My name is TongeLa Zwanziger and I am a junior 2 nursing student at the 
University of North Dakota.  I am in my second semester of Childbearing 
and have started my OB clinicals at our Birthing Center.  I have been a 
participant of this listserv since the end of August and I have enjoyed 
reading and pondering over the many topics discussed.
   I am interested about breastfeeding because I am an expectant mom and 
as a future nurse, want to help other mothers with their experience.  My 
client, who is a teenage daughter, wants to breastfeed even though she is 
not knowledgeable on the subject but her mother discourages her from the 
idea because she says, "It will be to hard for her when she goes back to 
school.  She won't have time."  Now the daughter has chosen to bottle feed 
when her baby is delivered.
   I did some research about attitudes on infant feeding and breastfeeding 
support in adolescents.  Bear and Volpe (2000) conducted a study to 
determine if breastfeeding education given by LCs would increase the 
initiation rate in pregnant adolescents that participated in a high school 
adolescent pregnancy program.  The results from the study clearly show 
that there was an increase in initiation by adolescents who did 
participate in the breastfeeding educational classes.
   Burt, Dykes, Edwards, and Moran (2003) performed a study in the United 
Kingdom on adolescent support needs in those who have initiated 
breastfeeding.  The areas of support were: emotional, esteem, 
instrumental, informational, and network.  The most influential people 
that were key supporters were the adolescent's mother, the adolescent's 
partner, and the midwife.
   A study by Reid, Scott, and Shaker (2001) concluded that attitudes play 
an important role in infant feeding choices.  The sudy also pointed out, 
that parents who formula fed their babies continue to be less 
knowledgeable about breastfeeding.
   My questions are how can I be more supportive for my expectant mother 
when she wants to breastfeed but her mother discourages her from it so 
that now she wants to bottle feed?  How can I help her feel that her 
feeding choice will be a wonderful and memorable experience for her that 
she is hoping it to be?  Also, do I need and would it help to educate the 
daughter's mother too on breastfeeding to make her more aware and 
supportive of breastfeeding even though she stongly favors bottle feeding?

Thank you,
TongeLa Zwanziger SN

Bear, M., & Volpe, E. M. (2000). Enhancing breastfeeding initiation in 
    
    adolescent mothers through the Breastfeeding Educated and Supportive
  
    Teen (BEST)Club. Journal of Human Lactation, 16(3).  196-200.

Burt, S., Dykes, F., Edwards, J., & Moran, V. H. (2003).  Adolescent 

    mothers and breastfeeding: experiences and support needs--an 

    exploratory study.  Journal of Human Lactation, 19(4).  391-401.

Reid, M., Scott, J. A., & Shaker, I. (2004).  Infant feeding attitudes

    of expectant parents: breastfeeding and formula feeding.  Journal

    of Advanced Nursing, 45(3).  260-268.

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