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Exclusive breastfeeding behavior of adolescent mothers: A qualitative study

  • Linda Yulyani ,
  • Sri Nabawiyati Nurul Makiyah ,
  • Sulistyaningsih Sulistyaningsih ,

Abstract

Introduction: The overall rate of exclusive breastfeeding for infants under six months of age is only 41%. Many factors are known to contribute to unsuccessful exclusive breastfeeding, including maternal age. Adolescent mothers are associated with the incidence of early marriage. Currently, there has been an estimated number of early marriages of around 650 million in the world. This study aimed to explore the exclusive breastfeeding behavior of early marriage mothers.

Methods: This is a qualitative study with a phenomenological approach. The data were collected through one-to-one interviews with seven adolescent mothers with babies aged 6-9 months as the research participants. Interviews were recorded, transcribed, translated and thematically analyzed using NVivo 12 trial version software.

Results: This study found that the breastfeeding behavior of adolescent mothers can be grouped into 5 themes: perspectives and attitudes about exclusive breastfeeding, initial response of breastfeeding, knowledge of exclusive breastfeeding, challenges and difficulties in breastfeeding and the strategies to deal with these challenges, failure of exclusive breastfeeding. The results of this study also showed that of the seven participants, only one adolescent mother succeeded in her exclusive breastfeeding.

Conclusions: Most of adolescent mothers with an early marriage who participated in this study had an unsuccessful exclusive breastfeeding of their babies. Therefore, it is necessary to have a comprehensive and sustainable education and counseling program on exclusive breastfeeding for adolescent mothers of early marriages by also considering the family involvement, particularly the husband and parents of these adolescent mothers.

