Themes | Codes | Mothers鈥 statements in subcategories |
---|---|---|
Theme 1. Expectations from health personnel | Information/Guidance | "I didn't get any support. I needed support. We have no experience for disaster situations about what we can do. We cannot see and learn some things without experiencing. But health personnel receive their training. A lot of patients pass through their hands and they see a lot of similar situations. They can guide us more accurately." (P1) "I didn't get any support. I needed support. We have no experience for disaster situations about what we can do. We cannot see and learn some things without experiencing. But health personnel receive their training. A lot of patients pass through their hands and they see a lot of similar situations. They can guide us more accurately." (P7) |
Psychological Support | "The only thing I feel bad about as a mother is not being able to breastfeed my infant. I couldn't do it. It was such a disaster that my milk decreased with my tears. I would have liked to have had someone to support us as a mother at that time." (P18) | |
Health Check of Infants | "I want my infant to be screened for nutrition. That's why health personnel should give us great support. We need a great deal of support for maternal and infant nutrition after the earthquake. Because my infant did not get enough nutrients at that time. This led to prolonged diarrhoea and illness. At the same time, his/her face became very pale and we lost weight. For some reason, it seems to me that he/she still hasn't recovered. That's why we need this support. At the same time, extra support programmes can be made for children and infants in earthquake zones. It would be good if special nutritious, vitamin-rich, practical foods were distributed to these children. The children could not eat the dry food distributed for us. When we buy soup, it gets cold until we get to the tent." (P9) | |
Theme 2. Mothers' suggestions | Having a Distribution Plan for Infant Nutrition Products | "I would have liked health personnel to act in a more organised way in terms of distribution. Because the staff from the Red Crescent and AFAD may have difficulties in identifying who is lacking what, especially in families with babies. But it would be better if the health personnel made a tent by tent list. We wouldn't be without food or bottles for a month." (P8) 鈥淩egarding the uncontrolled distribution of infant formula, perhaps if it were under their control, they would know better which mother needs how much formula and whether the formula distributed is suitable for the age of the infant. At that time, my infant had a urinary tract infection and I didn't know what to do. It was impossible to get to the hospital immediately. Maybe they would have calmed our fears." (P10) |
Insisting on Breastfeeding the Infant | "My suggestion to mothers is not to stop breastfeeding their babies, at least until they reach the time to consume additional food. Yes, maybe they will be weaned like me, but at least they should get treatment from a doctor. Because maybe if I was breastfeeding and had a little milk, I wouldn't have such a hard time." (P5) "I have been through so many difficult things that I have tried to be strong for my children. Let them be strong. Mothers are the only indestructible house that can protect their children. I endeavoured to get my milk back, because what is available is a blessing that does not make me dependent on anyone. But it didn't work out, maybe that's what happened to me. They should definitely not rely on formula and give their milk to their children." (P21) | |
Remaining Cool and Strong | "'Mothers should be cold-blooded. She should eat whatever she can find to make milk for the infant. If they have the means, they should stay outside the city until the situation improves." (P1) "I have been through so many difficult things that I have tried to be strong for my children. Let them be strong. Mothers are the only indestructible house that can protect their children. I endeavoured to get my milk back, because what is available is a blessing that does not make me dependent on anyone. But it didn't work out, maybe that's what happened to me. They should definitely not rely on formula and give their milk to their children." (P21) | |
Making Infant Food Products Available for Earthquake Risk | "There must be an earthquake lunch box for earthquake. It should contain ready-to-eat food, jarred food, milk, baby biscuit, fruit puree, canned foods, things that will not spoil and will not be affected by the cold. Only God knows when the earthquake will happen." (P6) "Such situations can happen at any time. The mother should be prepared and have formula and nappies ready. Because mums are being weaned. Something happens, they become helpless. But it would be a great support to those mothers if they had at least one formula in their bags at that moment. Water is also very important in such a situation, children become breathless and dehydrated. We can't find food and we have trouble finding water. Therefore, mothers should keep a bag of clothes, food, and water for babies. You don't think about it when an earthquake strikes. The state can also prepare and distribute this for mothers. But before the state can distribute it, because it will take time to distribute it, who and where will you find at that moment, the mother must be ready. They must be prepared." (P12) | |
