A systematic review of the nature of support for breast-feeding adolescent mothers

Morán, Victoria Hall; Edwards, Janet P.; Dykes, Fiona; Downe, Soo

doi:10.1016/j.midw.2006.06.005

Cited by 38 publications

(44 citation statements)

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“…Similarly, in a review that included quantitative and qualitative studies relating to the perspectives of adolescents on breastfeeding, only the findings from the qualitative studies were included. 223 …”

Section: Exclusion Criteriamentioning

confidence: 99%

“…The included reviews report women's accounts of breastfeeding behaviour and patterns and consider breastfeeding support, 67,223,227 women's experiences of breastfeeding, [228][229][230] formula milk feeding, 231 breastfeeding among adolescent mothers, 223 decision-making about feeding 232,233 and current research in the subfields of anthropology and related disciplines 234 (Table 34). Throughout the included evidence reviews, themes that emerged can be applied to understand the barriers to and facilitators of initiating and sustaining breastfeeding.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In cultures that sexualise women's breasts, difficulties around the body and image, sexual identity and relations can inhibit breastfeeding, 223,232,234 especially if the body is seen as a 'machine'. 229 Breastfeeding is the sole responsibility of the mother 223,229 and this can act as a barrier, especially if women are less likely to try new things. 232 Overall body image and sensations were influential, as they were in the reviews of smoking when pregnant.…”

Section: Barriers and Facilitators Experienced By Women For Smoking Cmentioning

confidence: 99%

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Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design

Morgan

Hoddinott

Thomson

et al. 2015

Health Technology Assessment

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BackgroundSmoking in pregnancy and/or not breastfeeding have considerable negative health outcomes for mother and baby.AimTo understand incentive mechanisms of action for smoking cessation in pregnancy and breastfeeding, develop a taxonomy and identify promising, acceptable and feasible interventions to inform trial design.DesignEvidence syntheses, primary qualitative survey, and discrete choice experiment (DCE) research using multidisciplinary, mixed methods. Two mother-and-baby groups in disadvantaged areas collaborated throughout.SettingUK.ParticipantsThe qualitative study included 88 pregnant women/recent mothers/partners, 53 service providers, 24 experts/decision-makers and 63 conference attendees. The surveys included 1144 members of the general public and 497 health professionals. The DCE study included 320 women with a history of smoking.Methods(1) Evidence syntheses: incentive effectiveness (including meta-analysis and effect size estimates), delivery processes, barriers to and facilitators of smoking cessation in pregnancy and/or breastfeeding, scoping review of incentives for lifestyle behaviours; (2) qualitative research: grounded theory to understand incentive mechanisms of action and a framework approach for trial design; (3) survey: multivariable ordered logit models; (4) DCE: conditional logit regression and the log-likelihood ratio test.ResultsOut of 1469 smoking cessation and 5408 breastfeeding multicomponent studies identified, 23 smoking cessation and 19 breastfeeding studies were included in the review. Vouchers contingent on biochemically proven smoking cessation in pregnancy were effective, with a relative risk of 2.58 (95% confidence interval 1.63 to 4.07) compared with non-contingent incentives for participation (four studies, 344 participants). Effects continued until 3 months post partum. Inconclusive effects were found for breastfeeding incentives compared with no/smaller incentives (13 studies) but provider commitment contracts for breastfeeding show promise. Intervention intensity is a possible confounder. The acceptability of seven promising incentives was mixed. Women (for vouchers) and those with a lower level of education (except for breastfeeding incentives) were more likely to disagree. Those aged ≤ 44 years and ethnic minority groups were more likely to agree. Agreement was greatest for a free breast pump and least for vouchers for breastfeeding. Universal incentives were preferred to those targeting low-income women. Initial daily text/telephone support, a quitting pal, vouchers for > £20.00 per month and values up to £80.00 increase the likelihood of smoking cessation. Doctors disagreed with provider incentives. A ‘ladder’ logic model emerged through data synthesis and had face validity with service users. It combined an incentive typology and behaviour change taxonomy. Autonomy and well-being matter. Personal difficulties, emotions, socialising and attitudes of others are challenges to climbing a metaphorical ‘ladder’ towards smoking cessation and breastfeeding. Incentive interventions provide opportunity ‘rungs’ to help, including regular skilled flexible support, a pal, setting goals, monitoring and outcome verification. Individually tailored and non-judgemental continuity of care can bolster women’s capabilities to succeed. Rigid, prescriptive interventions placing the onus on women to behave ‘healthily’ risk them feeling pressurised and failing. To avoid ‘losing face’, women may disengage.LimitationsIncluded studies were heterogeneous and of variable quality, limiting the assessment of incentive effectiveness. No cost-effectiveness data were reported. In surveys, selection bias and confounding are possible. The validity and utility of the ladder logic model requires evaluation with more diverse samples of the target population.ConclusionsIncentives provided with other tailored components show promise but reach is a concern. Formal evaluation is recommended. Collaborative service-user involvement is important.Study registrationThis study is registered as PROSPERO CRD42012001980.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Exclusion Criteriamentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Barriers and Facilitators Experienced By Women For Smoking Cmentioning

