Evaluation of exclusive breastfeeding rates and breastfeeding duration in term uncomplicated Turkish adolescent mothers

Aim: The aim of the present study was to evaluate exclusive breastfeeding (EBF) rates and breastfeeding duration in adolescent Turkish mothers after term-uncomplicated deliveries.Material and Methods: The study comprised 803 uncomplicated, nulliparous women, who had a single pregnancy and delivered at term gestational age. After excluding any maternal and fetal factors that affected early breastfeeding initiation, 674 nulliparous pregnant women were divided into three groups as follows: adolescents 16–17 years old, adolescents 18–19 years old, and nonadolescents 20–24 years old. The primary outcome of the study was defined as EBF of the infant, especially during the first 6 months of life.Results: Gestational age at delivery, birth weight, newborn gender, rate of induced labor, and rate of vaginal deliveries were similar among the groups. We found that 22.5% (14/62) of patients in the 16- to 17-year group, 41.8% (72/172) in 18- to 19-year group, and 72.9% (321/440) in the 20- to 24-year group had EBF during the first 6 months of their baby’s life. The rate of EBF during thefirst 6 months was significantly less in the 16- to 17-year and 18- to 19-year groups compared to that in the 20- to 24-year group (p

___

  • 1. Chandra-Mouli V, Camacho AV, Michaud P-A. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. JAH 2013;52:517-22.
  • 2. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganization multicountry study. BJOG 2014;121:40-8.
  • 3. Malabarey OT, Balayla J, Klam SL, et al. Pregnancies in young adolescent mothers: a population-based study on 37 million births. J Pediatr Adolesc Gynecol 2012;25:98-102.
  • 4. Torvie AJ, Callegari LS, Schiff MA, et al. Labor and delivery outcomes among young adolescents. Am J Obstet Gynecol 2015;213: 1-8.
  • 5. Sahin E, Madendag Y, Sahin ME, et al. Does Young Maternal Age Have Any Adverse Effect on Maternal and Fetal Health? A Retrospective Case Control Study. Gynecology Obstetrics & Reproductive Medicine. 2018;24:60-4.
  • 6. Turgal M, Seven B, Icer B, et al. Is Multiparity in Adolescent Pregnancies Associated with Adverse Outcome? Gynecology Obstetrics & Reproductive Med 2018;24:124-8.
  • 7. Maiden K, Gunter WD, Martin SS, et al. Teen mothers, unintended pregnancies, and costs across Delaware. Del Med J 2014;86:109-16.
  • 8. Kingston D, Heaman M, Fell D, et al. Comparison of adolescent, young adult, and adult women’s maternity experiences and practices. Pediatrics. 2012;129:1228-37.
  • 9. Organization WH. Global strategy for infant and young child feeding: World Health Organization; 2003.
  • 10. Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess 2007;153:1-186.
  • 11. Hauck FR, Thompson JM, Tanabe KO, et al. Breastfeeding and reduced risk of sudden infant death syndrome: a meta-analysis. Pediatrics 2011;128:103- 10.
  • 12. Gouveri E, Papanas N, I Hatzitolios A, et al. Breastfeeding and diabetes. Curr Diabetes Rev 2011;7:135-42.
  • 13. Hatsu IE, McDougald DM, Anderson AK. Effect of infant feeding on maternal body composition. International Breastfeeding J 2008;3:18.
  • 14. Conde-Agudelo A, Belizan JM, Lammers C. Maternalperinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Crosssectional study. Am J Obstet Gynecol 2005;192:342- 9.
  • 15. Sharma V, Katz J, Mullany LC, et al. Young maternal age and the risk of neonatal mortality in rural Nepal. Arch Pediatr Adolesc Med 2008;162:828-35.
  • 16. Gibbs CM, Wendt A, Peters S, et al. The impact of early age at first childbirth on maternal and infant health. Paediatr Perinat Epidemiol 2012;26:259-84.
  • 17. Yilmaz E, Yilmaz Z, Isik H, et al. Factors Associated with Breastfeeding Initiation and Exclusive Breastfeeding Rates in Turkish Adolescent Mothers. Breastfeed Med 2016;11:315-20.
  • 18. Moraes AN, Likwa RN, Nzala SH. A retrospective analysis of adverse obstetric and perinatal outcomes in adolescent pregnancy: the case of Luapula Province, Zambia. Matern Health Neonatol Perinatol 2018;4:20.
  • 19. Karai A, Gyurkovits Z, Nyari TA, et al. Adverse perinatal outcome in teenage pregnancies: an analysis of a 5-year period in Southeastern Hungary. J Matern Fetal Neonatal Med. 2019;32:2376-9.
  • 20. Eidelman AI. Breastfeeding and the use of human milk: an analysis of the American Academy of Pediatrics 2012 Breastfeeding Policy Statement. Breastfeed Med 2012;7:323-4.
  • 21. Monteiro JCdS, Dias F, Stefanello J, Reis M, Nakano AMS, Gomes-Sponholz FA. Breast feeding among Brazilian adolescents: practice and needs. Midwifery 2014;30:359-63.
  • 22. Control CfD, Prevention. Breastfeeding report card— United States, 2014. Centers for Disease Control and Prevention: Atlanta, GA, USA. 2014.
  • 23. Sipsma HL, Magriples U, Divney A, et al. Breastfeeding behavior among adolescents: initiation, duration, and exclusivity. Journal of adolescent health. 2013;53(3):394-400.
  • 24. Muelbert M, Giugliani ERJ. Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers. BMC Public Health 2018;18:675.
  • 25. Radwan H. Patterns and determinants of breastfeeding and complementary feeding practices of Emirati Mothers in the United Arab Emirates. BMC Public Health 2013;13:171.
  • 26. Fledderjohann J, Agrawal S, Vellakkal S, et al. Do girls have a nutritional disadvantage compared with boys? Statistical models of breastfeeding and food consumption inequalities among Indian siblings. PloS one 2014;9.
  • 27. Nuampa S, Tilokskulchai F, Patil CL, et al. Factors related to exclusive breastfeeding in Thai adolescent mothers: Concept mapping approach. Maternal & Child Nutrition 2019;15:12714.
  • 28. Nesbitt SA, Campbell KA, Jack SM, et al. Canadian adolescent mothers’ perceptions of influences on breastfeeding decisions: a qualitative descriptive study. BMC Pregnancy Childbirth 2012;12:149.
  • 29. Nuampa S, Tilokskulchai F. An Integrative review of breastfeeding among adolescent mothers: An ecological model approach. Nurs Science J Thailand 2017;35:21-32