Abstract
BackgroundAdolescent mothers have lower rates of initiation, continuation, and exclusivity of breastfeeding, and even more so in the first pregnancy. Current interventions target adult women, and little evidence is available for breastfeeding promotion among adolescents.MethodsThis is a pilot study protocol with a parallel, single-blind, randomized, and controlled trial design, to evaluate the feasibility of the intervention “Lactation Counseling” in first-time adolescent mothers to maintain exclusive breastfeeding in the first 6 months of life. The control group will receive routine education in prenatal care and prenatal and childbirth classes, the experimental group will receive additionally the intervention “Lactation Counseling”, for 4 weeks, both conducted by trained nurses. Feasibility outcome includes recruitment and dropout rates, and, pilot outcomes will be the exclusive breastfeeding rate and the breastfeeding knowledge. Measurements will be taken at baseline, post-intervention, and 2, 4, and 6 months after childbirth.DiscussionExclusive breastfeeding rates could be increased in adolescent mothers through nursing counseling interventions that are previously structured and evaluated from their feasibility. This study will allow the evaluation of the feasibility of an intervention in low-income, Latin American population adolescents.Trial registrationClinicalTrials.gov NCT04655846, Registered 7 December 2020.
Highlights
Adolescent mothers have lower rates of initiation, continuation, and exclusivity of breastfeeding, and even more so in the first pregnancy
We detail the design of a nursing intervention to standardize breastfeeding counseling, as well as the evaluation of its effect on adolescent mothers
This intervention has the advantage of having been designed using standardized language from the Nursing Intervention Classification and using the same standardized language to evaluate its effect through the Nursing Outcome Classification, using standardized language facilitates the use of interventions and the measurement of their effect in different populations, as well as consolidating the use of a specific nursing language
Summary
Design This is a pilot study protocol for a randomized controlled trial using a parallel-group design with a 1:1 allocation ratio, to evaluate the preliminary effect on exclusive breastfeeding rates of the intervention “Lactation Counseling” described in the Classification of Nursing Interventions (NIC) (16) (n = 59), versus usual education and nursing interventions not related to breastfeeding (n = 59) in first-time pregnant adolescents, attending the control prenatal, and followed-up with for up to 6 months after delivery (Fig. 1). Mothers will be invited to continue breastfeeding and participating in the study Another secondary outcome will be the level of knowledge about the breastfeeding process using a questionnaire (Table 2), based on the nursing Knowledge outcome: Breastfeeding (1800) defined as the “Extent of understanding conveyed about lactation and nourishment of an infant through breastfeeding” [18]. The effect of the intervention on the abandonment of exclusive breastfeeding will be calculated in terms of relative risk using binomial regression
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