Factors Predicting Exclusive Breastfeeding among Thai Adolescent Mothers at 6-months Postpartum

Main Article Content

Panchan Khonsung
Susanha Yimyam
Piyanut Xuto
Nonglak Chaloumsuk

Abstract

         The benefits of breastfeeding to infant and maternal health are widely recognized, however, the exclusive breastfeeding rate in Thailand remains low, especially among adolescent mothers. To better understand this, we investigated the relationships and predictability of selected factors on breastfeeding among Thai adolescent mothers during 6-months postpartum in a cross-sectional predictive. One hundred and ninety-five adolescent mothers were purposively selected from six hospitals in the north of the country. In addition to collecting demographic data we used six self-administered instruments: The Pregnancy Intention and Breastfeeding Practice Questionnaire; the Perceived Benefits of Breastfeeding Questionnaire; the Perceived Barriers to Breastfeeding Questionnaire; the Breastfeeding Self-Efficacy Short-Form Scale, the Maternity Care Practice Questionnaire, and the Family Support Questionnaire. Data were analyzed using descriptive statistics, Fisher’s exact test and multivariate logistic regression.


       Findings indicated that the only predictor of exclusive breastfeeding was breastfeeding self-efficacy. Strategies to increase breastfeeding self-efficacy in Thai adolescent mothers should be further researched and developed for midwifery practice.

Article Details

How to Cite
1.
Khonsung P, Yimyam S, Xuto P, Chaloumsuk N. Factors Predicting Exclusive Breastfeeding among Thai Adolescent Mothers at 6-months Postpartum. PRIJNR [Internet]. 2020 Dec. 7 [cited 2022 Dec. 8];25(1):34-47. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/239919
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Original paper

References

World Health Organization [WHO]. Early initiation of breastfeeding to promote exclusive breastfeeding. 2017 [cited 2019 May 15]. Available from:https://www.who.int/elena/titles/early_breastfeeding/en/

WHO & United Nations Children's Fund [UNICEF]. WHO and UNICEF issue new guidance to promote breastfeeding in health facilities globally. 2018 [cited 2020 January 4]. Available from:https://www.who.int/news-room/detail/11-04-2018-who-and-unicef-issue-new-guidanceto-promote-breastfeeding-in-health-facilities-globally

WHO. Infant and young child feeding. 2020 [cited 2020 July 16]. Available from:https:// www.who.int/newsroom/fact-sheets/detail/infant-and-young-child-feeding

UNICEF, WHO. Tracking progress for breastfeeding policies and programs: global breastfeeding scorecard.

[cited 2020 April8] Available from:https://www.who.int/ nutrition/ publications/infantfeeding/globalbf-scorecard-2017. pdf

Uzun AK, Orhon FS, Baskan S, Ulukol B. A Comparison between adolescent mothers and adult mothers in terms of maternal and infant outcomes at follow‐ups. J Matern Fetal Neo M. 2013; 26(5): 454–8. doi:10. 3109/14767058.2012.733748.

Pillay S, Sibanda W, Ghuman MR, Coutsoudis A. Infant feeding practices of teenage mothers attending a well-baby clinic in a public hospital in Umlazi, KwaZulu-Natal, South Africa. South Afr J Clin Nutr. 2018; 31(1): 14-9. Available from:https://doi.org/10.1080/160 70658.2017.1338841

Paladugu RK, Donipudi PC, Chimata D, Jasti M. Adolescent pregnancy and its outcomes: a cross-sectional

study. Int J Community Med Public Health. 2018; 5(10):4408-14. doi: 10.18203/2394-6040.ijcmph2018

Moreno-Villares JM, Germán-Díaz M. Human milk as a bioactive food. In Watson RR, Preedy VR. Bioactive food as dietary interventions for diabetes. Academic Press; 2019, pp. 425-45. Available from:https://doi.org/10.1016/B978-0-12-813822-9.00029-1

Giugliani ER, Horta BL, Mola C, Lisboa BO, Victora CG. Effect of breastfeeding promotion interventions on child growth: a systematic review and meta‐analysis. Acta Pediatr. 2015; 104 (467): 20-9. Available from:https://doi.org/10.1111/apa.13160

Abedi P, Jahanfar S, Namvar F, Lee J. Breastfeeding or nipple stimulation for reducing postpartum hemorrhage in the third stage of labor. Cochrane Database Syst Rev. 2016: 1-39. Available from:https://doi.org/10.1002/14651858.CD010845.pub2

Ganju A, Suresh A, Stephens J, Palettas M, Burke D, Miles L, et al. Learning, life, and lactation: knowledge of breastfeeding's impact on breast cancer risk reduction and its influence on breastfeeding practices. Breastfeed Med.2018 13(10): 651-6. Available from:https://doi.org/10.1089/bfm.2018.0170

Modugno F, Goughnour SL, Wallack D, Edwards, RP, Odunsi K, Kelley JL, et al. Breastfeeding factors and risk of epithelial ovarian cancer. Gynecol Oncol. 2019; 153(1):116-22. Available from:https://doi.org/10.1016/j.ygyno.2019.01.017

UNICEF. Breastfeeding: A mother’s gift for every child. 2018 [cited 2020 April 15]. Available from:https://data.unicef.org/resources/breastfeeding-a-mothers-gift-forevery-child/

National Statistical Office [NSO] & United Nations Children’s Fund [UNICEF]. Thailand multiple indicator

cluster survey 2015-2016: Final report. Bangkok: NSO and UNICEF. 2017 [cited 2018 April 20]. Available

from:http://www.nso.go.th/sites/2014en/Survey/social/domographic/MICS/unicef% 20MICS%2014%20Provinces_EN-Hi% 20res.pdf

