Breastfeeding During Pregnancy and Tandem Breastfeeding in Türkiye: Health Care Professionals' Knowledge and Counseling Practices.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Breastfeeding Medicine Pub Date : 2026-10-19 DOI:10.1177/15568253261499630

Şule Öz, Gülay Rathfisch, Meserret Aslan

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引用次数: 0

Abstract

Background: Evidence on health care professionals' knowledge and counseling practices regarding breastfeeding during pregnancy and tandem breastfeeding remains limited.

Objective: To assess health care professionals' factual and self-perceived knowledge, counseling practices, and factors associated with providing counseling on breastfeeding during pregnancy and tandem breastfeeding.

Methods: This descriptive cross-sectional study was conducted between February and September 2025 in two public hospitals in Hatay, Türkiye. A total of 362 health care professionals completed a 32-item researcher-developed questionnaire. Breastfeeding-during-pregnancy and tandem-breastfeeding knowledge indices ranged from 0 to 8 and 0 to 5, respectively. Nonparametric tests and binary logistic regression were used.

Results: Mean knowledge scores were 4.62 ± 2.38 for breastfeeding during pregnancy and 2.62 ± 1.91 for tandem breastfeeding. Although 82.3% perceived their breastfeeding-during-pregnancy knowledge as sufficient, only 21.0% reported sufficient tandem-breastfeeding knowledge. Counseling was provided by 32.0% for breastfeeding during pregnancy and 19.9% for tandem breastfeeding. Higher knowledge scores were independently associated with counseling on breastfeeding during pregnancy (adjusted odds ratio [aOR] = 1.177, 95% confidence interval [CI] 1.053-1.315) and tandem breastfeeding (aOR = 1.366, 95% CI: 1.134-1.645). Guideline or professional-resource use was also associated with both counseling outcomes (aOR = 3.318 and 2.995, respectively).

Conclusions: Health care professionals demonstrated important knowledge gaps and low counseling rates, particularly for tandem breastfeeding. Greater factual knowledge and use of current professional resources were associated with counseling. Targeted, competency-based education and accessible clinical guidance may support more consistent, evidence-based counseling.

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妊娠期母乳喂养和串联母乳喂养：卫生保健专业人员的知识和咨询实践。

背景：关于卫生保健专业人员的知识和咨询实践在怀孕期间母乳喂养和串联母乳喂养的证据仍然有限。目的：评估卫生保健专业人员对妊娠期母乳喂养和串联母乳喂养的实际和自我认知知识、咨询实践以及提供咨询的相关因素。方法：本描述性横断面研究于2025年2月至9月在泰国哈塔伊的两家公立医院进行。共有362名卫生保健专业人员完成了一份由研究人员编制的32项问卷。孕期母乳喂养和同期母乳喂养知识指数分别为0 ~ 8和0 ~ 5。采用非参数检验和二元逻辑回归。结果：孕期母乳喂养组平均知识得分为4.62±2.38分，双期母乳喂养组平均知识得分为2.62±1.91分。尽管82.3%的人认为他们的孕期母乳喂养知识是充分的，但只有21.0%的人认为他们的孕期母乳喂养知识是充分的。怀孕期间母乳喂养提供咨询的占32.0%，连续母乳喂养提供咨询的占19.9%。较高的知识得分与孕期母乳喂养咨询（调整优势比[aOR] = 1.177, 95%可信区间[CI] 1.053-1.315）和串联母乳喂养（aOR = 1.366, 95% CI: 1.134-1.645）独立相关。指南或专业资源的使用也与咨询结果相关（aOR分别为3.318和2.995）。结论：卫生保健专业人员表现出重要的知识差距和较低的咨询率，特别是对串联母乳喂养。更多的事实知识和现有专业资源的使用与咨询有关。有针对性的、基于能力的教育和可获得的临床指导可能支持更一致的、基于证据的咨询。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS

CiteScore

4.20

自引率

11.10%

发文量

130

审稿时长

6-12 weeks

期刊介绍： Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.