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ERIC Number: ED552537
Record Type: Non-Journal
Publication Date: 2013
Pages: 207
Abstractor: As Provided
Reference Count: N/A
ISBN: 978-1-2679-5295-0
Overcoming Barriers to Improve Breastfeeding Self-Efficacy in Older Adolescent Mothers
Beattie-Fairchild, Cindy
ProQuest LLC, Ed.D. Dissertation, Walden University
A lack of breastfeeding has negative consequences on mother and infant by creating health disparities with a higher incidence of morbidity and mortality. Nationwide, fewer than 60% of mothers younger than age 20 years breastfed exclusively, while fewer than 20% did so in the community being studied. The purpose of this qualitative case study was to gain a better understanding of perceived barriers that prevent exclusive breastfeeding and affect self-efficacy. An innovative breastfeeding course was proposed to assist the older adolescent mother overcome barriers to breastfeeding. The theoretical base was Bandera's social learning theory, emphasizing Dennis's breastfeeding self-efficacy theory, and Pender's health promotion model. The perceptions of mothers younger than 20 who were enrolled in a Women, Infant, and Children's nutrition program were gathered to understand barriers to breastfeeding. Data collection tools included a qualifying questionnaire, semi-close-ended survey, and one-on-one interviews. Data were transcribed, coded, and analyzed for themes, and validated through triangulation by corroborating field notes, surveys, and interviews. Member checks and external audits were also conducted. The study revealed that older adolescent mothers want to breastfeed but they must overcome barriers such as a lack of knowledge, feelings of embarrassment, and a lack in their professional and social support. These findings provide a unique window into the experiences of adolescent mothers and illuminate their perceived needs to breastfeed exclusively during the early postpartum period. This study contributes to positive social change by informing the efforts of nurses to teach and then empower adolescent mothers to overcome barriers and breastfeed successfully. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page:]
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A