Nutrition of Nursing Mother | "They should definitely continue breastfeeding, whether it is a little or a lot. Because mothers cannot access healthy food immediately. They should eat whatever they find, no matter how dirty it is, so that their milk will come. From time to time, they can store milk at home. It doesn't come to mind when you run away from home, but if we had it ready, it would have made us more comfortable for at least a few days." (P2) "People couldn't help to give us food in those early days. It was not right for us to expect such a thing while people were dying under the rubble. Could breastfeeding mothers perhaps be given drinks or medicines to increase their milk? I do not know if it's too much to say. But another life feeds on us. Actually, the food distributed is more expensive." (P16) | |
Breastfeeding and Supplementary Foods | "Mothers should be careful what they feed their children. They should give formula, but I can't say anything if they can't reach them. They should not be late in switching to supplementary foods, I had the most difficulty in this. There is nothing else I can say, God forbid it gets worse, God forbid it happens again." (P7) | |
Theme 3. Difficulties experienced | Difficulties in Accessing Food/Formula | "I don't give supplementary food. After the earthquake, we stayed in a tent for 2听months. The tent was out of place. We did not have a supplementary food environment for the infant. Look, it's like that now, for example, it's been 2听months since we moved to the container and it will be 3听months. There is neither a market nearby to buy food nor a market that brings fresh produce. We have no easy access, as if they had gotten shet of us. We couldn鈥檛 get it. This time it's not healthy, I give them little by little what we have, whether it's soup or yoghurt." (P2) "It took 3鈥4听days for proper food to arrive in the tents. After that, we always had food, but as I said, we had no hot water. Then we found a gas tube and I heated it in the tube. Wouldn't you know it, I used that tube for one of my children and my infant so that the gas wouldn't run out. Because you never know what's going to happen. We saved it for them." (K4) "As I said, I had difficulty in getting the formula. Even when we tried to buy it with money, the owner wouldn't give it to us. He didn't give it to me in case there was a looting when he opened the shop. For the first three days I gave the little food I had with me and we stayed in the car anyway, then we went to the collective tents and food was distributed, but this time there was no clean water." (P20) |
Diarrhoea/Allergy | "Yes, it happened. As I said, I could not provide supplementary food, so I was giving his water. But it also disturbed my infant bittersweetly and I had to give it to him/her. And that's how he/she got a sore in his/her mouth. He/she had a lot of flatulence. He/she fever and diarrhoea and he/she went through a lot of trouble." (P4) "Yes, I did, and I had a lot of trouble. Once he/she had allergies, I think from the food we ate, and a couple of times he/she had severe diarrhoea. But at that time, many children in the tent area complained of thirst. I don't know, it may be due to water or it may be due to bulk food." (P14) | |
Difficulties with Safe Food Preparation | "Preparing the food at night was also a problem. There was mud and dirt everywhere. There was no hygiene. It took a long time to get hot water and prepare the food. As you can see, we and the babies had the hardest time in this process." (P3) "I could not breastfeed our youngest one in the first days of the earthquake. I was supplementing with formula before the earthquake. I could not breastfeed immediately after birth, my milk decreased after 2 鈭3听months. So, we switched back to formula. We were already using it before the earthquake. On the first day of the earthquake, with that fear and our escape, my milk never came. The child is hungry, there is no water if I give food. The water was cut off, I would say that I make the food with cold water, but I don't have that either. I had no milk. I experienced a great despair. Believe me, we did not have access to hot water, so we tried to heat the food between our trousers and coats. We had a hard time. I was already pregnant at that time." (P5) | |
Difficulties related to the Family/Mother's Situation | "I mean, we didn't have an organisation like before the earthquake. In this process, they were underfed most of the time, especially in the first periods of the earthquake. They were malnourished. There are many mothers in this situation. Whenever I talk to a mother who has children like me both in tents and containers, it is always the same problem. That's why we say monilia disease in my infant's mouth. He/she has got a sore inside his mouth. Normally, it will go away after giving mulberry molasses jam or they need to see a doctor. But we didn't have such a possibility. If we could, we would have gone to another city. Or we'd get a nice house in a nice place. It is very difficult for us to even cover the travelling money to the supermarket. We are having a very hard time. And yes, we had to deal with a lot of health problems." (P2) "Since I was pregnant, I didn't know what to do. I'm in a terrible predicament." (P6) 鈥. We were hungry, we had nothing to do, so I had a lot of difficulty with nutrition and other issues. We entered the food tent and it took 4听days to arrive after we entered the tent, and we always had nutritional problems." (P8) | |
