Title Dojenje kao protektivan faktor Title (english) Breastfeeding as a protective factor Author Nina Barić Mentor Ines Joković-Oreb (mentor)Committee member Ines Joković-Oreb (predsjednik povjerenstva)Committee member Damir Miholić (član povjerenstva)Committee member Ante Bilić-Prcić (član povjerenstva)Granter University of Zagreb Defense date and country 2017-09-21, Croatia Scientific / art field, SOCIAL SCIENCES Abstract Uvod:Majčino mlijeko jedini je prirodan izvor svih hranjivih sastojaka koji su potrebni novorođenčetu. Nizom dugogodišnjih istraživanja dokazane su mnoge prednosti dojenja i majčinog mlijeka za zdravlje, rast i razvoj djeteta, ali ne samo djeteta već i za zdravlje njihovih majki. Također je potvrđeno kako se sastav majčinog mlijeka razlikuje kod žena koje su prijevremeno rodile jer sadržava drugačije sastojke koji su nužno potrebni nedonoščadi za kvalitetan rast i razvoj.Nadalje, dojenje ima važnu psihosocijalnu ulogu. Za vrijeme gestacijskog perioda majka i njezino dijete su povezani i fizički i emocionalno, a s dojenjem se ta veza dodatno produbljuje, jača i postaje neraskidiva. Upravo ta veza je ključna za zdrav emocionalni razvoj. U programe promicanja dojenja uključeni su svi zdravstveni djelatnici koji skrbe o trudnicama (budućim majkama), rodiljama i majkama djece dojenačke i predškolske dobi a to su u prvom redu patronažne sestre, primalje, ginekolozi i pedijatri. Cilj: Cilj ovog istraživanja je dobiti najrecentniji i najdetaljniji uvid u dostupnost podrške, informacija i poticanja dojenja iz perspektive različitih profila stručnjaka te majki članica grupa za potporu dojenja na području Grada Zagreba te izraditi prijedlog smjernica za unaprjeđenje već postojećeg sustava. Metode: U istraživanju je sudjelovalo 17 stručnjaka različitih profila koji se bave promicanjem dojenja u Gradu Zagrebu na različitim razinama zdravstvene zaštite. Uz njih, sudjelovallo je 55 majki dojilja, članica grupa za potporu dojenja na području Grada Zagreba. Instrumenti procjene, posebno kreirani za potrebe ovog istraživanja, bila su 2 anketna upitnika, jedan za stručnjake i jedan za majke. Prikupljeni odgovori obrađeni su kvalitativnom i kvantitativnom analizom podataka. Rezultati: Kvalitativnom analizom odgovora stručnjaka utvrđeno je da se na području Grada Zagreba provode programi promicanja dojenja kojih treba konstantno pratiti i nadograđivati. Isto tako treba pružati kako majkama tako i njihovim obiteljima pravovremene informacije, savjete i podršku o dojenju jer dobiveni rezultati ukazuju na važnost dane podrške obiteljima te na prolongiranje dojenja. No, forsiranje samo dojenja kod neiskusnih majki i kod majki kod kojih dojenje ne ide glatko može imati teške posljedice za dijete. Kvantitativnom analizom odgovora majki utvrđeno je kako su mastitis i ragade najčešći razlozi prijevremenog odustajanja od dojenja te da im najveću podršku dojenju pružaju njihovi supruzi i patronažne sestre. Također, smatraju kako bi bilo dobro da postoje dodatni edukativni materijali o dojenju te radionice na samu tematiku. Zaključak: Istraživanjem je utvrđeno da je interdisciplinarna suradnja stručnjka različitih profila neophodna kako bi se majkama dojiljama i njhovim obiteljima pružile pravovremene informacije o dojenju. Također, postoji potreba za razvoj dodatnih edukativnih materijala te stvaranje javnih prostora za dojenje u Gradu Zagrebu.
Abstract (english) Background: Breast milk is the only natural source of all nutrients that are needed for newborns. Many years of research demonstrated the multiple benefits of breast milk for the health, growth and development of the child as well as for the health of their mothers. They also agreed that the mother's milk is different in women who had a premature delivery because it contains other ingredients that are necessary for premature babies for quality growth and development. Furthermore, breastfeeding has an important psychosocial role. During the gestation period, the mother and her child are connected, and breastfeeding deepens the emotional bond that strengthens and becomes unbreakable. Programs that promote breastfeeding include all health professionals for expecting mothers, mothers and mothers of infants and pre-school age children, which primarily include visiting nurses, midwives, gynecologists and pediatricians. Objective: The aim of this study was to evaluate the state of breastfeeding in the area of the City of Zagreb from the perspective of different profiles of experts and mothers in breastfeeding support groups in the City of Zagreb. Methods: There were 17 experts from different profiles involved in promoting breastfeeding in the City of Zagreb at various levels. And 55 mothers who are members of the breastfeeding support group in the City of Zagreb.The assessment tools, specifically created for the purpose of this research, were 2 questionnaires, one for the experts and one for the mothers. Collected responses were processed by qualitative and quantitative analysis. Results:By qualitative analysis of experts' responses, it has been established that in the area of the City of Zagreb are implemented programs for the promotion of breastfeeding which should be constantly monitored and upgraded. It should also provide timely information, advice and support for breastfeeding both to mothers and their families, as the results obtained indicate the importance of family support and the prolongation of breastfeeding. However, forcing only breastfeeding in inexperienced mothers and in mothers where breastfeeding can not go smoothly can have serious consequences for the baby. Quantitative analysis of mothers' responses found that mastitis and nipple crack are the most common reasons for premature breastfeeding and that the widest support for breastfeeding is provided by their husband and nurse sisters. They also believe that it would be good if there were additional educational materials about breastfeeding. Conclusion:The research found that the interdisciplinary cooperation of experts is very important to provide timely information on breastfeeding to mothers and their families. And there is a need for more educational materials and the creation of space in the City of Zagreb for breastfeeding in the public.
Keywords
dojenje
Grad Zagreb
podrška
Keywords (english)
breastfeeding
City of Zagreb
support
Language croatian URN:NBN urn:nbn:hr:158:375047 Study programme Title: Educational Rehabilitation Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2018-07-10 10:54:55
