A Qualitative Systematic Review of Family Support for a Successful Breastfeeding Experience among Adolescent Mothers

Vetty Priscilla; Yati Afiyanti; Dyah Juliastuti

doi:10.3889/oamjms.2021.7431

Authors

Vetty Priscilla Department of Maternity and Women Health, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia; Department of Maternity Nursing, Faculty of Nursing, Universitas Andalas, Sumatera Barat, Indonesia
Yati Afiyanti Department of Maternity and Women Health, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia https://orcid.org/0000-0001-9382-6714
Dyah Juliastuti Nursing Program, Sekolah Tinggi Ilmu Kesehatan IMC Bintaro, Tangerang Selatan, Indonesia https://orcid.org/0000-0002-4159-9166

DOI:

https://doi.org/10.3889/oamjms.2021.7431

Keywords:

Adolescent mothers, Breastfeeding, Family support

Abstract

BACKGROUND: Family support for adolescent mothers is vital in making breastfeeding decisions and sustaining the feeding since many of these women struggle with identity crises. Therefore, it is essential to synthesize qualitative evidence about the types of family support provided to these young women.

AIM: This study aims to identify, synthesize, and recognize the qualitative evidence of family support for successful breastfeeding among teen mothers.

METHODS: A systematic review of qualitative studies was identified in six electronic databases published from 2000 to 2020. The quality of the reviewed studies was checked using The Critical Appraisal Skills Programs. The data were extracted by two investigators and analyzed using thematic analysis with three steps: coding the text line-by-line, developing the descriptive themes, and generating the analytical themes.

RESULTS: This review includes eight eligible studies. The review founds that family significantly affect the success of breastfeeding practices among adolescent mothers through their appraisal, instrumental, emotional, and informational support. The family strengthens the adolescence’s breastfeeding decisions and confidence, provide financial assistance, share positive breastfeeding information and experience, encourage them to continue the feeding and motivate theme to pursue their study.

CONCLUSION: Breastfeeding a baby and becoming a mother at a young age is not an easy process and need family support for a successful feeding. Health care professionals should actively involve the family in supporting adolescent mothers to breastfeed their babies optimally.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Ogbo FA, Eastwood J, Page A, Arora A, McKenzie A, Jalaludin B, et al. Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia. Int Breastfeed J. 2017;12:16. https://doi.org/10.1186/s13006-017-0110-4 PMid:28405212 DOI: https://doi.org/10.1186/s13006-017-0110-4

de Oliveira LD, Giugliani ER, Santo LC, Nunes LM. Counselling sessions increased duration of exclusive breastfeeding: A randomized clinical trial with adolescent mothers and grandmothers. Nutr J. 2014;13(1):73. https://doi.org/10.1186/1475-2891-13-73 PMid:25033743 DOI: https://doi.org/10.1186/1475-2891-13-73

World Health Organization. Breastfeeding in The 21st Century. Geneva: World Health Organization; 2016. Available from: https://www.who.int/pmnch/media/news/2016/breastfeeding_brief.pdf. [Last accessed on 2021 Jul 12].

World Health Organization. Global Breastfeeding Scorecard, 2018: Enabling Women to Breastfee through Bettr Polisies and Programmes 2018 Date. Available from: Available from: https://www.who.int/nutrition/publications/infantfeeding/global-bfscorecard-2018.pdf. [Last accessed on 2021 Jun 18].

Kanhadilok S, McGrath JM. An integrative review of factors influencing breastfeeding in adolescent mothers. J Perinatal Educ. 2015;24(2):119-27. https://doi.org/10.1891/1946-6560.24.2.119 PMid:26957895 DOI: https://doi.org/10.1891/1946-6560.24.2.119

Pillay S, Sibanda W, Ghuman MR, Coutsoudis A. Infant feeding practices of teenage mothers attending a well-baby clinic in a public hospital in Umlazi, KwaZulu-Natal, South Africa. South Afr J Clin Nutr. 2018;31(1):14-9. https://doi.org/10.1080/16070658.2017.1338841 DOI: https://doi.org/10.1080/16070658.2017.1338841

Muelbert M, Giugliani ER. Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers. BMC Public Health. 2018;18(1):675. https://doi.org/10.1186/s12889-018-5585-4 PMid:29855364 DOI: https://doi.org/10.1186/s12889-018-5585-4

Sipsma HL, Magriples U, Divney A, Gordon D, Gabzdyl E, Kershaw T. Breastfeeding behavior among adolescents: Initiation, duration, and exclusivity. J Adolesc Health. 2013;53(3):394-400. https://doi.org/10.1016/j.jadohealth.2013.04.005 PMid:23725911 DOI: https://doi.org/10.1016/j.jadohealth.2013.04.005

Benova L, Siddiqi M, Abejirinde IO, Badejo O. Time trends and determinants of breastfeeding practices among adolescents and young women in Nigeria, 2003-2018. BMJ Global Health. 2020;5(8):e002516. DOI: https://doi.org/10.1136/bmjgh-2020-002516

