Efecto de una intervención educativa en conocimientos y actitudes sobre lactancia materna en adolescentes embarazadas.

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Bibliographic Details
Title: Efecto de una intervención educativa en conocimientos y actitudes sobre lactancia materna en adolescentes embarazadas.
Alternate Title: Effect of an Educational Intervention on Breastfeeding Knowledge and Attitude in Pregnant Adolescents.
Authors: Ospina Uribe, Martha Cecilia1 martha.ospina01@usc.edu.co, Villegas Arenas, Dolly1, Echandía Alvarez, Carlos Armando2
Source: Enfermería Global. may-ago2025, Vol. 24 Issue 2, p1-15. 30p.
Subjects: Breastfeeding, Health literacy, Attitudes toward breastfeeding, Leanness, Maternal health services, Research funding, Teenage pregnancy, Educational outcomes, Clinical trials, Questionnaires, Socioeconomic factors, Pregnant women, Descriptive statistics, Pregnancy outcomes, Quantitative research, High-risk pregnancy, Unwanted pregnancy, Prenatal care, Pre-tests & post-tests, Research methodology, Breastfeeding promotion, Health education, Data analysis software, Obesity, Adolescence
Geographic Terms: Colombia
Abstract (English): 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). [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La lactancia materna es el alimento ideal para el adecuado desarrollo del niño. La decisión de amamantar y su mantenimiento en una madre adolescente es un proceso complejo. La red de apoyo y los sistemas de salud juegan un papel importante. Objetivo: Determinar si una intervención educativa mejora los conocimientos y las actitudes con respecto a la lactancia materna en adolescentes embarazadas. Métodos: A través de una investigación cuasiexperimental intragrupo, se aplicó el cuestionario para evaluar conocimientos y actitudes sobre la lactancia materna de Hernández et al. en adolescentes embarazadas, que asistieron al programa de control prenatal de una institución de salud de baja complejidad de Cali. Luego, se realizó una intervención educativa sobre lactancia materna con debate entre los participantes y distribución de un folleto. Cuatro semanas después, se volvió a administrar el cuestionario. Para estimar el efecto se utilizó la prueba de signos no paramétrica. Resultados: Se incluyeron 56 adolescentes embarazadas con una edad promedio de 18,6 ± 1,8 años. La mayoría con estudios de secundaria completos (84%), solteras (78,6%) y del estrato socioeconómico bajo (57%). El 87,5% en su primer embarazo y 73% catalogadas con un alto riesgo obstétrico por estar bajas de peso (23%), con sobrepeso (20%), la edad temprana (11%) y embarazo no deseado (9%). Se encontraron pocos conocimientos sobre lactancia materna, pero actitudes positivas. Conclusiones: Se obtuvo mejoría en la puntuación de conocimientos previos, de una mediana de 3,6 a una mediana de 4,5, después de la intervención educativa (p < 0,001). [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
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). [ABSTRACT FROM AUTHOR]
ISSN:16956141
DOI:10.6018/eglobal.640041