The Relationship Between Infant Feeding Attitudes of Mothers in the Postpartum Period and Neonatal Jaundice Transcutaneous Values
Year 2025,
Volume: 10 Issue: 2, 138 - 147, 30.08.2025
Özge Aslan Daşdemir
,
Nilüfer Tuğut
Abstract
The study was conducted to determine the relationship between mothers' infant feeding attitude behaviors and neonatal jaundice transcutaneous values in the postpartum period. The correlational-descriptive study was completed with 330 mothers who gave birth in the obstetrics and gynecology service of a hospital in the Eastern Anatolia Region and met the criteria. Data were collected using Personal Information Form, Iowa Infant Feeding Attitude Scale (IBBTS) and Transcutaneous Bilirubin (TcB) Meter. SPSS 26.0 program was used for data analysis. The mean total score of the mothers on the IBBTS was 64.00±5.495. The mean TcB value of newborns was found to be 1.95±1.044. There was no statistically significant correlation between the mean score of the Infant Feeding Attitude Scale and TcB values (p>0.05). It was determined that mothers who received breast milk and breastfeeding education had a lower mean TcB value and mothers living in nuclear families had a higher mean TcB value (p<0.05). It was found that the mean Infant Feeding Attitude score was higher in mothers with higher education, working mothers, mothers living in urban areas, mothers with older age, mothers with high and medium income levels (p<0.05). As a result, it was determined that mothers had a positive attitude towards breastfeeding, the mean TcB value was low, and therefore the rate of follow-up with jaundice risk was very low. The fact that the risk of jaundice was lower in the infants of mothers who received breast milk and breastfeeding education draws attention to the importance of education and awareness. In addition, it was determined that mothers with high infant feeding attitude scores breastfed their babies more frequently. Adequate nutrition of the newborn should be ensured to prevent neonatal hyperbilirubinemia.
References
-
Ağar, T., & Yıldırım, F. (2023). Maternal Attachment, Breastfeeding Self-Efficacy and Care Participation Levels of Preterm Infant Mothers. Cumhuriyet University Journal of Institute of Health Sciences, 8(3), 466-475. DOI:10.51754/cusbed.1365922.
-
Akcay, N., Uzşen, H., & Buldur, E. (2021). Investigation of the attitudes that guide the breastfeeding behaviors of mothers in the breastfeeding process. Adnan Menderes University Journal of Faculty of Health Sciences, 5(1), 84-92. DOI:10.46237/amusbfd.674579.
-
Akça, K., & Bayrakçı, E. (2024). Lactating Mothers' Perceptions of Breastfeeding Peer Support and Attitudes Towards Infant Feeding. Bandırma Onyedi Eylül University Journal of Health Sciences and Research, 6(3), 476-486. DOI:10.46413/boneyusbad.1449716.
-
Akın, B., Demir, E., Gürdal, A., & Yılmaz, S. (2021). Attitudes of mothers with 0-6 month old babies towards infant feeding and transition time to complementary feeding. Acıbadem University Health Sciences Journal, 12(2), 472-478. DOI:10.31067/acusaglik.849205.
-
Alpar, R. (2020). Applied statistics and validity-reliability (p. 333-336). Ankara: Detay Publishing.
-
Ansong-Assoku, B., Adnan, M., Daley, S. F., & Ankola, P. A. (2024). Neonatal Jaundice. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK532930/.
-
Arifunhera, J. H., Srinivasaraghavan, R., Sarkar, S., Kattimani, S., Adhisivam, B., & Vishnu Bhat, B. (2016). Is maternal anxiety a barrier to exclusive breastfeeding? The Journal of Maternal-Fetal & Neonatal Medicine, 29(17), 2798-2801. DOI:10.3109/14767058.2015.1104662.
-
Bednarek, A., Bodys-Cupak, I., Serwin, A., & Cipora, E. (2023). Mothers' Attitudes Toward Breastfeeding in Terms of Health Safety and Professional Lactation Education: A National Survey of Women. Journal of Multidisciplinary Healthcare, 3273-3286. DOI:10.2147/JMDH.S431576.
-
Belay, H. G., Debebe, G. A., Ayele, A. D., Kassa, B. G., Mihretie, G. N., & Worke, M. D. (2022). Determinants of neonatal jaundice in Ethiopia: a systematic review and meta-analysis. World Journal of Pediatrics, 18(11), 725-733. DOI:10.1007/s12519-022-00597-3.
-
Bień, A., Kulesza-Brończyk, B., Przestrzelska, M., Iwanowicz-Palus, G., & Ćwiek, D. (2021). Polish women's attitudes toward breastfeeding according to the Iowa Infant Feeding Attitude Scale (IIFAS). Nutrients, 13(12), 4338. DOI:10.3390/nu13124338.
-
Cangöl, E., & Şahin, N. (2014). Factors affecting breastfeeding and breastfeeding counseling. Zeynep Kamil Medical Bulletin, 45(3), 100-105. DOI:10.16948/zktb.80388.
