Yaşamsal krizlerde emzirme

Yazarlar

DOI:

https://doi.org/10.64684/jicah.127

Anahtar Kelimeler:

Anne sütü, Emzirme, Laktasyon, Maternal sağlık, Yaşamsal kriz

Öz

Amaç: Bu derlemenin amacı, farklı yaşamsal krizlerin emzirme ve laktasyon süreci üzerindeki etkilerini, karşılaşılan güçlükleri ve bu durumlarda uygulanabilecek destekleyici yaklaşımları mevcut literatür doğrultusunda incelemektir.

Yöntem: Derleme kapsamında PubMed, Scopus, Web of Science ve Google Scholar veri tabanlarında yaşamsal krizler ve emzirme ile ilişkili yayınlar incelenmiştir. Literatür; cinsel istismar, aile içi şiddet, kurumsal bakım, boşanma ve tek ebeveynlik, mahkûmiyet, kanser ve cerrahi girişimler, vejetatif durum, bebek kaybı ve evlat edinme olmak üzere dokuz farklı durum kapsamında değerlendirilmiştir.

Bulgular: Yaşamsal krizlerin emzirmenin başlatılması ve sürdürülmesini fiziksel, psikolojik, sosyal ve kurumsal mekanizmalar üzerinden etkileyebildiği görülmüştür. Cinsel istismar ve aile içi şiddet emzirme sırasında travmatik deneyimleri tetikleyebilirken, uygun destek bazı kadınlarda emzirmenin sürdürülmesine katkı sağlayabilmektedir. Kurumsal bakım, tek ebeveynlik ve mahkûmiyet durumlarında sosyal, lojistik ve kurumsal engeller öne çıkmaktadır. Kanser ve cerrahi girişimlerde emzirme kararı uygulanan tedavi ve maternal klinik duruma göre değerlendirilmelidir. Vejetatif durumdaki kadınlarda laktasyon yönetimi sınırlı kanıtlar ve etik sorunlar içerirken, bebek kaybı sonrasında laktasyonun sürdürülmesi, süt bağışı veya baskılanması bireysel tercihler doğrultusunda ele alınmalıdır. Evlat edinmede ise indükte laktasyon emzirmenin sağlanmasına yönelik bir seçenek olabilmektedir.

Sonuç: Yaşamsal krizlerde emzirme ve laktasyon yönetimi, anne ve bebeğin güvenliği, klinik gereksinimleri ve annenin tercihleri doğrultusunda bireyselleştirilmelidir. Sağlık profesyonellerinin kanıta dayalı, travma konusunda duyarlı, yargılayıcı olmayan ve multidisipliner bakım sunması önem taşımaktadır.

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2026-08-31

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Aksoy Derya, Y., & Atabey Kılıç , K. (2026). Yaşamsal krizlerde emzirme. Journal of Infant, Child and Adolescent Health, 6(2), 126-142. https://doi.org/10.64684/jicah.127

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