PROMOTION OF BREASTFEEDING IN THE MATERNITY WARD OF CLINICAL HOSPITAL CENTRE SPLIT

Dojenje je jedini prirodni i najzdraviji način prehrane dojenčeta. Klinika za ženske bolesti i porode KBC Split 2010. godine nakon ispunjenja kriterija dobiva titulu „Rodilište-prijatelj djece“. Majčino mlijeko prilagođeno je njenom vlastitom djetetu. Ono se mijenja kako bi osiguralo prehranu koja odgovara djetetovim potrebama, od kolostruma do zrelog mlijeka. Dva hormona prolaktin i oksitocin postaju važni u proizvodnji i otpuštanju mlijeka. Za uspješan početak dojenja važno je rano uspostavljanje bliskosti između majke i djeteta kroz kontakt „koža na kožu“ neposredno nakon poroda i podoj u prvom satu života. Najvažnije je pravilno prihvaćanje dojke i pravilno postavljanje djeteta na prsa. Ispravan položaj je osnova uspješnog dojenja i treba mu posvetiti mnogo pozornosti, naročito u prvim tjednima dojenja. Ako je dijete loše stavljeno na dojku te neučinkovito sisa, primalja treba podučiti majku o pravilnom položaju majke i djeteta. Ukoliko dijete nije pravilno namješteno na dojci dolazi do niza komplikacija koje ugrožavaju dojenje. Majka i dijete su zajedno 24 sata na dan (rooming in) te majka svoje dijete doji na zahtjev djeteta. Majčino mlijeko je jedinstveno, sadrži niz prednosti kako za dijete, tako i za majku, pa i zajednicu. Majčino mlijeko je idealno te bi svaka majka trebala dojiti najmanje 6 mjeseci. Rodilište je ključno mjesto u promicanju dojenja. Cilj ovog rada je utvrditi uspješnost dojenja, u kojoj mjeri informiranost može imati utjecaj na podržavanje dojenja kao i usporediti sve ostale čimbenike koji tome pridonose u Klinici za ženske bolesti i porode, Split. Za potrebe istraživanja provedena je anketa na 30 ispitanica, babinjača u KBC Split, Klinika za ženske bolesti i porode. Rezultati istraživanja prikazani su u dijagramima. U istraživanje je bilo uključeno 30 anketiranih babinjača, podijeljenih po skupinama, 10 prvorotki i 20 višerotki. Rasprava se temelji na dobivenim rezultatima koji su suprotni od očekivanih. Babinjače se još uvijek najčešće informiraju putem interneta, mali postotak je uspješan u prvom podoju, poticane su od zdravstvenog osoblja ali ne dovoljno, umor ne smatraju nepogodujućim čimbenikom dok bol jesu, te vrlo mali broj je upoznat s grupama za potporu dojenju. Zdravstveni djelatnici u KBC Split su nedovoljno educirani i nakon 4 godine provođenja inicijative „Rodilište- prijatelj djece“. Iz ankete zaključujemo da babinjače još uvijek nisu zadovoljne radom zdravstvenih djelatnika. Zdravstveni djelatnici bi trebali biti na prvom mjestu edukacije, pomoći i podrške tijekom dojenja.Breastfeeding is the only natural and healthiest way to feed a baby. Department of Gynecology and Obstetrics Split 2010th year after fulfilling the criteria gets the title of "Maternity-Child Friendly". Breast milk is adapted to its autoproduction child. Changes to ensure a diet that suits the child's needs, from colostrum to mature milk. Two hormones prolactin and oxytocin become more important in the production and release of milk. For a successful start breastfeeding, it is important to establish early closeness between mother and child through contact "skin to skin" immediately after birth and breastfeed in the first hour of life. The most important thing is proper acceptance of breast and proper placement of the child in the chest. The correct position is the basis of successful breastfeeding and should devote a lot of attention, especially in the early weeks of breastfeeding. If a child is badly placed on the breast and ineffective sucking, midwives should be taught the mother of the correct position of mother and child. If a child is not properly fitted to the breast comes to a series of complications that threaten breast-feeding. Mother and child are together 24 hours a day (rooming in) and a mother breastfeeds her baby at the request of the child. Breast milk is unique, featuring an array of benefits for both the child and the mother, and the community. Breast milk is the ideal and that every mother should breastfeed for at least six months. Maternity Hospital is a vital place in the promotion of breastfeeding. The aim of this study was to determine the effectiveness of breastfeeding, the extent of information can have an impact on supporting breastfeeding as compared to all the other factors that contribute to the Department of Obstetrics and Gynecology, Split. For the purposes of this research survey was conducted on 30 subjects, puerpera in Split University Hospital, Department of Obstetrics and Gynecology. The research results are presented in diagrams. The study included 30 puerpera surveyed, divided into groups, 10 primipara and 20 multiparous. The discussion is based on the results that are the opposite of the expected. Puerpera still usually informed through the Internet, a small percentage of successful first feeding, were encouraged by the medical staff, but not enough, fatigue is not considered nepogodujućim factor until the pain they are, and a very small number is familiar with the breastfeeding support group. Health workers in the Split University Hospital are not educated, and after four years of conducting initiatives "Maternity-Child Friendly". The survey concluded that puerpera still not satisfied with the work of health professionals. Health workers should be at the forefront of education, assistance and support during breastfeeding