Goal: Teen Breastfeeding Success. Linda Haggerty, CNP, IBCLC Health Partners Como Clinic St. Paul, MN

Transcription

1 Goal: Teen Breastfeeding Success Linda Haggerty, CNP, IBCLC Health Partners Como Clinic St. Paul, MN

2 Current US Breastfeeding Statistics Adolescents <20 yrs 43% initiate BF 95% give formula by 2 nd week 6 mos. 12 mos. US has highest % teen births US averages 74.6% initiate BF 44.3% at 6 mos. 23.8% at 12 mos /breastfeeding/pdf/ 2011BreastfeedingRe portcard.pdf Grassley 2012

3 Healthy People 2020 Objectives Increase proportion of infants receiving human milk in 1 st 12 months Increase proportion of infants who are exclusively breastfed at 3 & 6 months Grassley and Sauls, 2011

4 Benefits of breastfeeding: Infants Antibodies to boost immune system Lower risk of ear infections and others Less gastro intestinal symptoms Possibly lower chance of allergies Reduced risks Sudden infant death syndrome (SIDS) Diabetes Asthma Childhood and adult obesity Document.aspx?DOCHWID=hw91687#hw91717

5 Benefits of breastfeeding: Mother

6 Benefits of breastfeeding: Society

7 Adolescents views about breast feeding United States Highest concern that it is painful Inconvenient and more complex than formula Will be embarrassing (Sauls & Grassley,..) White lower-class urban British teens (Dyson, 2010) Public breast feeding culturally inappropriate Afraid of unwanted sexual interest Others view you as lazy or a slut One instance teen committed to breast feed resulted in peer pressure and mocking to the point that she couldn t voice her opinions

8 Reasons teens stop breastfeeding Inadequate knowledge of how to breastfeed Sore nipples Inadequate milk supply Perception baby not getting enough milk Glass, et al., 2010

9 Importance of Infant Attachment

10 Importance of Infant Attachment & Breastfeeding

11 Importance of Infant Attachment

12 Importance of Infant Attachment Infant massage training Study by Oswalt, Biasini, Wilson, and Mrug (2009) Positive outcome on adolescent mother s perceptions and attitudes about infant behavior Better response to crying and fussinness Recommend for school parenting classes

13 Importance of Infant Attachment Postpartum depression Adolescent mothers higher rates of prenatal & 6 mo postpartum depression With increased depression, scored lower: Maternal sensitivity and warmth Responsiveness to baby Willingness to verbalize feelings Infants scored lower on seeking mom s comfort

14 Coaching for success Prenatal education on breastfeeding Positive effect on attitude and choices with 60 min presentation for high school Encourage to come to 6 wk postpartum

15 Coaching for success Adolescents want: Nurses, coaches to guide them through process of birth and breastfeeding Information about breastfeeding Individualized care showing respect Acceptance for them as adolescent moms Support for birth partners and encouragement to be involved (Sauls & Grassley,.)

16 Coaching to the adolescent s developmental needs Early adolescence (12-14 yrs) Difficulty seeing future or consequences Believe they can t control what happens to them Fear rejection Self-conscious about self and body Focused care With respect Emotional support Information about breastfeeding (Sauls & Grassley, )

17 Coaching to the adolescent s developmental needs Middle adolescence (15-16 yrs) Seeking autonomy and peer support Vacillate between desire to be treated like adult and child Still have difficulty seeing long-term consequences Struggle with sense of identity, body image Focus on self, high expectations vs. poor selfimage Focused Care Support for physical needs Emotional support by respect, approval, affirmation (Sauls & Grassley, )

18 Coaching to the adolescent s developmental needs Late adolescence (17-20 yrs) Feels comfortable about self Thinks abstractly Makes decisions more easily Plan for future Better ability to think ideas through, delay gratification and compromise Focused care With respect (Sauls & Grassley,..)

19 Welcome to MPS Teenage Pregnant/Parenting Program (TAPPP) MPS TAPP Programs are open to any Minneapolis Public School student who is currently pregnant or parenting The TAPP programs provide: On-site childcare Transportation Prenatal and parenting education Support services for student parents continuing their High School education in both traditional and alternative school settings.