-
Chua, B. S., Song, L. H., Chang, C. T., Lim, X. J., & Nachiappan, J. (2021). Drive-through transcutaneous bilirubin screening for neonatal jaundice: A safe and efficient system during the COVID-19 pandemic. Journal of Pediatrics and Child Health, 57(1), 12-14. DOI:10.1111/jpc.15226.
-
Çoban, A., Türkmen, M., & Gürsoy, T. (2014). Turkish Neonatology Association guide for approach, follow-up and treatment of neonatal jaundice 2014. Diagnosis and treatment of indirect hyperbilirubinemia in the newborn. DOI:10.5152/TurkPediatriArs.2018.01816.
-
Cinar, N., Karakaya Suzan, Ö., Caner, I., Peksen, S., Tabakoglu, P., & Cinar, V. (2022). The effect of breastfeeding and an intensive breast milk nutritional support program on hospitalization rates for hyperbilirubinemia in term newborns: an open randomized controlled trial. Journal of Tropical Pediatrics, 68(2), fmac023. DOI:10.1093/tropej/fmac023.
-
Derneği, T. N. (2022). Approach, Follow-up and Treatment Guide for Neonatal Jaundice 2022 Update. https://neonatology.org.tr/uploads/content/tan%C4%B1-tedavi/2_min.pdf.
-
Dı̇lsi̇z, H., & Dağ, İ. (2018). Mother's attitudes towards the feeding process scale: development, validity and reliability study. Turk J Pediatr, 14, 7-15. DOI:10.24953/turkjped.2018.01.002.
Ekşioğlu, A., Yeşil, Y., & Turfan, E. Ç. (2016). Adaptation of the Infant Feeding Attitude Scale (Iowa) into Turkish: Validity and Reliability Study. Journal of Education & Research in Nursing, 13(3). DOI:10.5222/HEAD.2016.209.
Eghbalian, F., Hasanpour-Dehkordi, A., & Raeisi, R. (2022). The effects of clofibrate on neonatal jaundice: a systematic review. International Journal of Preventive Medicine, 13(1), 3. DOI:10.4103/ijpvm.IJPVM_259_21.
-
Esfarjani, S. V., Zinatian, S., & Salimi, M. (2022). The Effect of Consuming Chicory Juice by Breastfeeding Mothers on Neonatal Icterus. Journal of Research in Pharmacy Practice, 11(1), 40-43. DOI:10.4103/jrpp.jrpp_98_21.
-
Gao, C., Guo, Y., Huang, M., He, J., & Qiu, X. (2023). Breast milk components and the development of breast milk jaundice in newborns: A systematic review. Nutrients, 15(10), 2261. DOI:10.3390/nu15102261.
-
Gözen, D., Yılmaz, Ö. E., Dur, Ş., Çağlayan, S., & Taştekin, A. (2019). Transcutaneous bilirubin levels of newborn infants undergoing abdominal massage: A randomized controlled trial. Journal for Specialists in Pediatric Nursing, 24(2), e12237. DOI:10.1111/jspn.12237.
-
Güler, S., Çiğdem, Z., & Elmaoğlu, E. (2023). Investigation of Mothers' Attitudes Towards Infant Feeding in Neonatal Intensive Care Unit: A Descriptive and Cross-Sectional Study. Turkiye Klinikleri J Nurs Sci, 15(1), 54-63. DOI:10.5336/nursci.2022-96076.
-
Gürbüz, S., & Şahin, F. (2014). Research methods in social sciences. Ankara: Seçkin Publishing, 271, 74-82.
-
Hui, LL, Liao, E., Yeung, KHT, Ip, PLS, Lam, HS, & Nelson, EAS (2024). Reducing hospitalizations for neonatal jaundice is essential to maximize the benefits of breastfeeding promotion. Acta Paediatrica, 113 (2). DOI:10.1111/apa.1739.
-
Humphrey, TM (2020). The role of ultrasound in the investigation of neonatal jaundice. Clinical Radiology, 75 (11), 815-821. DOI:10.1016/j.crad.2020.06.001.
-
Iliadou, M., Lykeridou, K., Prezerakos, P., Tzavara, C., & Tziaferi, S. G. (2019). Reliability and validity of the Greek Version of the Iowa Infant Feeding Attitude Scale among pregnant women. Materia Socio-Medica, 31(3), 160. DOI:10.5455/msm.2019.31.160-165.
-
Kalaycı, Ş. (2010). SPSS applied multivariate statistical techniques (Vol. 5, p. 359). Ankara, Turkey: Asil Yayın Dağıtım.
-
Kanber, B., & Beydağ, K. D. (2021). Investigation of the relationship between the fear of COVID-19 and breastfeeding attitudes of mothers with babies between 0-6 months. Master's Thesis, Institute of Postgraduate Education, Istanbul Okan University, Istanbul. https://acikbilim.yok.gov.tr/handle/20.500.12812/107917.
