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. 2016;25(3):150-161.
doi: 10.1891/1058-1243.25.3.150.

Factors Associated With Exclusive Breastfeeding Through Four Weeks Postpartum in Thai Adolescent Mothers

Supannee Kanhadilok, Nancy L McCain, Jacqueline M McGrath, Nancy Jallo, Sarah K Price, Chantira Chiaranai

Factors Associated With Exclusive Breastfeeding Through Four Weeks Postpartum in Thai Adolescent Mothers

Supannee Kanhadilok et al. J Perinat Educ. 2016.

Abstract

Breastfeeding initiation and duration are decreased in adolescent mothers compared to older mothers. A prospective descriptive cohort design was used to explore personal, social, cultural, and infant factors that explain and predict breastfeeding initiation and maintenance at 4 weeks postpartum. Adolescent mothers (N = 120) were recruited at prenatal clinics in Thailand. Data were collected at enrollment, during birth hospitalization (N = 102), and at 4 weeks postpartum (N = 96). Findings revealed breastfeeding attitudes, social support, and cultural beliefs about "being a good mother" were positively correlated with breastfeeding initiation. Furthermore, breastfeeding attitudes and social support were significant positive predictors of exclusive breastfeeding (both p ≥ .01) continuation through 4 weeks, whereas infant temperament was a significant negative predictor (p ≥ .04). Maternal competence at 4 weeks postpartum was also positively correlated with exclusive breastfeeding continuation.

Keywords: adolescent mothers; breastfeeding attitude; exclusive breastfeeding; maternal competence infant temperament.

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Figure 1
Conceptual framework of breastfeeding in adolescent mothers.
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