confidence: 99%

See 1 more Smart Citation

Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design

Morgan

Hoddinott

Thomson

et al. 2015

Health Technology Assessment

Self Cite

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“…Adölesanlar için, planlı emzirme eğitim programlarının, emzirmenin başlatılmasında ve devam ettirilmesinde yararlı olduğu ifade edilmiştir. 73 Emzirmeyi teşvik etmenin, adölesan kadınlar ve ailelerinin geliştirilmesi için önemli bir adım olduğu ifade edilmiştir. 74 Pentecost ve Grassley'in yaptığı çalışmada (2014), 75 adölesan anneler hemşirelerden, ne zaman emzirmeleri gerektiğini açıklamalarını, sorularını cevaplandırmalarını ve sürekli bilgi sağlamalarını beklediklerini ifade etmişlerdir.…”

Section: Adölesan Annelerde Emzirmeyi Arttıran Uygulamalarunclassified

The Breastfeeding in Adolescent Mothers

Işık

Çetişli

2017

Turkish Journal of Family Medicine and Primary Care

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ÖZETDünya Sağlık Örgütü, adölesan dönemini 10-19 yaşları arasındaki dönem olarak tanımlamakta ve dünyada her altı kişiden birinin adölesan olduğunu bildirmektedir. Bu dönemde gerçekleşen fiziksel ve psikolojik değişiklikler, madde bağımlılığı, korunmasız cinsel ilişki ve istenmeyen gebelikler gibi bazı riskli davranışlara neden olabilmektedir. Hem gelişmiş, hem de gelişmekte olan ülkelerde adölesan gebelikler önemli bir sağlık sorunudur. Adölesan gebeliğin risk faktörleri, çok yönlü ve karmaşıktır. Abortus, erken doğum tehditi, gebelikte hipertansiyon, anemi, düşük doğum ağırlığı, konjenital anomali riski, artmış neonatal mortalite ve emzirme problemleri bunlar arasında sayılabilir. Birçok açıdan riskli bir dönemde olan adölesan anneler arasında emzirmeye başlama, emzirmeye devam etme oranlarının az olması da, anne ve bebeğin sağlığını olumsuz etkileyen ve göz ardı edilen önemli sorunlardandır. Düşük sosyoekonomik durum, partner yokluğu, sosyal destek yetersizliği, olumsuz anne ve eş desteği, ağrı, kültürel etkiler, bilgi eksikliği, olumsuz deneyimler, emzirme niyeti, emzirmeye ilişkin tutum ve öz-yeterlilik emzirmeyi etkileyen faktörler olarak belirtilmektedir. Anahtar kelimeler: Adölesan, annelik, emzirme ABSTRACTWorld Health Organization defined the adolescent period between the ages of 10-19 and declared that one out of every six people are adolescent. Physical and psychological changes in this period might cause risky behaviors such as drug abuse, sexual intercourse with no protection and unwanted pregnancy. Adolescent pregnancies are an important health problem in both developed and developing countries. Risk factors of adolescent pregnancy are complicated and miscellaneous. Abortus, threat of premature birth, hypertension in pregnancy, anemia, low weight of the newborn, congenital anomaly risk, increased neonatal mortality and breast feeding problems are some of them. For adolescent mothers, who are in a risky period for many aspects, low rates of starting and continuing breast feeding is another important and neglected problem affecting mother's and newborn's health negatively. Low socio-economic condition, absence of partner, inadequate social support, negative support of parents and couple, pain, cultural factors, lack of knowledge, negative experiences, breast feeding intention, manner regarding breast feeding and self-sufficiency were reported as factors affecting the breast feeding.

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“…Special and specific concern is necessary, as these mothers' degree of commitment in maintaining their children's growth is affected by the liability of their physical and psychological maturity. Moreover, several studies by researchers have suggested that social support plays an important role and is needed if adolescent mothers are to perform exclusive breastfeeding [4,6,10,12,15].…”

Section: Introductionmentioning

confidence: 99%

Role of Social Support in Breastfeeding for Adolescent Mothers

Palupi¹,

Devy²

2018

KLS

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Breastfeeding plays an important role in a baby's life and is especially important for babies with a low birthweight (LBW), which is the highest cause of death in neonates.In 2012, the number of adolescent mothers with a higher risk of delivering LBW babies increased as reported by BKKBN. This study aimed to identify factors affecting adolescent mothers' breastfeeding behaviors in Sidotopo, Surabaya, Indonesia through an observational, descriptive, and qualitative approach with a cross-sectional design. Seven subjects were selected through a purposive sampling method and interviewed in-depth regarding social support and action situations they faced during breastfeeding. The results showed that social support tended to be positive but low; this led the mothers to give up on breastfeeding when they encountered obstacles that were relatively hard for them to overcome, even though the action situations would have been surmountable if the mothers had received adequate information and been highly motivated to breastfeed. In conclusion, social support from the people closest to adolescent mothers is needed to help them overcome difficult action situations related to breastfeeding.

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A systematic review of the nature of support for breast-feeding adolescent mothers

Cited by 38 publications

References 38 publications

Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design

Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design

The Breastfeeding in Adolescent Mothers

Role of Social Support in Breastfeeding for Adolescent Mothers

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