Educational intervention for the maintenance of exclusive breastfeeding in adolescent mothers: A feasibility study

IF 1.4 4区医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2022-10-21 DOI:10.1111/2047-3095.12404

Iliana Milena Ulloa Sabogal MSc, RN, Claudia Consuelo Domínguez Nariño MSc, RN, Leidy Johanna Rueda Díaz PhD, RN

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Abstract

Purpose

The purpose of this study was to evaluate the feasibility of implementing the nursing intervention Breastfeeding Counseling (5244) in first-time adolescent mothers and its effect on the knowledge and maintenance of exclusive breastfeeding in the first 6 months of life.

Methods

Randomized, controlled feasibility study with 166 first-time mothers between 14 and 19 years of age, from 20 to 30 weeks of gestation, assigned to an experimental group (nursing intervention: breastfeeding counseling) or a control group (usual education plus nursing intervention not related to breastfeeding). The rate of abandonment of exclusive breastfeeding and the level of knowledge about breastfeeding were evaluated.

Findings

The inclusion was 91.7% (166/181), dropout during the intervention was 39.75% (n = 66), and loss in the follow-up was 8.43% (n = 14). Compliance with the intervention protocol was 100%. The pregnant women and family members were satisfied with the intervention and perceived the health benefits for the mothers and their children. Outcome measures in the experimental group did not reveal a significant effect on breastfeeding abandonment rates at 2, 4, and 6 months postpartum, but they did manage to improve and maintain the level of knowledge about breastfeeding.

Conclusions

It was found that it is feasible to implement the nursing intervention: “Breastfeeding counseling” in prenatal classes, achieving an increase in the level of knowledge about breastfeeding in adolescent mothers, but without a reduction in the rate of abandonment of breastfeeding. Nursing professionals need to know and address barriers to exclusive breastfeeding in adolescents.

Implications for nursing practice

The nursing intervention “Breastfeeding counseling (5244)” and the outcome “Knowledge: Breastfeeding (1800)” supported the processes of education and knowledge assessment on breastfeeding in pregnant adolescents, which should be instituted in perinatal nursing care.

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青少年母亲保持纯母乳喂养的教育干预：可行性研究。

目的：本研究的目的是评估在首次怀孕的青少年母亲中实施护理干预母乳喂养咨询（5244）的可行性，以及其对生命前6个月了解和保持纯母乳喂养的影响。方法：对166名14至19岁、妊娠20至30周的首次产妇进行随机对照可行性研究，将其分为实验组（护理干预：母乳喂养咨询）或对照组（常规教育加上与母乳喂养无关的护理干预）。对放弃纯母乳喂养的比率和母乳喂养知识水平进行了评估。结果：纳入率为91.7%（166/181），干预期间脱落率为39.75%（n=66），随访丢失率为8.43%（n=14）。对干预方案的遵守率为100%。孕妇和家庭成员对干预措施感到满意，并认为这对母亲及其子女的健康有益。实验组的结果测量并没有显示出对产后2、4和6个月母乳喂养放弃率的显著影响，但它们确实提高并保持了母乳喂养的知识水平。结论：在产前课堂上实施“母乳喂养咨询”护理干预是可行的，可以提高青春期母亲对母乳喂养的知识水平，但不会降低放弃母乳喂养的比率。护理专业人员需要了解并解决青少年纯母乳喂养的障碍。对护理实践的影响：护理干预“母乳喂养咨询（5244）”和结果“知识：母乳喂养（1800）”支持了怀孕青少年母乳喂养的教育和知识评估过程，这应该在围产期护理中实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Knowledge NURSING-

CiteScore

2.90

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.