Effect of an educational intervention on Breastfeeding Knowledge and Attitudes in Pregnant Adolescents
Supporting Agencies
- Universidad santiago de cali
Abstract
Introduction: Breastfeeding is the ideal food for the proper development of the child, the decision to breastfeed and its maintenance in a teenage mother is a complex process, the support network and health systems play an important role.
Objective: to determine whether an educational intervention improves knowledge and attitudes regarding breastfeeding in pregnant adolescents.
Methods: Through an intragroup quasi-experimental investigation, the questionnaire was applied to evaluate knowledge and attitude about breastfeeding by Hernández et al. in pregnant adolescents who attended the prenatal control program of a low-level complexity health institution in Cali. Then, an educational intervention on breastfeeding was carried out with a debate among the participants and distribution of a brochure. Four weeks later, the questionnaire was administered again. The non-parametric sign test was used to estimate the effect.
Results: Fifty-six pregnant adolescents were included, with an average age of 18.6 ± 1.8 years. Most had completed secondary education (84%), were single (78.6%), and belonged to the low socioeconomic stratum (57%). The majority were in their first pregnancy (87.5%) and 73% were classified as high obstetric risk because factors like being underweight (23%), being overweight (20%), having an early pregnancy (11%), and having an unwanted pregnancy (9%). Limited knowledge about breastfeeding was found among the participants; however, their attitudes were positive.
Conclusions: Improvement in prior knowledge score, from a median of 3.6 to 4.5, was observed after the educational intervention (p < 0.001).
Downloads
-
Abstract614
-
ESP_PDF (Español (España))345
-
ENG_PDF98
-
XML (Español (España))4
References
World Health Organization (WHO) Breastfeeding. https://www.who.int/health-topics/breastfeeding#tab=tab_1 (2023). Accessed 7 May 2024.
Organización Panamericana de la Salud. Lactancia materna y alimentación complementaria. www.paho.org. 2021 [citado 13/07/2021]. Disponible en: https://www.paho.org/es/temas/lactancia-materna-alimentacion-complementaria
Organización Mundial de la Salud. Alimentación del lactante y del niño pequeño. www.who.int. Diciembre 2023. [citado 16/11/2024]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/infant-and-young-child-feeding 30
Castelo-Rivas WP, Pincay-Intriago JS, Porras-Castellano JP, Vera-Rodríguez MN. Factores que influyen en el destete precoz de lactantes pertenecientes al Centro de Salud Augusto Egas, Ecuador. Rev. inf. cient. [Internet]. 2021 oct [citado 2025 mayo 07]; 100(5): e3646. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332021000500010&lng=es
Ministry of Health. Guidance for Healthy Weight Gain in Pregnancy 2014. Wellington: Ministry of Health. available at www.health.govt.nz
Eades C, Hoddinott P, Cameron D. Evans J. Breastfeeding frequency and incidence of type 2 diabetes among women with previous gestational diabetes compared to those without: a historical cohort study in the UK. Int Breastfeed J. 2024; 19:72. https://doi.org/10.1186/s13006-024-00679-0
Ballesta-Castillejos A, Gómez-Salgado J, Rodríguez-Almagro J, Ortiz-Esquinas I, Hernández-Martínez A. Factors that influence mothers' prenatal decision to breastfeed in Spain. Int Breastfeed J. 2020;15(1):97. https://doi.org/ 10.1186/s13006-020-00341-5.
Pico Fonseca SM, Cárdenas V, Meneses A, Guarín García L. Lactancia en mujeres del Cauca: conocimientos, prácticas y redes de apoyo. Rev Esp Nutr Comunitaria [Internet]. 2022 [citado 2025 mayo 07]; 28(1):1-8. Disponible en: https://www.renc.es/imagenes/auxiliar/files/RENC-D21-0036._ORIGINAL.pdf
Martínez García RM, Jiménez Ortega AI, Peral-Suárez Á, Bermejo LM, Rodríguez-Rodríguez E. Importancia de la nutrición durante el embarazo. Impacto en la composición de la leche materna. Nutr Hosp 2020;37(N.º Extra. 2):38-42. http://dx.doi.org/10.20960/nh.03355
Callaghan S, Moore RL, Geraghty AA, Yelverton C, McAuliffe F. Examination of weight status, parity and maternal education factors on intentions to breastfeed and breastfeeding duration in an Irish cohort. Proc Nutr Soc. 2020; 79(OCE2):e158. https://doi.org/10.1017/S0029665120001068
Secretaría Distrital de Salud de Bogotá. La lactancia materna fortalece el sistema inmune de los menores. Saludata. . [Internet]. 2020 Agosto [citado 2025 mayo 07]. Disponible en:
https://www.saludcapital.gov.co/Paginas2/Noticia_Portal_Detalle.aspx?IP=1232
Chen TL, Chen LL, Gau ML. Association between breastfeeding-friendly environmental factors and breastfeeding practices at 6 months in mothers in Taiwan. Int Breastfeed J. 2024; 19(78): https://doi.org/10.1186/s13006-024-00681-6.
