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Biomedical subjects

Katherine G Bowman

Publications and source records attributed to Katherine G Bowman.

4 recordsLinked to original sources

When breastfeeding may be a threat to adolescent mothers.

Sexually abused girls are at risk for premature motherhood. The adolescents who become mothers often do not breastfeed. This review examines the literature and discusses the mental health consequences of childhood sexual abuse that may influence the feeding decisions of adolescent mothers. Adolescents may be reluctant to breastfeed because it may trigger anxiety and lead to discomfort with intimacy, and emotional distancing from their infants. Nurses need to be sensitive to potential sexual abuse histories among adolescent mothers. They should provide balanced and unbiased information to their adolescent patients about feeding methods and encourage adolescents to select the methods best for them.

Adolescent↗

A comparison of the postpartum learning needs of adolescent mothers and their mothers.

OBJECTIVES: To describe the postpartum learning needs of adolescent mothers and their mothers and to compare the differences between the learning needs of the 2 groups of women. DESIGN: Descriptive cross-sectional survey design. SETTING: One university hospital and 2 private Midwestern hospitals. PARTICIPANTS: Convenience sample of 100 women (50 mother/daughter pairs). MAIN OUTCOME MEASURES: Postpartum teaching questionnaire-E, postpartum teaching questionnaire-F, and demographic questionnaire. RESULTS: There were no group differences between adolescent mothers and their mothers on baby-care items, but there were group differences on 3 maternal-care items: emotional changes (p < .001), resumption of sexual activity (p < .001), and birth control (p = .009). CONCLUSIONS: Nurses may need to use different teaching strategies for adolescent mothers and their mothers about resumption of sexual activity, but the teaching strategies necessary for other postpartum topics may be similar. Further research is needed to determine where those similarities may be and to determine the most effective teaching strategies for each group of mothers.

Adolescent↗

Postpartum learning needs.

OBJECTIVE: To describe the methodological differences of postpartum learning needs studies and organize them for comparison with similar studies. DATA SOURCES: Computerized literature searches of CINAHL, MEDLINE, and Health Star databases. STUDY SELECTION: Reports published in English before 2003 and relevant to the keywords concerns, needs, interests, worries, priorities, postpartum, teaching, and learning. DATA EXTRACTION: Data were extracted and information organized according to subject parity, maternal self-care content, infant care content, length of data collection, and week of the postpartum period. DATA SYNTHESIS: Stitches, episiotomy, and postpartum complications were the most important maternal care learning needs during the first 3 postpartum days, and feeding and illness were the most important infant care learning needs during the first 7 postpartum days. CONCLUSIONS: More studies are needed to fill the postpartum learning needs research gaps, build on the findings of previous studies, and produce clinically useful information for practicing nurses.

Attitude to Health↗

Adolescent postpartum care: what daughters want and what their mothers expect to provide.

A cross sectional survey design was used to measure mothers' (n=36) expected involvement in the care of their parenting adolescent daughters and grandchildren after postpartum discharge, and to measure adolescents' (n=36) expectations about their mothers' involvement in the care of themselves and their newborns. Adolescents were first-time low-risk English-speaking mothers 15-19 years of age with low-risk newborns. No difference was found between the amount of care mothers expected to give their daughters and the amount of care that daughters expected to receive from their mothers, z = -.500, p = .62. No difference was found between the amount of newborn care mothers expected to give their grandchildren and the amount of newborn care that daughters expected their mothers to provide, z = -1.000, p = .32. Involvement of mothers in the postpartum care of their daughters and grandchildren needs further study, but with precautions, nurses may consider including mothers in the maternal and newborn care of adolescents.

Adolescent↗