Exploring Breastfeeding Challenges and Problem-Solving Processes in Thai Adolescent Mothers During the First 6 Months Postpartum: A Qualitative Study

Abstract

Background: Adolescent mothers face unique psychosocial and breastfeeding challenges, and their problem-solving strategies, especially in Thailand, remain poorly understood. Research Aims: To explore Thai adolescent mothers’ barriers to breastfeeding and their problem-solving processes in overcoming breastfeeding issues during the first 6 months postpartum. Methods: 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. Results: 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. Conclusions: 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.