Puapornpong P, Raungrongmorakot K, Manolerdtewan W, Ketsuwan S, Wongin S, Satirapoj B, et al. Teenage pregnancy and exclusive breastfeeding rates. J Med Assoc Thai. 2014;97(9): 893-8. Available from:http://www.jmatonline.com/files/journals/1/articles/5705/public/5705-19728-1-PB.pdf

Ngamnil N, Kaewkiattikun K. Prevalence of exclusive breastfeeding among adolescent mothers. TJOG. 2019;27(2): 73-82. Available from:https://doi.org/10.14456/tjog.2019.11

Edwards R, Peterson WE, Noel-Weiss J, Shearer Fortier C. Factors influencing the breastfeeding practices of young mothers living in a maternity shelter: a qualitative study. J Hum Lact.2017; 33(2): 359-367. DOI: 10.1177/0890334416681496.

Kanhadilok S, McCain NL, McGrath JM, Jallo N, Price SK, Chiaranai C. Factors associated with exclusive

breastfeeding through four weeks postpartum in Thai adolescent mothers. J Perinat Educ. 2016; 25(3): 150-

doi: 10.1891/1058-1243.25.3.150.

Maranhão TA, Gomes KRO, Nunes LB, Moura LNBD. Factors related to exclusive breastfeeding among adolescent mothers. Cad Saude Colet. 2015; 23(2): 132-39. Available from http://dx.doi.org/10.1590/1414-

X201500020072

Yılmaz E, Yılmaz Z, Isık H, Gultekın IB, Timur H, Kara F, Kucukozkan T. Factors associated with breastfeeding

initiation and exclusive breastfeeding rates in Turkish adolescent mothers. Breastfeeding Med. 2016; 11(6),

-20. doi: 10.1089/bfm.2016.0012.

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice (7th eds.), South Carolina: Pearson; 2015.

Schlickau JM, Wilson ME. Breastfeeding as health‐promoting behavior for Hispanic women: literature review. J Adv Nurs. 2005; 52(2): 200-10. Available from:https://doi.org/ 10.1111/j.1365-2648.2005. 03579.x

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice (5th eds.) New Jersey: Pearson Education;2006.

Nuampa S, Tilokskulchai F, Sinsuksai N, Patil CL, Phahuwatanakorn W. Breastfeeding experiences among

Thai adolescent mothers: a descriptive qualitative study. Pacific Rim Int J Nurs Res. 2018; 22(4): 288-303.

Available from:https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/102314/87623

Dennis CL, Heaman M, Mossman M. Psycho J Perinat Educ. Metric testing of the breastfeeding self-efficacy scale-short form among adolescents. J Adolesc Health. 2011; 49(3): 265-71. doi: 10.1016/j.jadohealth.2010.12.015.

Shapiro‐Mendoza CK, Selwyn BJ, Smith DP, Sanderson M. The impact of pregnancy intention on breastfeeding duration in Bolivia and Paraguay. Stud Fam Plann. 2007;38(3): 198-205. doi: 10.1111/j.1728- 4465.2007.00131.x.

Lertsakornsiri M. Breastfeeding promotion in adolescent mothers: roles of nurses and families. J Nurs Educ. 2019;12(1): 1-13 [In Thai]. Available from:https://doi.org/10.14456/ jcdr-hs.2018.16

Olaiya O, Dee DL, Sharma AJ, Smith RA. Maternity care practices and breastfeeding among adolescent mothers aged 12-19 years: United States, 2009-2011. Morb Mortal Wkly Rep 2016; 65: 17-22. Available from:https://www.jstor.org/stable/24856973?seq=1

WHO, UNICEF. Tracking progress for breastfeeding policies and programs: global breastfeeding scorecard 2017. Geneva, Switzerland: World Health Organization. 2017 [cited 2018 July 28]. Available from:https://www.who. int/ nutrition/publications/infantfeeding/globalbf-scorecard-2017.pdf

Hunter, L., Magill‐Cuerden, J., & McCourt, C. (2015). Disempowered, passive and isolated: how teenage mothers' postnatal inpatient experiences in the UK impact on the initiation and continuation of breastfeeding. Matern child nutr,2015; 11(1): 47-58. Available from:https://onlinelibrary.wiley.com/doi/full/10.1111/mcn.12150

Cohen J, Cohen P. Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum; 1975.

VanVoorhis CW, Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutor Quant Methods Psychol. 2007; 3 (2):43-50. Available from: https://doi. org/10.20982/tqmp.03.2.p043

Polit DF, Beck CT. Nursing research: principle and method (7th ed.) Philadelphia: Lippincott Williams & Wilkins; 2004.

Jintrawet U, Sukkasem N, Tongswas T, Somboon L. Effects of breastfeeding promotion and social support program on breastfeeding self-efficacy and exclusive breastfeeding rate among postpartum mothers. Nurs Sci J Thail. 2015;27(2): 34-47 [In Thai]. Available from:https://he01.tci-thaijo.org/index.php/CUNS/article/view/79086/63255

Biswas LR. Family support on exclusive breastfeeding practice among mothers in Bangladesh (Doctoral dissertation, Prince of Songkhla University). 2010 [cited 2017 January 7]. Available from:https://pdfs.semanticscholar.org/c997/bef4de2c9b2f668cff72e43bb1a61 7524 dda.pdf