Effects of Clinical Practice Guideline to Promote, Support, and Protect Breastfeeding on Competencies and Duration of Breastfeeding of Teenage Mothers

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Sureeporn Kritcharoen
Sasikarn Kala
Warangkana Chatchawet
Sirithai Prugsasri
Chureerat Petchwatcharapaibune


This quasai-experimental research aimed to compare competencies and duration of breastfeeding of teenage mothers between experimental and control groups. The subjects were 70 teenage mothers. They were divided into two groups: 35 in an experimental group and 35 in a control group. The experimental group received care from clinical practice guideline to promote, support, and protect breastfeeding. The competencies and duration of breastfeeding of teenage mothers questionnaires were used to collect the data. The content validity was approved by 5 experts. Reliability of the competencies of breastfeeding questionnaires was tested and yielded Cronbach’s alpha coefficient of .94. Descriptive statistics and t-test were used for data analysis. The results showed the competency's scores and duration of breastfeeding of the experimental group were higher than those of the control group statistically significant (t = 5.091, t = 13.516, at p < .001 respectively). This clinical practice guideline was claimed suitable to promote, support, and protect breastfeeding of teenage mothers. Teenage mothers who received care under clinical practice guideline had higher competencies and duration of breastfeeding than those of the control group. This guideline should thus be used to promote and support exclusive breastfeeding for teenage mothers with 6-month periods.

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Kritcharoen, S., Kala, S. ., Chatchawet, W. ., Prugsasri, S. ., & Petchwatcharapaibune, C. . (2021). Effects of Clinical Practice Guideline to Promote, Support, and Protect Breastfeeding on Competencies and Duration of Breastfeeding of Teenage Mothers. Journal of Research in Nursing-Midwifery and Health Sciences, 41(1), 54–63. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/249999
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Department of Health, Ministry of Public Health. Statistics on adolescent birth, Thailand 2013. Bangkok: The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King; 2014. Thai.

National Statistical Office of Thailand. Thailand Multiple Indicator Cluster Survey 2019, Snapshots of Key Findings Report. Bangkok: National Statistical Office of Thailand; 2020.

Sriwichai P, Suriyachai P. The success of the exclusive breastfeeding among teenage mothers in the first 6 months after birth at Phayao Hospital. Journal of Phrapokklao Nursing College. 2014-2015; 26(1): 17-24. Thai.

Sipsma HL, Magriples U, Divney A, et al. Breastfeeding behavior among adolescents: Initiation, duration, and exclusivity. J Adolesc Health. 2013; 53(3): 394-400. doi: 10.1016/j.jadohealth.2013.04.005.

National Statistical Office and United Nations Children’s Fund. Thailand Multiple Indicator Cluster Survey 2015-2016, Final Report, NSO and UNICEF, Bangkok; 2016.

Cetthkrikul N, Topothai C, Topothai T, et al. Situation of breastfeeding among mothers receiving services in public hospital in Thailand. J Health Sci. 2016; 25(4): 657-63. Thai.

Jara-Palacios MA, Cornejo AC, Peláez GA, et al. Prevalence and determinants of exclusive breastfeeding among adolescent mothers from Quito, Ecuador: A cross-sectional study. Int Breastfeed J. 2015; 10(33): 1-8. doi: 10.1186/s13006-015-0058-1.

Aunprom-me S. Factors associated with exclusive breastfeeding during the first six month among mothers of babies aged 6-12 months in Health Region 9 of Thailand. J Health Sci. 2017; 26(4): 739-46. Thai.

Apartsakun P. Discouraging factors of breastfeeding among Thai women. Journal of Public Health Nursing. 2016; 30(2): 133-46. Thai.

Ngoenthong P, Kantaruksa K, Chaloumsuk N. Education provision on breastfeeding among adolescent mothers: A systematic review. Nursing Journal. 2015; 42: 57-68. Thai.