20 ort_materials.html

21 Coaching for success Building a therapeutic relationship Clinic Home visits

22 Coaching for success Understanding your teen Stress Family situation Self esteem Devito study

23 Goal: Continuing education Direct relationship between successful schooling and healthy parenting Schools that help teen moms with nursery and breastfeeding support

24 Personal observations

25 Questions?

26 Bibliography Cardaci, R. (2011). A case study of teen parenting. International Journal of Nursing Terminologies & Classifications, 22(1), doi: /j x x DeVito, J. (2010). How adolescent mothers feel about becoming a parent. Journal of Perinatal Education, 19(2), doi: / x Dyson, L., Green, J. M., Renfrew, M. J., McMillan, B., & Woolridge, M. (2010). Factors influencing the infant feeding decision for socioeconomically deprived pregnant teenagers: The moral dimension. Birth: Issues in Perinatal Care, 37(2), doi: /j x x Glass, T. L., Tucker, K., Stewart, R., Baker, T. E., & Kauffman, R. P. (2010). Infant feeding and contraceptive practices among adolescents with a high teen pregnancy rate: A 3-year retrospective study. Journal of Women's Health ( ), 19(9), doi: /jwh

27 Bibliography Grassley, J. S., & Sauls, D. J. (2012). Evaluation of the supportive needs of adolescents during childbirth intrapartum nursing intervention on adolescents? childbirth satisfaction and breastfeeding rates. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41(1), doi: /j x Hormann, E. (2011). Better breastfeeding: A guide for teen parents. Birth: Issues in Perinatal Care, 38(4), doi: /j x _3.x Lanzi, R. G., Bert, S. C., & Jacobs, B. K. (2009). Depression among a sample of first-time adolescent and adult mothers. Journal of Child & Adolescent Psychiatric Nursing, 22(4), doi: /j x Long, M. S. (2009). Disorganized attachment relationships in infants of adolescent mothers and factors that may augment positive outcomes. Adolescence, 44(175), Retrieved from &site=ehost-live Moran, V. H., Edwards, J., Dykes, F., & Downe, S. (2007). A systematic review of the nature of support for breast-feeding adolescent mothers. Midwifery, 23(2), Retrieved from &site=ehost-live

28 Bibliography Ngu, L., & Florsheim, P. (2011). The development of relational competence among young high-risk fathers across the transition to parenthood. Family Process, 50(2), doi: /j x Ngu, L., & Florsheim, P. (2011). The development of relational competence among young high-risk fathers across the transition to parenthood. Family Process, 50(2), doi: /j x Oswalt, K. L., Biasini, F. J., Wilson, L. L., & Mrug, S. (2009). Outcomes of a massage intervention on teen mothers: A pilot study. Pediatric Nursing, 35(5), 284. Retrieved from &site=ehost-live Podgurski, M. J. (1995). Supporting the breastfeeding teen. Journal of Perinatal Education, 4(2), Retrieved from &site=ehost-live Riesch, S. K., Anderson, L. S., Pridham, K. A., Lutz, K. F., & Becker, P. T. (2010). Furthering the understanding of parent -- child relationships: A nursing scholarship review series. part 5: Parent -- adolescent and teen parent -- child relationships. Journal for Specialists in Pediatric Nursing, 15(3), doi: /j x

29 Bibliography Sauls, D., J., & Grassley, J. (2011). Development of the adolescent support model. Journal of Theory Construction & Testing, 15(1), Retrieved from &site=ehost-live Sheeder, J., Kabir, K., & Stafford, B. (June 2009). Screening for postpartum depression at well-child visits: Is once enough during the first 6 months of life? Pediatrics, 123(6), e982-e988. doi: /peds SmithBattle, L. (2009). Pregnant with possibilities: Drawing on hermeneutic thought to reframe home-visiting programs for young mothers. Nursing Inquiry, 16(3), doi: /j x Stiles, A. S. (2010). Case study of an intervention to enhance maternal sensitivity in adolescent mothers. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 39(6), doi: /j x Sullivan, K., Clark, J., Castrucci, B., Samsel, R., Fonseca, V., & Garcia, I. (2011). Continuing education mitigates the negative consequences of adolescent childbearing. Maternal & Child Health Journal, 15(3), doi: /s