-
Ke, K., Chi, X., Lv, H., Zhao, J., Jiang, Y., Jiang, T., Lu, Q., Qiu, Y., Tao, S., & Qin, R. (2024). Association of Breastfeeding and Neonatal Jaundice With Infant Neurodevelopment. American Journal of Preventive Medicine, 66(4), 698-706. DOI:10.1016/j.amepre.2024.01.015.
-
Kılıç, S. (2012). Sample size, power concepts and sample size calculation. Journal of Mood Disorders, 2(3), 140-2. DOI:10.5455/jmd.201211220142.
-
Kul, S. (2014). Guideline for suitable statistical test selection. Pleura Bulletin, 8(2), 26.
-
Kurt, N. C. (2020). Overview of breast milk and breastfeeding. Journal of Clinical Medicine Pediatrics, 12(1), 20-25. DOI:10.14744/jcmp.2020.00001.
-
Ma, X. W., & Fan, W. Q. (2020). Earlier nutrient fortification of breastmilk fed LBW infants improves jaundice related outcomes. Nutrients, 12(7), 2116. DOI:10.3390/nu12072116.
-
Özdamar, K. (2002). Statistical data analysis with package programs-1.(4th Edition). Eskisehir: Kaan Kitabevi.
Özdemir, S., & Yılmaz, B. (2019). Hyperbilirubinemia and Successful Breastfeeding in Newborns. Ege University Journal of Nursing Faculty, 35(2), 69-75. DOI:10.19161/egesaglik.573080.
-
Par, E. J., Hughes, C. A., & DeRico, P. (2023). Neonatal hyperbilirubinemia: evaluation and treatment. American Family Physician, 107(5), 525-534. DOI:10.1016/j.aafp.2023.02.013.
-
Prameela, K. (2019). Anne sütü sarılığı sırasında emzirme-patofizyolojik bir bakış açısı. The Medical Journal of Malaysia, 74(6), 527-533. DOI:10.21315/tmjma2019.74.6.3.
-
Shukri, N. H. M., Wells, J., & Fewtrell, M. (2021). Differences in maternal characteristics among primiparous mothers and their associations with breastfeeding attitudes. Midwifery, 95, 102931. DOI:10.1016/j.midw.2021.102931.
-
Su, H., Yang, S., Chen, S., Chen, X., Guo, M., Zhu, L., Xu, W., & Liu, H. (2024). What Happens in the Intestine During the Occurrence of Neonatal Jaundice-Unmanipulated Manipulation of Intestinal Microbiota? International Journal of Molecular Sciences, 25(16), 8582. DOI:10.3390/ijms25168582.
-
Killelea, P., Sakhuja, S., Hernandez, J., Hicks, M. J., & Harpavat, S. (2022). Rolling stones: an instructive case of neonatal cholestasis. BMC pediatrics, 22(1), 526. DOI:10.1186/s12887-022-03560-3.
-
Thomas, M., Greaves, R. F., Tingay, D. G., Loh, T. P., Ignjatovic, V., Newall, F., Oeum, M., Tran, M. T. C., & Rajapaksa, A. E. (2022). Current and emerging technologies for timely screening and diagnosis of neonatal jaundice. Critical reviews in clinical laboratory sciences, 59(5), 332-352. DOI:10.1080/10408363.2022.2038074.
-
Toksöz, F., Uslu, H., Açıkgöz, A., & Çemrek, F. (2023). Attitudes towards breastfeeding and influencing factors of mothers who breastfeed their 0-6-month-old babies during the COVID-19 pandemic. Journal of Health and Life Sciences, 5(2), 71-79. DOI:10.33308/2687248X.202352297.
-
Uz, D. B. (2020). Child Congress.
-
Üstün, Ö. Ü. N. (2019). Neonatal jaundice. Journal of Clinical Medicine Pediatrics, 11(4), 213-218. DOI:10.5222/buchd.2019.213.
-
Van der Geest, B. A., de Mol, M. J., Barendse, I. S., de Graaf, J. P., Bertens, L. C., Poley, M. J., Ista, E., Kornelisse, R. F., Reiss, I. K., & Steegers, E. A. (2022). Assessment, management and incidence of neonatal jaundice in healthy newborns in primary care: a prospective cohort study. Scientific Reports, 12(1), 14385. DOI:10.1038/s41598-022-18916-2.
-
Vázquez-Vázquez, A. d. P., Fewtrell, M. S., Chan-García, H., Batún-Marrufo, C., Dickinson, F., & Wells, J. C. (2022). Do grandmothers influence breastfeeding duration and infant feeding? Evidence from Merida, Mexico. American Journal of Biological Anthropology, 179(3), 444-459. DOI:10.1002/ajpa.24489.
-
Zhang, M., Qiao, H., Yang, S., Kwok, L.-Y., Zhang, H., & Zhang, W. (2024). Human Breast Milk: Role of Microbiota and Metabolites in Infant Health. Journal of Agricultural and Food Chemistry, 72(19), 10665-10678. DOI:10.1021/acs.jafc.4c02214.