关键词: adolescent adolescents neonatology nursing care

Mesh : Humans Breast Feeding / psychology statistics & numerical data Ghana Female Adolescent Hospitals, Teaching Mothers / psychology Qualitative Research Young Adult Pregnancy Infant, Newborn Interviews as Topic Pregnancy in Adolescence / psychology Health Knowledge, Attitudes, Practice

来  源:   DOI:10.1136/bmjopen-2023-077504   PDF(Pubmed)

Abstract:
BACKGROUND: The natural and best approach to give newborns the nutrients they need for healthy growth and development is through breast feeding. Breastfeeding rates fall more sharply with time for mothers under the age of 20 years.
OBJECTIVE: This study sought to explore the challenges experienced by adolescent mothers who visit the department of obstetrics and gynaecology of Korle Bu Teaching Hospital in Ghana.
METHODS: This study employed a qualitative phenomenology design and collected data from adolescent mothers. Data were gathered with the aid of a semistructured in-depth interview guide from 13 breastfeeding adolescent mothers. Data for the study were analysed using content analysis. The study was conducted at the obstetrics and gynaecology department of Korle Bu Teaching Hospital, Ghana.
RESULTS: Two major themes were generated from the study to be the challenges that confront adolescent breastfeeding mothers, and they are maternal factors of breastfeeding barriers and societal factors of breastfeeding barriers. Subcategories were generated for both themes during the process.
CONCLUSIONS: Training of pregnant adolescents during antenatal care visits on how to manage the inability to lactate, breastfeeding stress, painful and sore nipple, engorged breast, stigma from society will lessen their burden. Furthermore, training close family members and friends on how to be kind and support adolescent mothers during breast feeding is important. In-service training should be organised for health workers to enhance their knowledge and practice of approaching and guiding adolescent mothers on effective breast feeding and the provision of cubicles in public places where adolescent mothers can comfortably breastfeed.
摘要:
背景:为新生儿提供健康生长和发育所需的营养的自然和最佳方法是通过母乳喂养。对于20岁以下的母亲来说,母乳喂养率随着时间的推移而急剧下降。
目的:本研究旨在探讨访问加纳KorleBu教学医院妇产科的青春期母亲所经历的挑战。
方法:本研究采用了定性现象学设计,并收集了青春期母亲的数据。数据是在半结构化的深入访谈指南的帮助下收集的,该指南来自13位母乳喂养的青春期母亲。使用内容分析对研究数据进行分析。这项研究是在科勒布教学医院妇产科进行的,加纳。
结果:该研究产生了两个主要主题,即青春期母乳喂养母亲面临的挑战,它们是母乳喂养障碍的母亲因素和母乳喂养障碍的社会因素。在此过程中,为这两个主题生成了子类别。
结论:在产前护理访视期间对怀孕青少年进行培训,了解如何管理无法乳酸,母乳喂养压力,乳头疼痛和疼痛,充血的乳房,来自社会的耻辱将减轻他们的负担。此外,培训亲密的家庭成员和朋友如何在母乳喂养期间友善和支持青春期母亲是重要的。应为卫生工作者组织在职培训,以增强他们的知识和实践,以接触和指导青春期母亲进行有效的母乳喂养,并在青春期母亲可以舒适地母乳喂养的公共场所提供隔间。
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