Wambach KA, Aaronson L, Breedlove G, Domian EW, Rojjanasrirat W, Yeh HW. A randomized controlled trial of breastfeeding support and education for adolescent mothers. Western J Nurs Res. 2011;33(4):486-505. https://doi.org/10.1177/0193945910380408 PMid:20876551 DOI: https://doi.org/10.1177/0193945910380408

Grassley JS. Adolescent mothers’ breastfeeding social support needs. J Obstetr Gynecol Neonatal Nurs. 2010;39(6):713-22. https://doi.org/10.1111/j.1552-6909.2010.01181.x PMid:20880051 DOI: https://doi.org/10.1111/j.1552-6909.2010.01181.x

UNFPA. Adolescent Pregancy; 2017 Date. Accessed. Available from: https://www.unfpa.org/adolescent-pregnancy. [Last accessed on 2021 Jul 10].

Nuampa S, Tilokskulchai F, Patil CL, Sinsuksai N, Phahuwatanakorn W. Factors related to exclusive breastfeeding in Thai adolescent mothers: Concept mapping approach. Maternal Child Nutr. 2019;15(2):e12714. https://doi.org/10.1111/mcn.12714 PMid:30303630 DOI: https://doi.org/10.1111/mcn.12714

Smith PH, Coley SL, Labbok MH, Cupito S, Nwokah E. Early breastfeeding experiences of adolescent mothers: A qualitative prospective study. Int Breastfeed J. 2012;7(1):13. https://doi.org/10.1186/1746-4358-7-13 PMid:23020833 DOI: https://doi.org/10.1186/1746-4358-7-13

de Lacerda AC, Lucena de Vasconcelos MG, Nascimento de Alencar E, Osório MM, Pontes CM. Adolescent fathers: Knowledge of and involvement in the breast feeding process in Brazil. Midwifery. 2014;30(3):338-44. https://doi.org/10.1016/j.midw.2013.01.006 PMid:23473910 DOI: https://doi.org/10.1016/j.midw.2013.01.006

Jara-Palacios MÁ, Cornejo AC, Peláez GA, Verdesoto J, Galvis AA. Prevalence and determinants of exclusive breastfeeding among adolescent mothers from Quito, Ecuador: A cross-sectional study. Int Breastfeed J. 2015;10(1):1-8. https://doi.org/10.1186/s13006-015-0058-1 PMid:26692888 DOI: https://doi.org/10.1186/s13006-015-0058-1

Woods NK, Chesser AK, Wipperman J. Describing adolescent breastfeeding environments through focus groups in an urban community. J Prim Care Community Health. 2013;4(4):307-10. https://doi.org/10.1177/2150131913487380 PMid:23799673 DOI: https://doi.org/10.1177/2150131913487380

Yılmaz E, Yılmaz Z, Isık H, Gultekın IB, Timur H, Kara F, et al. Factors associated with breastfeeding initiation and exclusive breastfeeding rates in Turkish adolescent mothers. Breastfeed Med. 2016;11(6):315-20. https://doi.org/10.1089/bfm.2016.0012 PMid:27183042 DOI: https://doi.org/10.1089/bfm.2016.0012

Theodorah DZ, Mc’Deline RN. The kind of support that matters to exclusive breastfeeding a qualitative study. BMC Pregnancy and Childbirth. 2021;21(1):1-8. https://doi.org/10.1186/s12884-021-03590-2 PMid:33563230 DOI: https://doi.org/10.1186/s12884-021-03590-2

Gómez EP, Nariño CC, Rueda AG. Adolescent mothers a challenge facing the factors influencing exclusive breastfeeding/Madres adolescentes, un reto frente a los factores que influyen en la lactancia materna exclusiva. Enferm Global. 2014;13(1):71-82. DOI: https://doi.org/10.6018/eglobal.13.1.171461

Bootsri W, Taneepanichskul S. Effectiveness of experiential learning with empowerment strategies and social support from grandmothers on breastfeeding among Thai adolescent mothers. Int Breastfeed J. 2017;12(1):1-9. DOI: https://doi.org/10.1186/s13006-017-0128-7

Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012;12(1):1-8. DOI: https://doi.org/10.1186/1471-2288-12-181

Nelwati, Abdullah KL, Chan CM. A systematic review of qualitative studies exploring peer learning experiences of undergraduate nursing students. Nurse Educ Today. 2018;71:185-92. https://doi.org/10.1016/j.nedt.2018.09.018 PMid:30293048 DOI: https://doi.org/10.1016/j.nedt.2018.09.018

Lucas R, Bernier K, Perry M, Evans H, Ramesh D, Young E, et al. Promoting self-management of breast and nipple pain in breastfeeding women: Protocol of a pilot randomized controlled trial. Res Nurs Health. 2019;42(3):176-88. https://doi.org/10.1002/nur.21938 PMid:30835887 DOI: https://doi.org/10.1002/nur.21938

Critical Appraisal Skills Programme (CASP) Systematic Review Checklist; 2019. Available from: https://www.casp-uk.net. [Last accessed on 2021 Apr 25].

