Puapompong Pawin, Raungrongmorakot Kasem, Manolerdtewan Wichian, Ketsuwan Sukwadee, Wongin Sinutchanan
J Med Assoc Thai. 2014 Sep;97(9):893-8.
Teenage pregnancy is an important health issue globally and in Thailand Younger age mothers decide on the breastfeeding practices ofthe first 6-month.
To find the rates of 6-month exclusive breastfeeding practices of teenage mothers and compare them with the rates of 6-month exclusive breastfeeding practices in mothers who are 20 years of age or more.
Three thousand five hundred sixty three normal, postpartum women, who delivered without complications at the HRH Princess Maha Chakri Sirindhorn Medical Center in the Nakhon Nayok Province between 2010 and2013 were included in this study. At the second daypostpartum, the data of latch scores and the data of the practice of exclusive breastfeeding were collected Telephone follow-ups on the seventh, fourteenth, and forty-fifth postpartum days and at the second, fourth, and sixth month postpartum month were collected and used for exclusive breastfeeding data following discharge. Demographic data included the maternal age, parity, gestational age, marital status, occupation, religion, route ofdelivery, estimated blood loss, body mass index, nipple length, and the childs birth weight. The collected data was analyzed by the t-test, Chi-square, and odds ratio with 95% confidence interval.
The percentage of teenage pregnancies was at 14.8% (527 cases). On postpartum day 2, the percentage of latch scores of 8 or less was 66.4%. At the seventh, fourteenth, and forty-fifth day and at the second, fourth, and sixth months postpartum, the exclusive breastfeeding rates were 88.5, 78.5, 57.6, 43.1, 32.9, and27.0%, respectively. Comparison of the 6-month exclusive breastfeeding rates between teenage mothers and mothers 20 years ofage or older were not statistically significant (p<0.05).
The 6-month exclusive breastfeeding rate of teenage mothers was at 27.0% and had no significant differences from the rates of mothers 20 years of age or more.
青少年怀孕是全球及泰国的一个重要健康问题。年龄较小的母亲决定前6个月的母乳喂养方式。
了解青少年母亲6个月纯母乳喂养率，并与20岁及以上母亲的6个月纯母乳喂养率进行比较。
本研究纳入了2010年至2013年期间在那空那育府诗琳通公主殿下医疗中心顺产且无并发症的3563名正常产后妇女。产后第二天，收集衔接评分数据和纯母乳喂养情况数据。产后第7天、第14天、第45天以及产后第2个月、第4个月和第6个月进行电话随访，收集出院后的纯母乳喂养数据。人口统计学数据包括产妇年龄、产次、孕周、婚姻状况、职业、宗教、分娩方式、估计失血量、体重指数、乳头长度和婴儿出生体重。收集的数据采用t检验、卡方检验和95%置信区间的比值比进行分析。
青少年怀孕率为14.8%（527例）。产后第2天，衔接评分≤8分的比例为66.4%。产后第7天、第14天、第45天以及产后第2个月、第4个月和第6个月的纯母乳喂养率分别为88.5%、78.5%、57.6%、43.1%、32.9%和27.0%。青少年母亲与20岁及以上母亲的6个月纯母乳喂养率比较，差异无统计学意义（p<0.05）。
青少年母亲的6个月纯母乳喂养率为27.0%，与20岁及以上母亲的纯母乳喂养率无显著差异。
