Spear Hila J
Department of Nursing, Liberty University, Lynchburg, VA, USA.
MCN Am J Matern Child Nurs. 2006 Mar-Apr;31(2):106-13. doi: 10.1097/00005721-200603000-00010.
: To examine the breastfeeding experiences and related behaviors of adolescent mothers after discharge from the hospital.
: Descriptive telephone survey with both open-and closed-ended questions. Outcome variables included breastfeeding experiences and infant feeding practices. A convenience sample of mothers (N = 53), ranging in age from 14 to 19 years, were interviewed by telephone 5 months to 2 years postdelivery.
: Over one half (60.3%) of the adolescent mothers breastfed for 2 months or longer (average 3.15 months), only 22.6% breastfed for 6 months or more, and 39.6% breastfed for 1 month or less. Friends, families, and healthcare professionals were supportive of breastfeeding, but participants found prenatal and postpartum education about breastfeeding to be limited. Many indicated that they were not plainly informed about the superiority of breast milk and the health advantages of breastfeeding. One mother stated, "They just asked if I wanted to bottle or breastfeed and didn't tell me about the benefits of breastfeeding."
: Nurses and physicians who provide care for childbearing women need to promote breastfeeding among adolescents in a better way. Prenatal anticipatory guidance related to the physical aspects of breastfeeding, support after adolescent mothers are discharged from the hospital, and advocacy for breastfeeding in the school and workplace setting are warranted. Nurses should consider establishing postpartum education programs for breastfeeding adolescents, for almost all of the participants in this study expressed the need for more postnatal breastfeeding support as indicated by this representative statement:"I think that it would help you to be able to breastfeed if nurses could phone call you more than just once; my baby latched on good in the hospital; I had trouble later after we went home."
探讨青少年母亲出院后的母乳喂养经历及相关行为。
采用开放式和封闭式问题相结合的描述性电话调查。结果变量包括母乳喂养经历和婴儿喂养方式。对年龄在14至19岁之间的53名母亲进行了便利抽样，在产后5个月至2年通过电话进行访谈。
超过一半（60.3%）的青少年母亲母乳喂养2个月或更长时间（平均3.15个月），只有22.6%的母亲母乳喂养6个月或更长时间，39.6%的母亲母乳喂养1个月或更短时间。朋友、家人和医护人员支持母乳喂养，但参与者发现产前和产后关于母乳喂养的教育有限。许多人表示，她们没有被清楚地告知母乳的优越性和母乳喂养对健康的益处。一位母亲说：“他们只是问我想 bottle 喂养还是母乳喂养，却没有告诉我母乳喂养的好处。”
为育龄妇女提供护理的护士和医生需要更好地促进青少年母乳喂养。有必要提供与母乳喂养身体方面相关的产前预期指导，在青少年母亲出院后给予支持，并在学校和工作场所倡导母乳喂养。护士应考虑为母乳喂养的青少年建立产后教育项目，因为几乎所有参与本研究的人都表示需要更多的产后母乳喂养支持，如下述代表性言论所示：“我认为如果护士能多给我打几次电话，会有助于我进行母乳喂养；我的宝宝在医院里衔接得很好；但回家后我遇到了困难。”