Access to Heater/Hot Water | "I could not breastfeed our youngest one in the first days of the earthquake. I was supplementing with formula before the earthquake. I could not breastfeed immediately after birth, my milk decreased after 2 鈭3听months. So, we switched back to formula. We were already using it before the earthquake. On the first day of the earthquake, with that fear and our escape, my milk never came. The child is hungry, there is no water if I give food. The water was cut off, I would say that I make the food with cold water, but I don't have that either. I had no milk. I experienced a great despair. Believe me, we did not have access to hot water, so we tried to heat the food between our trousers and coats. We had a hard time. I was already pregnant at that time." (P5) "After moving to the mass tent settlements, free milk was distributed to mothers with babies. I was feeling worse, I insisted on breastfeeding, but it didn't work, the infant was crying from hunger and I was completely dependent on formula. Especially at night he/she didn't want to suck at all. You know that breast milk is very good, but I wanted to give him formula even to make him sleep longer at night. I had no choice. But I had another crisis. My infant didn't want to eat the food I prepared for him. He/she wouldn't take it either. I know I cried for days; this helplessness is terrible. You're already psychologically unwell and incompetent towards your child. It was very, very difficult to be a mother under those conditions. I tried some other food and he/she started drinking it for a while. During the day, I would breastfeed first and if not, I would give formula supplements. It was very difficult to prepare the formula at night. You stay in a tent. You need hot water, heating the water and preparing the food is arduous. It was dark most of the time. It is really troublesome to get out of bed in those cold temperatures and prepare the formula and give it to the infant." (P16) | |
Not Being Able to Feed the Infant | "No, not really. My child was just a little weak because he/she wasn't full. I attribute this to the fact that he/she didn't get enough food at that time. But I also found medicine for him/her, so he/she can get plenty of vitamins from my other tent neighbours. I took precautions in advance so he/she wouldn't get sick." (P8) "As I said, I had plenty of milk. But it decreased. I didn't know what to do, I panicked so much. We stayed in the car in the cold for about 4听days, then we went to our relative's house, and when 20 people stayed in the same house, we could not do it, so we came back. We settled in a tent city. Thank God we found a tent here. We suffered a lot. What can I tell you? The infant is crying, I have no milk. First, I mixed whatever they gave me from the neighbourhood with cicibebe biscuits and water. When I got milk, I gave it with milk. When the formula started to be distributed, I also started to feed with it." (P19) | |
Difficulties in Formula Adaptation in an Infant who has Stopped Sucking | "We were in a position to get it. But I didn't think formula was enough for my infant. I had a bit of a hard time here. I thought breast milk would be more adequate. Also, at that time, various types of food were distributed. My infant did not take every formula" (P7) "I needed formula the most. But the infant did not eat the formula. Maybe the infant rejected it because of the brand of the formula. I always gave food with foreign ingredients. He/she may not have liked their flavour. Maybe if there are things we know, if such things are distributed here now, I will know what they are and the child will eat them then." (P12) | |
Psychological Difficulty | "I am a mother of 2 children, one 5听years old and one 8听months old, my infant was 30听days old at the time of the earthquake. I was breastfeeding. The earthquake was a separate problem. The fear of whether there would be another earthquake or whether we would die was another problem. There was also the fear of how the infant would be fed and what it would eat. I had incredible difficulties, I felt very helpless as a mother. To be frank, at that moment, it also feels like nothing will ever get better and nothing will ever be the same again.鈥 (P4) "My youngest infant is now 8听months old and was 1.5听months old during the earthquake. My middle daughter is 2听years old. My eldest daughter is 4听years old. I was scared, and when I was scared, I could not be useful to my infant in the first days. My husband works in Antalya. I was caught alone in the earthquake. I didn't know what to do in the earthquake. I couldn't reach my husband. When all three of them were kids, I was very scared about how to feed them and what to do, and I was left alone." (P12) | |
