Evaluation of the Supportive Needs of Adolescents During Childbirth (SNACİ) Intervention

Monday, 31 October 2011: 1:45 PM

Donna J. Sauls, PhD, RN
College of Nursing, Texas Woman's University, Denton, TX
Jane S. Grassley, PhD, RN, IBCLC
School of Nursing, Boise State University, Boise, ID

Learning Objective 1: The learner will be able to identify specific intrapartum nursing interventions that increase adolescents' childbirth satisfaction.

Learning Objective 2: The learner will be able to identify specific intrapartum nursing interventions that increase adolescents' breastfeeding rate.

Research of interventions that assist adolescent mothers to have positive experiences during childbirth and initiating breastfeeding is lacking although breastfeeding provides health benefits for women and their children. In studies of adult women, effective labor support by intrapartum nurses have facilitated positive childbirth and initial breastfeeding experience. Adolescents, however, have differing needs related to childbirth and breastfeeding support. Therefore, this study investigated the effectiveness of a theory based nursing intervention (SNAC) designed to facilitate a positive childbirth and initial breastfeeding experience for adolescents. A quasi-experimental study was conducted with a sample of 106 adolescents.  Adolescents in the experimental group reported higher childbirth satisfaction, were more likely to breastfeed their infants longer, and were more likely to breastfeed their newborns within the first hour than those in the control group. Specifically, these results suggest that providing nurses with information and training specific to the labor support and breastfeeding needs of adolescents’ can improve their childbirth and breastfeeding experiences.