References

  1. WHO. The goal [Internet]. 2018 [cited 2021]. Available from https://www.who.int/health-topics/breastfeeding
  2. WHO. WHA global nutrition targets 2025: low birth weight policy brief [Internet]. WHO Publication; 2014.
  3. Bhanderi DJ, Pandya YP, Sharma DB. Barriers to exclusive breastfeeding in rural community of central Gujarat, India. J Fam Med Prim care. 2019;8(1):54–61.
  4. Mundagowa PT, Chadambuka EM, Chimberengwa PT, Mukora-Mutseyekwa F. Determinants of exclusive breastfeeding among mothers of infants aged 6 to 12 months in Gwanda District, Zimbabwe. Int Breastfeed J. 2019;14(1):30.
  5. Sipsma HL, Magriples U, Divney A, Gordon D, Gabzdyl E, Kershaw T. Breastfeeding behavior among adolescents: Initiation, duration, and exclusivity. J Adolesc Heal. 2013;53(3):394–400.
  6. UNFPA. Child Marriage in Armenia (Overview) Investing in girls , and economic assets , to education and health that they can postpone marriage until they are Child marriages; 2014.
  7. Wodon Q, Tavares P, Fiala O, Le Nestour A, Wise L. Ending child marriage: legal age for marriage, illegal child marriages, and the need for interventions. London and Washington. DC; 2017.
  8. UNICEF. Child marriage latest trends and future prospects [Internet]. 2018 [updated 2018 Jul; cited 2021]. Available from https://data.unicef.org/resources/child-marriage-latest-trends-and-future-prospects/
  9. BPS. Perkawinan usia anak di Indonesia 2013 dan 2015 (Edisi Revisi); 2017.
  10. Celik R, Törüner EK. The effect of technology-based breastfeeding approach on adolescent mothers’ breastfeeding situation. 2017;4(1):1-6.
  11. Monteiro JCS, Dias FA, Stefanello J, Reis MCG, Nakano AMS, Gomes-Sponholz FA. Breast feeding among Brazilian adolescents: Practice and needs. Midwifery. 2014;30(3):359–63.
  12. Miles MB, Huberman AM, Saldaña J. Qualitative data analysis a methods sourcebook. 3rd ed. Arizona: Sage Publications Inc.; 2014.
  13. Debevec AD, Evanson TA. Improving breastfeeding support by understanding women’s perspectives and emotional experiences of breastfeeding. Nurs Womens Health. 2016;20(5):464–74.
  14. Nurhayati E, Fikawati S. Counseling of exclusive breastfeeding during antenatal care (ANC) and perceptions of insufficient milk supply. J Gizi dan Diet Indones (Indonesian J Nutr Diet. 2020;7(2):65.
  15. Henry EG, Lehnertz NB, Alam A, Ali NA, Williams EK, Rahman SM, et al. Sociocultural factors perpetuating the practices of early marriage and childbirth in Sylhet District, Bangladesh. Int Health. 2015;7(3):212–7.
  16. Palupi RA, Devy SR. Role of social support in breastfeeding for adolescent mothers. In: The 2nd International Meeting of Public Health 2016. Knowledge E; 2018.
  17. Hackett KM, Mukta US, Jalal CSB, Sellen DW. A qualitative study exploring perceived barriers to infant feeding and caregiving among adolescent girls and young women in rural Bangladesh. BMC Public Health. 2015;15(1):771.
  18. Smith JL, Skinner SR, Fenwick J. Perceptions of teen motherhood in Australian adolescent females: Life-line or lifederailment. Women and Birth. 2012;25(4):181–6.
  19. 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):1.
  20. Erfina E, Widyawati W, McKenna L, Reisenhofer S, Ismail D. Adolescent mothers’ experiences of the transition to motherhood: An integrative review. Int J Nurs Sci. 2019;6(2):221–8.
  21. Pellegrino C. The lived experiences of teenage mothers that foster resiliency. [Thesis]. Northeastern University; 2015. Available from https://repository.library.northeastern.edu/files/neu:336610/fulltext.pdf
  22. Susiloretni KA, Hadi H, Prabandari YS, Soenarto YS, Wilopo SA. What works to improve duration of exclusive breastfeeding: lessons from the exclusive breastfeeding promotion program in rural Indonesia. Matern Child Health J. 2015;19(7):1515–25.
  23. Pinilla Gómez E, Domínguez Nariño CC, García Rueda A. Adolescent mothers a challenge facing the factors influencing exclusive breastfeeding. Enferm Glob. 2014;13(1):59–82.
  24. Quinn EMC, Gallagher L, de Vries J. A qualitative exploration of breastfeeding support groups in Ireland from the women’s perspectives. Midwifery. 2019;78:71–7.
  25. Schindler-Ruwisch J, Roess A, Robert RC, Napolitano M, Woody E, Thompson P, et al. Determinants of breastfeeding initiation and duration among African American DC WIC recipients: perspectives of recent mothers. Women’s Heal Issues. 2019;29(6):513–21.
  26. Hawley NL, Rosen RK, Strait EA, Raffucci G, Holmdahl I, Freeman JR, et al. Mothers’ attitudes and beliefs about infant feeding highlight barriers to exclusive breastfeeding in American Samoa. Women and Birth. 2015;28(3):e80–6.
  27. Chopel A, Soto D, Joiner B, Benitez T, Konoff R, Rios L, et al. Multilevel factors influencing young mothers’ breastfeeding: a qualitative CBPR study. J Hum Lact. 2019;35(2):301–17.
  28. Ratnasari D, Paramashanti BA, Hadi H, Yugistyowati A, Astiti D, Nurhayati E. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac J Clin Nutr. 2017;26(March):S31–5.
  29. Ferreira TDM, Piccioni LD, Queiroz PHB, Silva EM, Vale IN do. Influence of grandmothers on exclusive breastfeeding: cross-sectional study. Einstein (São Paulo). 2018;16(4):1–6.
  30. Jama NA, Wilford A, Masango Z, Haskins L, Coutsoudis A, Spies L, et al. Enablers and barriers to success among mothers planning to exclusively breastfeed for six months: A qualitative prospective cohort study in KwaZulu-Natal, South Africa. Int Breastfeed J. 2017;12(1):1–13.

How to Cite

Yulyani, L., Makiyah, S. N. N., & Sulistyaningsih, S. (2021). Exclusive breastfeeding behavior of adolescent mothers: A qualitative study. Bali Medical Journal, 10(3), 1132–1137. https://doi.org/10.15562/bmj.v10i3.2829

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Linda Yulyani
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Sri Nabawiyati Nurul Makiyah
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Sulistyaningsih Sulistyaningsih
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