Exploring Breastfeeding Challenges and Problem-Solving Processes in Thai Adolescent Mothers During the First 6 Months...

Adolescent mothers face unique psychosocial and breastfeeding challenges, and their problem-solving strategies, especially in Thailand, remain poorly understood.

To explore Thai adolescent mothers' barriers to breastfeeding and their problem-solving processes in overcoming breastfeeding issues during the first 6 months postpartum.

A descriptive qualitative approach using purposive sampling was utilized. Thai mothers aged 15-19 years (N = 48) with babies under 6 months, living with their child, and without a history of mental illness were recruited for six focus group discussions. Thematic analysis was applied to analyze and interpret the qualitative data patterns.

The barriers to achieving breastfeeding success varied at each month postpartum for the study participants. These barriers were divided into three phases: initial adaptation and difficulties (first month), adapting with concerns about milk supply (2-3 months), and balancing maternal and infant needs (4-6 months). Their problem-solving processes for breastfeeding challenges involved seeking online solutions, following advice from surrounding adults, and resolving breastfeeding issues independently from consultations with healthcare providers.

Thai adolescent mothers rely on independent decision-making over healthcare consultation to manage breastfeeding difficulties. Providing reliable and accessible support tailored to their needs is crucial for promoting successful breastfeeding in this vulnerable population.