Challenges to Breastfeeding Initiation and Duration for Teen Mothers

Cota-Robles, Sonia; Pedersen, Laura; LeCroy, Craig Winston

doi:10.1097/nmc.0000000000000327

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…Although the breastfeeding rates of the experimental and control groups were not statistically different at 6 weeks postpartum, the teen mothers who participated in the mother‐role development program had better rates at 1 and 2 years postpartum. The evidence in this study concurs with various studies in high‐income countries, which have demonstrated that the initiation and duration of breastfeeding can be improved by enhancing mothers' breastfeeding knowledge and skills 18,19 …”

Section: Discussionsupporting

confidence: 90%

“…The evidence in this study concurs with various studies in highincome countries, which have demonstrated that the initiation and duration of breastfeeding can be improved by enhancing mothers' breastfeeding knowledge and skills. 18,19 As this was a prospective study at a single tertiarycare center, its generalizability might be limited to urban areas of middle-income countries. Even though our mother-role development program was expected to increase the utilization of MHS, the significant effect was revealed only at the 6-week postpartum follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Mother‐role development program and postpartum health‐service utilization by adolescent mothers: A randomized, controlled trial

Talungchit

Kwadkweang

Limsiri

2020

J of Obstet and Gynaecol

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Aim To evaluate the impact of a mother‐role development program on postpartum health‐service utilization by adolescent mothers. Methods A single center, parallel, randomized, controlled, open‐label trial using a computer‐generated sequence was conducted at Siriraj Hospital. In all, 120 teenage mothers who delivered February 2015–December 2016 were randomized into experimental and control groups. The experimental group participated in a 2‐year, mother‐role development program at the Young Family Clinic. The two groups' characteristics, pregnancy outcomes and postpartum follow‐up details over the 2‐year period were compared. The main outcome measure was the utilization of maternal healthcare services (MHS). Results The teenage mothers were randomized into two groups of 60 participants each. Many were progressively lost to follow‐up, leaving only 37 (experimental group, 19; control group, 18) for the intention‐to‐treat analysis. The results demonstrated a higher MHS utilization by the experimental group, but only at the 6‐week postpartum follow‐up. The usage of long‐acting, reversible contraception (birth control implants and intrauterine devices) rose from 53.3% (immediate postpartum) to 95.5% (2 years postpartum). The two groups also had identical repeat pregnancy rates (6.67%; four participants in each), a marked decrease from 20% in a prior study. The breastfeeding rate was consistently higher among the mothers undertaking the mother‐role development program. Conclusion The program increased both MHS utilization during the initial postpartum period and the breastfeeding duration. Access to immediate postpartum contraception and long‐acting, reversible contraception was associated with a reduction in repeat teen pregnancies. Having a multidisciplinary team was key to the health‐service improvements.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Mother‐role development program and postpartum health‐service utilization by adolescent mothers: A randomized, controlled trial

Talungchit

Kwadkweang

Limsiri

2020

J of Obstet and Gynaecol

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“…Adolescent mothers are defined as younger than 20 years however, three studies 7,13,14 classified adolescent mothers as through 21 years. Furthermore, six studies 10,11,[14][15][16][17] enrolled pregnant adolescents and one study 18 enrolled pregnant adolescents in addition to adolescent mothers postpartum. Six studies 10,15,17,[19][20][21] were breastfeeding interventions and three studies 16,21,22 purposefully enrolled mothers who intended to breastfeed.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Among the intervention studies, 15,17,19 breastfeeding rates were as high as 91% to 100%, and breastfeeding duration was extended between 177 days to 6 months. In comparison, qualitative studies 6,7,10,14,16,17,24,25 reported adolescent breastfeeding initiation rates of 31% to 100% and exclusive breastfeeding rates from 17% to 64%.…”

Section: Breastfeeding Initiation Duration and Exclusivitymentioning

confidence: 99%

“…In addition, adolescent mothers reported making the decision whether or not to initiate breastfeeding during the prenatal period. 15,23 They typically made this decision independently, though opinions of family members and partners were influential. 23 Evidently, prenatal intentions to breastfeed are fundamental to postpartum breastfeeding behaviors.…”

Section: Breastfeeding Initiation Duration and Exclusivitymentioning

confidence: 99%

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Knowledge, Attitudes, and Barriers to Breastfeeding in Adolescent Mothers: a Review

Kullmann

Leader

Frasso

2021

CRMJ

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Introduction: Despite the proven benefits of breastfeeding, there are a variety of reasons why many women do not, or cannot, breastfeed their children. Adolescent mothers are even less likely to breastfeed than non-adolescent mothers. The aim of this review was to synthesize the current literature on breastfeeding practices in adolescent mothers and explore the factors influencing their breastfeeding decisions. Methods: A literature search was conducted in January 2018 using PubMed. Studies were included in the review if they discussed adolescent mothers’ views and experiences of breastfeeding or if they reporting breastfeeding rates among adolescent mothers. For this review, adolescence was defined as the ages between 13 and 21. Results: Of the 19 studies selected, each study was summarized and analyzed to determine that the proportion of adolescent mothers who breastfeed is lower than non-adolescent mothers: 31-100% initiated breastfeeding, 17-64% breastfed exclusively, and more than half stopped within the first month. Intention to breastfeed, social support and maternity care support were positive predictors of breastfeeding behaviors. Although significant effects of the interventions aimed at improving breastfeeding rates was revealed by this review, findings also indicated analytical themes related to adolescents’ breastfeeding knowledge, attitudes, and barriers that are unique to their age group. Conclusions: This review highlights that adolescents have limited breastfeeding knowledge, unique attitudes, and face a variety of barriers to breastfeeding, including returning to school, social stigma, the physical demands of breastfeeding and unease with the act of breastfeeding. These findings indicate that developmentally sensitive education and support is fundamental to effective interventions aimed to increase breastfeeding rates among adolescent mothers.

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Motherhood in Adolescence: Risk Factors, Parent-Infant Relationship, and Intervention Programs

Crugnola

Ierardi

2022

Key Topics in Perinatal Mental Health

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Challenges to Breastfeeding Initiation and Duration for Teen Mothers

Cited by 11 publications

References 9 publications

Mother‐role development program and postpartum health‐service utilization by adolescent mothers: A randomized, controlled trial

Mother‐role development program and postpartum health‐service utilization by adolescent mothers: A randomized, controlled trial

Knowledge, Attitudes, and Barriers to Breastfeeding in Adolescent Mothers: a Review

Motherhood in Adolescence: Risk Factors, Parent-Infant Relationship, and Intervention Programs

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