Other Difficulties | "The biggest problem I had was the toilet problem. My infant has epilepsy and has frequent seizures. My other daughter had to go to the toilet. When I took her to the loo, I was on pins and needles. I had to leave my infant in the tent because it was cold. This also affected my milk. It affected other things. The food started to be distributed when I moved to the tent after the earthquake." (P1) "No light, no sockets, no electricity. There's no formula. We left the house without any food. I went to mosques, used electricity in mosques with electricity, and heated and used it here. The things that I had. I really had a hard time. In such a situation, you think of your child first. Perhaps our greatest convenience in terms of feeding, compared to mothers with younger children, was that the child ate additional food. We tried to feed whatever we had in front of us without saying bitter or sour, in a way that would not disturb him." (P9) | |
Theme 4. Breastfeeding and infant feeding | Reduction/Interruption of Breast Milk | 鈥淕od bless them. I'm a mother of 2 children. One's 5听years old, one's 8听months. My infant was 30听days old at the time of the earthquake. I was breastfeeding. The earthquake was a separate problem. The fear of whether there would be another earthquake or whether we would die was another problem. There was also the fear of how the infant would be fed and what it would eat.. I had incredible difficulties, I felt very helpless as a mother. To be frank, at that moment, it also feels like nothing will ever get better and nothing will ever be the same again. I really wanted to breastfeed, but my milk went dry a week after the earthquake. Sadness, fear and the difficulties caused by the loss of my relatives all overlapped and I had incredible difficulties." (P3) "I had just given birth; my infant was already 20听days old and I had milk. I was already eating everything before the earthquake to get my milk. I was very scared after the earthquake. I did not go out for forty. And I stayed indoors too long. I was in the car too long. They wouldn't give me petrol or anything. That stress, that distress came on top of that, my child was only 6听days old when he underwent surgery. He/she had an operation because one of his/her vertebrae was turned upside down in the womb. Then the stitches were opened, which caused an abscess. We had to take him/her to hospital. At that time, my milk stopped, and I actually did everything we could until that day. I breastfed my infant again, more, or less. In this case, we had to give my infant formula from time to time. Then we started to give it all the time." (P7) |
Experiences in the Supplementary Food Period | "I was not planning to switch to supplementary food before the 4th month, but I accelerated the process after the earthquake. I accustomed him/her to touching his pacifier little by little earlier. We just switched to formula. To be honest, I couldn't give him/her much. We had dry food, it was coming, but no additional food was provided for the child. The bottle came much later anyway. Whatever I ate, I gave him/her the pot liquor" (P4) "The only thing I remember is that I couldn't even find a dry bread and feed it to my infant. There was always chaos in the distribution of food and non-food in the collective tent centres. It was cold, snow, winter and people were panic-stricken, nervous, and tense. You get in the queue, the food cools down until it is your turn, and you give it to the infant as much as you can feed. And generally, the same things were given over and over again. I had just recently switched to supplementary foods and I had a lot of difficulty with it. I had to underfeed him/her for months. He/she was weak and frail, but what can you do?" (P14) | |
Breastfeeding in Non-Privacy Areas | "I also had a lot of trouble with breastfeeding. Everyone was staying in one place. It was crowded. It was all foreigners and men. We had to go there because it was hot. But it was too crowded. You're a mother, you're a lady. I had a very difficult time in this respect." (P1) "Everything is destroyed, you have lost your loved ones, you are under stress, your daily life is suddenly disrupted, your infant has just left the hospital, what could be the result. We were placed in communal tents but it was very difficult to find cosy, private places, and time for breastfeeding. It's cold, it's winter outside, who's going to go out and breastfeed the infant? Even if it is your relative, you are ashamed, your privacy is shaken, come and try to breastfeed in this way. I'm low on milk from travelling around. Food and drink are a problem, you can't eat anything. When my infant started to have less milk, my milk gradually stopped." (P18) | |
听 | Appropriate Space/Equipment and Materials; | "It was very difficult to feed. When I moved to the tent, I had great difficulty due to the conditions of the tent. He/she had a fever of 104 degrees. Mud, cold, nothing to eat, nothing to drink. It was a disaster; I had a very hard time in those first times in the earthquake. I've had a terrible, miserable time. The supplies came to us after a very long time. It should be day 8 or 9. What are we gonna do till then? We were miserable. At that time, our neighbour had a market. God bless him a thousand times, he told me to go and take everything, but when we got there, most of the things were finished, there were not many things that appealed to the infant, but it was enough for 8 or 9听days. (P6) |