Objective:To investigate the initation time of breastfeeding, exclusive breastfeeding rates, and complementary feeding practices during the first six months of life among mothers who gave birth in a baby-friendly hospital.Materials and Methods:A cross-sectional study was conducted with 350 mothers. Demographic characteristics, obstetric history and information about breastfeeding initiation were collected at the hospital. Information about factors affecting breastfeeding duration and feeding practices of the infants were obtained at the end of six months.Results:Some 97.4% of the mothers initiated breastfeeding, 60.1% within the first hour. Exclusive breastfeeding was maintained for six months in 38.9%. Low education levels of mother/father, random breastfeeding, rare breastfeeding at night, nipple problems, bottle/pacifier use, and lack of social support were found associated with early cessation. Planned pregnancy [odds ratio (OR=2.02)] and vaginal delivery (OR=0.3) were found as the most important factors in early initiation, whereas antepartum breastfeeding education (OR=7.17) was the most important factor for exclusive breastfeeding duration in the logistic analysis. More than half (61.1%) of the infants were partially/bottle fed for six months; the most common reason was the belief that breast milk was insufficient.Conclusion:Efforts to encourage mothers and society to breastfeed exclusively should be made as part of a primary public health strategy to prevent early cessation of breastfeeding.
OBJECTIVE:The purpose of this study was to explore whether there was any difference in the breastfeeding success of mothers prior to hospital discharge who were given breastfeeding education by a physician (obstetrician-gynecologist) and a midwife with respect to the person giving the training. STUDY DESIGN:The study was conducted between May-June 2015 on 200 mothers who gave their first full-term birth at the obstetrics and gynecology clinic of a tertiary hospital. The mothers were divided into two groups and each mother was explained the benefits of breastfeeding and given breastfeeding education when they became stabile in their beds after birth. One hundred of the mothers were trained by a midwife who received lactation consultancy training and the other hundred mothers by an obstetrician who also had the same training. After the education, each mother was observed while breastfeeding her baby by an investigator who also received lactation consultancy training, other than the ones who gave the training and the LATCH breastfeeding assessment tool was filled out. After calculating the LATCH score of each mother, the two groups were compared for their success in breastfeeding during discharge from the hospital with respect to the person giving the training. RESULTS:There were no differences between the two mother groups in terms of demographic characteristics (age, education, occupation etc.) and newborn characteristics (weight, gender) (p>0.05). The total LACTH score was found higher in the group that was trained by a midwife than in the group that was trained by a physician (p<0.05). An assessment of the LATCH sub-scores showed that the "holding the baby" score was similar in both groups (p=0.502), but the other subgroup scores were higher again in the group that was trained by a midwife (p<0.05). CONCLUSION:The mothers who were trained in lactation by midwives were observed to be more successful in breastfeeding their babies than the mothers who were trained by a physician. Our opinion in this respect is that obstetricians should integrate trained midwives in breastfeeding education and in this way try to correct their deficiencies in this area.
Objectives Kynurinine (KYN) and its metabolites, which are released during the metabolism of tryptophan, an essential amino acid, have many important functions, such as cellular energy production, regulation of vascular tone, and regulation of the immune system. In this study, we aimed to detect serum KYN levels, which may be an indicator of KYN pathway activity, in idiopathic fetal growth restriction (FGR) and oligohydramnios cases whose pathophysiology is known to be affected by multiple factors, such as placental hypoperfusion, immune dysregulation, and maternal nutrition disorder, and to investigate their relationship with these common obstetric complications. Methods This cross-sectional case-control study was carried out in the antenatal outpatient clinics of Ankara City Hospital between July and December 2021. While the study group consisted of pregnant women with idiopathic isolated FGR and oligohydramnios, the control group consisted of low-risk patients who did not have any problems. The clinical features of the patients, such as age, body mass indexes, and gestational week, were recorded by measuring basic laboratory parameters and serum KYN levels. Results A total of 110 patients were included in this study. The patients were divided into three groups: FGR, oligohydramnios, and the control group. There was no significant difference between the patients’ ages, weeks of gestation, or body mass indexes. Serum KYN level was calculated as 57.8 ± 13.4 pg/mL in IUGR, 75.3 ± 10.8 pg/mL in oligohydramnios and 95.1 ± 13.3 pg/mL in the control group (p<0.001). Conclusions Serum KYN levels were lower in pregnant women complicated with FGR and oligohydramnios more prominently in pregnant women diagnosed with FGR than in normal pregnancies. The results suggest that KYN plays an important role in either the etiopathogenesis or the response to these two obstetric pathologies.
Aim: The myeloperoxidase/paraoxonase1(MPO/PON1) ratio is known to reflect the dysfunctional HDL(d-HDL) which is a measure of oxidative stress. This study aimed to evaluate the MPO/PON1 ratio in polycystic ovary syndrome(PCOS). Materials and Method: This prospective study included a total of 123 patients. The study group including the women with the diagnosis of PCOS (n=63) was compared to the control group including the healthy women (n=60). Sociodemographic characteristics, and clinical features of the groups were recorded. Serum HDL level, MPO, and PON1 activities were evaluated. Results: The PCOS patients were observed to have increased MPO and decreased PON1 activities (p
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