin M1 contamination in milk samples taken from mothers who gave birth. METHODS:The study was carried out in the postpartum department of Training and Research Hospital between December 31, 2018, and June 31, 2019, and 90 breastfeeding mothers were included in the study. RESULTS: A total of 75 (83.3%) of the examined samples were found positive. The mean aflatoxin M1 ratio in positive samples was 12.16 pg/mL (5.00-23.18 pg/mL). Mothers' consumption of processed food was associated with aflatoxin M1 levels (p=0.043). It was determined that the aflatoxin M1 levels of mothers who consumed processed food products 1 or 2 times a month were 3.22 times lower than those who consumed 1-2 times a week. CONCLUSIONS: This study emphasized the importance of monitoring aflatoxin M1 levels in breast milk for infant health. It is thought that nutrition education given to mothers during pregnancy will significantly impact aflatoxin M1 results. In addition, the dangers of mycotoxins in mother-infant nutrition should be emphasized regularly in health education.
Aim: The aim of the study was to evaluate the frequency of postpartum maternal and neonatal complications and related factors in a private hospital in Karabuk. Materials and Methods: The sample size of the cross-sectional study was 304 (target population 1782, prevalence 50%, margin of error 5%, 95% confidence interval). In the study, 307 deliveries that occurred between September 11, 2017 and December 11, 2017 were examined. Dependent variable of the study was maternal and neonatal complications; independent variables were maternal sociodemographic and obstetric characteristics. Data were collected through 1) descriptive questionnaire, 2) maternal complication assessment form, and 3) neonatal complication assessment form. Data were analyzed with bivariate and multivariate logistic regression models. Results: The frequency of at least one maternal complication was 26.7%. The frequency of maternal complications increased 9.8 times by cesarean section, 8.4 times for emergency application for delivery, 7.0 times for living in a village, and 3.9 times if the spouse is a worker or self-employed. As the duration of pregnancy increased, the frequency of maternal complications decreased (OR=0.7). At least one complication was observed in 33.9% of newborns. The frequency of neonatal complications increased 9.6 times by cesarean section, 4.9 times for emergency delivery, and 4.4 times for smoking during pregnancy. As the duration of pregnancy increased, the frequency of complications decreased by 0.8 times. Conclusion: The high levels of postpartum maternal and neonatal complications in the study highlights the urgent need to improve prenatal, intrapartum and postnatal care services.
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