Factors related to exclusive breastfeeding in Thai adolescent mothers: Concept mapping approach

Abstract

The advantages of exclusive breastfeeding for the first 6 months are well-known.Unfortunately, adolescent mothers have lower rates of breastfeeding exclusivity and shorter duration of breastfeeding. There is limited evidence regarding exclusive breastfeeding determinants in adolescent mothers. The purpose of this study was to obtain adolescent mother-generated factors related to exclusive breastfeeding at 6 months. A mixed-methods design was conducted through concept mapping. Thirty adolescent mothers aged 15-19 years who had wide range of exclusive breastfeeding experiences brainstormed about specific factors. They then sorted and rated the statements into key clusters. Finally, half of the participants were involved in the interpretation of the mapping results and the creation of pathway diagrams. Data were analysed by multivariate statistics in the Concept System Global MAX program. The results showed that the adolescent mothers brainstormed about 104 statements on the factors related to exclusive breastfeeding at 6 months. These factors can be categorized into the following six key clusters: (a) breastfeeding advantages; (b) facilitating factors and necessary skills; (c) promotion and support needed; (d) community and social influence; (e) internal and external barriers; and (f) key problems in families. The pattern matching provided understanding of how key clusters are important to successful breastfeeding through comparing three groups of exclusive breastfeeding durations. Finally, the relationships of the stated factors were drawn in pathway diagrams. Exclusive breastfeeding experiences among Thai adolescent mothers showed complexity involving multilevel influences of social systems. The promotion of optimal breastfeeding should recognize the influences of both personal and environmental factors.

The role of emotions and injunctive norms in breastfeeding: a systematic review and meta-analysis

“…(in Newman & Williamson, 2018) Subtheme 1.1: Significant others' views of infant feeding preferences influenced breastfeeding behaviours. Some women perceived pressure from friends and family to feed according to their friends' and families' preferences (i.e., subjective norms), which often undermined the breastfeeding experience for women (Nuampa et al, 2018;Took et al, 2009;Rempel, 2004). In most instances, breastfeeding was favoured but, in some cases, breastfeeding was not approved of (Bai et al, 2009).…”

“…When positive emotions were reported/measured, women were more likely to have initiated breastfeeding and have a longer duration of breastfeeding behaviour. Mothers experienced the highest personal satisfaction when their current feeding method aligned with their infant feeding intentions (Symon et al, 2013) and when they felt happiness and enjoyment regarding their breastfeeding behaviour (Nuampa et al, 2018). For those who intended to breastfeed and then initiated breastfeeding, perseverance was reported as being key.…”

Alimentación y crecimiento de infantes de 0-1 años hijos de madres adolescentes de Dosquebradas, Colombia, año 2018

“…En el peso para la edad el 75% de los infantes estaban en rango de normalidad, 10% presentaron riesgo de desnutrición, 1% se encontrada en desnutrición y el 14% restante en riesgo de sobrepeso. Teniendo en cuenta lo mencionado por un estudio del año 2018 las madres adolescentes presentan mayor dificultad para proporcionar lactancia materna exclusiva a sus hijos y esto podría influir tanto en el peso como en la talla del lactante, aumentando el riesgo de sobre peso y desnutrición (27). En el presente estudio se encontró una similitud con lo anteriormente mencionado, debido a que tan solo el 27% alcanzaron la lactancia materna exclusiva hasta los seis meses, lo que pudo influir en el 25% de los niños que presentaron alteración en su peso.…”

What predicts the knowledge of breastfeeding practices among late adolescent girls? evidence from a cross-sectional analysis

“…Furthermore, studies also demonstrate that socio-demographic disadvantage is a major driver of adolescent motherhood who struggles with severe problems in poor countries that require greater public policy attention and intervention [1,4,6,[9][10][11]. Concerning socio-demographic and economic inequalities among adolescents also play a big part in early adolescent motherhood; at the same time, adolescent girls lack sufficient knowledge, practices, and interventions from the government and non-governmental organizations in dealing with the several infant and mothers' health-related issues [2,12]. Therefore, in order to accelerate the progress towards meeting the United Nations Sustainable Development Goals (SDGs) on health and well-being of adolescent girls, a targeted approach is required where adolescent girls can receive a wide range of information related to sexual and reproductive health, infant breastfeeding, and child nutrition.…”