One Year Postpartum Adaptation of Teen Mothers: Comparison between Students and Other Occupations
Main Article Content
Abstract
Objectives: To compare the one-year postpartum adaptation of teen mothers between the student occupation and other occupations in the aspects of school reenrollment, childrearing, breastfeeding, and contraception. Patients & Methods: This cross sectional study collected data from pregnant adolescents aged 11-20 years who attended antenatal and postpartum care and delivered at Adolescent Postpartum Clinic in Maharat Nakhon Ratchasima Hospital during January 1, 2012 to December 31, 2014. Data were obtained from telephone interviews with participants one year after childbirth, medical records of participants, and reports from Adolescent Postpartum Clinic. Data were compared between two groups in terms of school reenrollment, childrearing, breastfeeding, and contraception using Chi-Square test. The differences were considered statistically significant when P value < 0.05. Results: There were 129 in the student group and 137 in the non-student or other occupation group. From the student group, 69 participants (53.5 %) reenrolled in school, compared with 21 in the non-student group (15.4 %). Only 3 in the student group (2.3 %) that was significantly lower than 20 in the non-student group (14.6 %) breastfed their children for more than six months (RR = 0.14; 95 % CI = 0.03 - 0.58). In terms of childrearing, 89 in the student group (69.0 %) and 106 in the non-student group (77.4 %) reared their children themselves. In addition, the contraception after one year of childbirth was not different between both groups. The most common contraceptive method of the participants was contraceptive pill, followed by contraceptive injection. Conclusions: The student group had more requirement for school reenrollment but shorter period of breastfeeding and lower rate of childrearing than the non-student group with statistical significance. Nonetheless, there was no difference between the two populations in the aspect of contraception after one year of child birth.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Pechkwang D, Kaewjiboon J, Boontha R, Junsuk K. Impacts of pregnancy and factors affecting pregnancy among teens who received prenatal care at Phayo hospital. Boromarajonani College of Nursing, Phayao; 2011.
World Health Organization. Definitions, in Adolescent Pregnancy. Department of Reproductive Health and Research World Health Organization Geneva. 2004: 5.
Department of Health, Ministry of Public Health of Thailand. Saiyairak hospital project; 2011. Available from: http://www.saiyairakhospital.com/newdemo/admin/user_report.html.
Kitiyodom S. Maternal youth and pregnancy outcomes: Early and middle adolescent versus late adolescent compared with women beyond the teen years. Maharat Nakhon Ratchasima Hospital Med Bull 2013; 37: 62-74.
Bureau of Reproductive Health. Fact Sheet on Statistics on Adolescent Births, Thailand. Bangkok: Department of Health; 2016.
Kitiyodom S. Decisions of pregnant adolescents towards antenatal care attendance and their immediate postpartum adaptation: Comparison between students and other occupations. J Med Assoc Thai 2015; 98: S43-50.
Desirae MD, Karen HJ. Adolescent pregnancy in America: Causes and responses. VJSNE 2007; 30: 4-12.
Songsathaporn L, Kitiyodom S. Postpartum long-acting reversible contraception use in adolescent at Maharat Nakhon Ratchasima Hospital. Thai J Obstet Gynaecol 2016; 24: 26-34.
American Academy of Pediatrics: Care of adolescent parents and their children. Pediatr 2001; 107: 429- 34.
Pungbangkadee R, Ratinthorn A. Factors and consequences of repeat pregnancy among teenagers: A case study in Bangkok Metropolis. J Nurs Sci 2014; 32: 23-31.
Secura GM, Madden T, McNicholas C. Provision of no-cost, long-acting contraception and teenage pregnancy. N Engl J Med 2014; 371: 1316-23.
Winner B, Peipert JF, Zhao Q. Effectiveness of longacting reversible contraception. N Engl J Med 2012; 366: 1998-2007.
Birgisson NE, Zhao Q, Secura GM, Madden T, Peipert JF. Preventing unintended pregnancy: the Contraceptive CHOICE Project in review. J Womens Health (Larchmt) 2015; 24: 349-53.
Kramer MS, Kakuma R. (2012). Optimal duration of exclusive breastfeeding: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. DOI: 10.1002/14651858.CD003517
Jintrawet U, Tongsawas T, Somboon L. Factors associated with the duration of exclusive breastfeeding among postpartum mothers. Nursing J 2014; 41: 133-44.
Nesbitt SA, Campbell KA, Jack SM, Robinson H, Piehl K Bogdan JC. Canadian adolescent mothers’ perceptions of influences on breastfeeding decisions: a qualitative descriptive study. BMC Pregnancy Childbirth 2012; 12: 149. Doi.org/10.1186/1471- 2393-12-149
Jeungklinchan P, Junprasert T. Adapting process and child rearing in a teen single mother: a case study of Sahathai Foundation’s Clients. Golden Teak Humanity Social Sci J (GTHJ) 2014; 20: 73-90.