Early breastfeeding experiences of adolescent mothers: a qualitative prospective study
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Paige Hall Smith, Professor (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
Abstract: Background
Teen mothers face many challenges to successful breastfeeding and are less likely to
breastfeed than any other population group in the U.S. Few studies have investigated this
population; all prior studies are cross-sectional and collect breastfeeding data retrospectively.
The purpose of our qualitative prospective study was to understand the factors that contribute
to the breastfeeding decisions and practices of teen mothers.
Methods
This prospective study took place from January through December 2010 in Greensboro,
North Carolina in the U.S. We followed the cohort from pregnancy until two weeks after they
ceased all breastfeeding and milk expression. We conducted semi-structured interviews at
baseline and follow-up, and tracked infant feeding weekly by phone. We analyzed the data to
create individual life and breastfeeding journeys and then identified themes that cut across the
individual journeys.
Results
Four of the five teenagers breastfed at the breast for nine days: in contrast, one teen breastfed
exclusively for five months. Milk expression by pumping was associated with significantly
longer provision of human milk. Breastfeeding practices and cessation were closely
connected with their experiences as new mothers in the context of ongoing multiple roles,
complex living situations, youth and dependency, and poor knowledge of the fundamentals of
breastfeeding and infant development. Breastfeeding cessation was influenced by inadequate
breastfeeding skill, physically unpleasant and painful early experiences they were unprepared
to manage, and inadequate health care response to real problems.
Conclusions
Continued breastfeeding depends on a complex interplay of multiple factors, including
having made an informed choice and having the skills, support and experiences needed to
sustain the belief that breastfeeding is the best choice for them and their baby given their life
situation. Teenagers in the US context need to have a positive early breastfeeding experience,
be able to identify and claim a reliable support system supportive of breastfeeding, and gain
through their experience, a belief in their own agency and competency as mothers.
Early breastfeeding experiences of adolescent mothers: a qualitative prospective study
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Created on 10/3/2012
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Additional Information
- Publication
- Language: English
- Date: 2012
- Keywords
- Breastfeeding, adolescent health, breastfeeding education, preconception, adolescent mothers