Rojas Loyola G. Semana Mundial de la Lactancia Materna 2022: una llamada a la deliberación. Rev Esp Salud Pública [Internet]. 21 diciembre de 2022 [citado 29 de noviembre de 2024]; 96: e202212092. Disponible en: https://ojs.sanidad.gob.es/index.php/resp/article/view/248
Instituto Colombiano de Bienestar Familiar ICBF. Ministerio de Salud y Protección Social de Colombia. Encuesta Nacional de Situación Nutricional 2015. https://www.icbf.gov.co/bienestar/nutricion/encuesta-nacional-situacion-nutricional
Hernández Pérez MC, Romero Manzano AM, González Pérez MD, Rieder E, Padrón García B, Jiménez Sosa A. Promoción de la lactancia materna en la adolescencia. En: Díaz Gómez NM y Lasarte JJ (eds). Libro de Actas del IV Congreso Español de Lactancia Materna. Ergon. Tenerife 2006; 6 – 68. Disponible en: https://www.aeped.es/sites/default/files/actas_clm2006.pdf
Hernández Pérez MC, Díaz-Gómez NM, Romero Manzano AM, Díaz Gómez JM, Rodríguez Pérez V, Jiménez Sosa A. Eficacia de una intervención para mejorar conocimientos y actitudes sobre lactancia materna en adolescentes. Revista Española de Salud Pública. 2018;92: e1-e12. https://pmc.ncbi.nlm.nih.gov/articles/PMC11587301/
Jiménez Asencio N, Martínez Aguilar DE, García Villamil AE, Hernández Díaz N, Cordero García MA. Percepción de la imagen corporal en relación con el índice de masa corporal en escolares de Chiapas. Rev Esp Nutr Comunitaria. [Internet]. 2022 [citado 2025 mayo 07]; 28(4): 1-9. Disponible en: https://www.renc.es/imagenes/auxiliar/files/RENC-D-22-0034._manuscrito_final.pdf
Ramos Lafont CP, Henao Villegas S, Montenegro Martínez G. La alimentación de la gestante y sus implicaciones en la salud materna. Rev Esp Nutr Comunitaria [Internet]. 2023 [citado 2025 mayo 07]; 29(1): 1-12. Disponible en: https://www.renc.es/imagenes/auxiliar/files/RENC-D-22-0037_Manuscrito_final.pdf
Paúles Cuesta IM, Sánchez Molina MP, Lahoz Gimeno M, Montoro Huguet M. Prevalencia de sobrepeso y obesidad en embarazadas de una zona básica de salud de Huesca. Medicina Clínica Practica. 2021; 4(1). Doi: https://doi.org/10.1016/j.mcpsp.2020.100152
Zabarain-Cogollo SJ, Fernández-Daza MP. Indicadores sociodemográficos, sexualidad y embarazo en adolescentes de Santa Marta-Colombia. European Journal of Health Research, 2020; 6(2):157–168. Doi:
https://doi.org/10.30552/ejhr.v6i2.213
Lutsiv O, Pullenayegum E, Foster G, Vera C, Giglia L, Chapman B, Fusch C, McDonald SD. Women's intentions to breastfeed: a population-based cohort study. BJOG. 2013; 120(12): 1490-8. Doi: https://doi.org/10.1111/1471-0528.12376
Ministerio de Salud y Protección Social. Ley 2306 de 2023. Julio 31 de 2023. Disponible en:
https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=215030
Bendezú G, Espinoza D, Bendezú-Quispe G, Torres-Román JS, Huamán-Gutiérrez RM. Características y riesgos de gestantes adolescentes. Rev. peru. ginecol. obstet. [Internet]. 2016 ene [citado 2023 Sep 28]; 62(1): 13-18. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322016000100002&lng=es.
Marrero-Alonso JL, Fuentes-Colina O, Ramos-Gómez L, Fernández-García GL. Propuesta de intervención educativa sobre lactancia materna exclusiva para las gestantes adolescentes. Rev cubana Aliment Nutr. [Internet]. 2021 [citado 2 Sep. 2023];31(2):448-471. Disponible en:
https://revalnutricion.sld.cu/index.php/rcan/article/view/1249
Copyright (c) 2025 Global Nursing
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
