Developing Breastfeeding Support Model for Adolescent Mothers
Keywords:
Exclusive breastfeeding, Breastfeeding support model, Adolescent mother, Registered nurseAbstract
Adolescent mothers may be more vulnerable to and at a high risk of discontinuing exclusive breastfeeding (EBF). The objectives of this study were to develop a breastfeeding support model for adolescent mothers and to test the effectiveness of this breastfeeding support on breastfeeding rates within the first six months postpartum by using participatory action research. Participants for developing the breastfeeding support model were 10 professional nurses. The effectiveness of the program was tested by 52 adolescent mothers who gave birth in Phrae hospital. The adolescent mothers with newborns were assigned into two groups: 26 adolescent mothers were in the control group and received routine care while the other 26 adolescent mothers were in the intervention group and received the breastfeeding support model. Quantitative data analysis included frequency, percentage, and Chi-square test, whereas qualitative data analysis was done by using content analysis.
The findings reveal that breastfeeding support model for adolescent mothers was developed to promote n continuing exclusive breastfeeding. The program included: 1) support provision for breastfeeding initiation after childbirth during hospitalization (consisting of assistance and individual and group health education) 2) home visit or follow up for continuing exclusive breastfeeding support and action plan adjustment 3) revision action plan for school or work, and 4) evaluation and additional support when the mothers return to study or work. The effectiveness of the program was found that the exclusive breastfeeding rates within first six months of mothers who received the breastfeeding support model was higher rate than those of the mothers who received routine care statistically significant at discharge from hospital (100.0% VS 69.2%, p = .002), at one month (96.2% VS 69.2%, p = .005), at two month (96.2% VS 69.2%, p = .005), at three month (84.7% VS 65.4%, p = .041), and at six month (77.8% VS 42.4%, p = .011).
It could be concluded that this breastfeeding support model were effective for improving exclusive breastfeeding rates among adolescent mothers.
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