Title: Breastfeeding and Adolescents: Attitudes, Action And Advocacy
Authors: Theresa Narduzzi, R.N. B.ScN., IBCLC; Sue Hermann, R.N., IBCLC
Affiliation: Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada
Contact: sue.hermann@sw.ca

Abstract:
Background
Adolescent mothers are regarded as a high-risk population who have unique characteristics and needs. The breastfeeding initiation and duration rates are typically lower in this population as compared to adult mothers. Maternal age and socioeconomic status (education and family income) have been identified in the literature as strong predictors of breastfeeding behaviours. Breastfeeding duration has been found to increase with increasing maternal age.

Adolescent mothers require support and care during the postpartum period that acknowledges and respects their developmental needs and allows them to gain increased confidence and knowledge in their role as new mothers. This includes decision-making regarding infant-feeding methods.

Aim
This innovative program integrates the use of strategies, which are matched developmentally and psychologically to the needs of this special group. These include focused individualized care for each adolescent mother. This approach has the potential to increase breastfeeding initiation rates and to foster healthier attachment and parenting.

Strategies have included the development of breastfeeding and postpartum Standards of Care specific to the needs of adolescent parents and plans for the inservice of staff and community outreach.