Reena I, Ruiz CS, Shows AR, et al. Breastfeeding promotion in an ethnically diverse adolescent sample. Int J Nurs. 2014; 1(1): 1-10.

Suwannobol N, Wacharasin C, Deoisres W. The problems and needs of breastfeeding promotion among adolescent mothers: A case study of Dankhunthot Hospital. Journal of Nursing and Health Care. 2015; 33(4): 200-10. Thai.

Nesbitt SA, Campbell KA, Jack SM. et al. Canadian adolescent mothers’ perceptions of influences on breastfeeding decisions: A qualitative descriptive study. BMC Pregnancy and Childbirth. 2012; 12(1): 1-14. doi: 10.1186/1471-2393-12-149.

Plaichum S, Tongswas T, Somboon L. Factors related to breastfeeding duration among adolescent mothers. Nursing Journal. 2012; 39(2): 79-87. Thai.

Khakhong S, Nirattharadorn M. The effects of promoting self-efficacy program on breastfeeding

behavior among adolescent mothers in community. J Public Health. 2017; 47(1): 31-43. Thai.

Condon L, Rhodes C, Warren S, et al. But is it a normal thing? Teenage mothers’ experiences of breastfeeding promotion and support. Health Educ J. 2012; 72(2): 156-62. doi: https://doi.org/10.1177/0017896912437295.

McClelland DC. A competency model for human resource management specialist to be used in the delivery of the human resource management cycle. Boston: Mcber; 1975.

Pattamopornpong S, Kamhang T, Sanuangjeam S, et al. Effectiveness of clinical guideline to empower breastfeeding in teenage mother, Phrae Hospital. Journal of the Phrae Hospital. 2011; 19(2): 59-69. Thai.

Lipsey MW. Design sensitivity: Statistical power for experimental research. London: SAGE Publication, Inc.; 1990.

Darlee A, Bumrerraj S. Maternal readiness perceptions that influence 6 months breastfeeding practice in postpartum women at Donyanang Health Promotion Hospital, Mueang District, Nong Bua Lam Phu Province. Community Health Development Quarterly Khon Kaen University. 2015; 3(4): 515-27. Thai.

Bundach W, Rithpho P, Wannapornsiri C. Effects of using the perceived self efficacy program on breastfeeding among teenage pregnancy, Kamphaeng Phet Province. Journal of Nursing and Health Sciences. 2014; 8(3): 65-79. Thai.

Arthibenyakul C, Sangperm P, Prasopkittikun T, et al. The effect of self-efficacy promoting program on perceived self-efficacy, efficiency of breastfeeding and breastfeeding rate among mothers of late preterm infants. Journal of Nursing Science. 2017; 35(1): 23-35. Thai.

Rueangseree M. Factors affected to exclusive breastfeeding only at least 6 month of adolescent postpartum mothers attending health promoting hospitals Muang District Ubon Ratchathani Province. Journal for Public Health Research. 2017; 6(1): 37-48. Thai.

Ngoenthong P, Kantaruksa K, Chaloumsuk C. Education provision on breastfeeding among adolescent mothers: A systemic review. Nursing Journal. 2015; 42: 57-68. Thai.

Yuangthong S, Sawatphanit W, Deoisres W. The effect of breastfeeding promoting program for first-time postpartum mothers on breastfeeding duration and behaviors. The Public Health Journal of Burapha University.

; 7(2): 100-15. Thai.

Photaworn P, Pensuwan A, Sriyannalak N. Breastfeeding among teenage mothers in Muang Songkhla Municipality. Nursing Journal of Ministry of Public Health. 2013; 23(3): 45-25. Thai.

Payakkaraung S, Sangperm P, Samart C. Breastfeeding Problem in Early Postpartum Period: Mother’s Experiences. J Nurs Sci. 2016; 34(3): 30-40. Thai.

Yimyam S. breastfeeding promotion among outside employed mothers. Nursing Journal. 2013; 40(3): 129-37. Thai.