Kanavaki AM, Rushton A, Klocke R, Abhishek A, Duda JL. Barriers and facilitators to physical activity in people with hip or knee osteoarthritis: Protocol for a systematic review of qualitative evidence. BMJ Open. 2016;6(11):e012049. https://doi.org/10.1136/bmjopen-2016-012049 PMid:27810971 DOI: https://doi.org/10.1136/bmjopen-2016-012049

Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8(1):45. https://doi.org/10.1186/1471-2288-8-45 DOI: https://doi.org/10.1186/1471-2288-8-45

Dykes F, Moran VH, Burt S, Edwards J. Adolescent mothers and breastfeeding: Experiences and support needs-an exploratory study. J Hum Lact. 2003;19(4):391-401. https://doi.org/10.1177/0890334403257562 PMid:14620453 DOI: https://doi.org/10.1177/0890334403257562

Acheampong AK. Perceived enablers of exclusive breastfeeding by teenage mothers in Ghana. South Afr Fam Pract. 2020;62(1):1-5. https://doi.org/10.4102/safp.v62i1.5108 PMid:33054255 DOI: https://doi.org/10.4102/safp.v62i1.5108

Nesbitt SA, Campbell KA, Jack SM, Robinson H, Piehl K, Bogdan JC. Canadian adolescent mothers’ perceptions of influences on breastfeeding decisions: A qualitative descriptive study. BMC Pregnancy Childbirth. 2012;12(1):1-14. DOI: https://doi.org/10.1186/1471-2393-12-149

Wambach KA, Cohen SM. Breastfeeding experiences of urban adolescent mothers. J Pediatr Nurs. 2009;24(4):244-54. https://doi.org/10.1016/j.pedn.2008.03.002 PMid:19632502 DOI: https://doi.org/10.1016/j.pedn.2008.03.002

Hannon PR, Willis SK, Bishop-Townsend V, Martinez IM, Scrimshaw SC. African-American and Latina adolescent mothers’ infant feeding decisions and breastfeeding practices: A qualitative study. J Adolesc Health. 2000;26(6):399-407. https://doi.org/10.1016/s1054-139x(99)00076-2 PMid:10822181 DOI: https://doi.org/10.1016/S1054-139X(99)00076-2

Nelson A, Sethi S. The breastfeeding experiences of Canadian teenage mothers. J Obstet Gynecol Neonatal Nurs. 2005;34(5):615-24. https://doi.org/10.1177/0884217505280279 PMid:16227517 DOI: https://doi.org/10.1177/0884217505280279

Nuampa S, Tilokskulchai F, Sinsuksai N, Patil CL, Phahuwatanakorn W. Breastfeeding experiences among Thai adolescent mothers: A descriptive qualitative study. Pac Rim Int J Nurs Res. 2018;22(4):288-303.

Sriyasak A, Åkerlind I, Akhavan S. Childrearing among Thai first-time teenage mothers. J Perinat Educ. 2013;22(4):201-11. https://doi.org/10.1891/1058-1243.22.4.201 PMid:24868133 DOI: https://doi.org/10.1891/1058-1243.22.4.201

Clark C, Kimberly P. Exploring the role of social support in understanding barriers to breastfeeding practices for adolescent mothers in Western North Carolina: A preliminary study. Int Public Health J. 2018;10(3):333-42.

Emmott EH, Mace R. Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One. 2015;10(7):e0133547. https://doi.org/10.1371/journal.pone.0133547 PMid:26192993 DOI: https://doi.org/10.1371/journal.pone.0133547

Brown A, Raynor P, Lee M. Young mothers who choose to breast feed: The importance of being part of a supportive breast-feeding community. Midwifery. 2011;27(1):53-9. https://doi.org/10.1016/j.midw.2009.09.004 PMid:19896254 DOI: https://doi.org/10.1016/j.midw.2009.09.004

Nuampa S, Chanprapaph P, Tilokskulchai F, Sudphet M. Breastfeeding challenges among Thai adolescent mothers: Hidden breastfeeding discontinuation experiences. J Health Res. 2020. https://doi.org/10.1108/JHR-01-2020-0011 DOI: https://doi.org/10.1108/JHR-01-2020-0011

Monteiro JC, Dias FA, Stefanello J, Reis MC, Nakano AM, Gomes-Sponholz FA. Breast feeding among Brazilian adolescents: Practice and needs. Midwifery. 2014;30(3):359-63. https://doi.org/10.1016/j.midw.2013.03.008 PMid:23652288 DOI: https://doi.org/10.1016/j.midw.2013.03.008

Khonsung P, Yimyam S, Xuto P, Chaloumsuk N. Factors predicting exclusive breastfeeding among Thai adolescent mothers at 6-months postpartum. Pac Rim Int J Nurs Res. 2021;25(1):34-47.