title: Evaluation of the supportive needs of adolescents during childbirth intrapartum nursing intervention on adolescents' childbirth satisfaction and breastfeeding rates.
abstract: OBJECTIVE
  To evaluate the effect of the Supportive Needs of Adolescents during Childbirth (SNAC) intrapartum nursing intervention on adolescents' childbirth satisfaction and breastfeeding rates.
  
  
  METHODS
  Separate sample posttest quasi-experimental.
  
  
  METHODS
  A tertiary hospital intrapartum unit.
  
  
  METHODS
  A convenience sample of 106 parturient adolescents.
  
  
  METHODS
  During Phase 1 the control group received current standard of intrapartum care. During Phase 2, the interventionist nurses provided the SNAC intervention and standard of care to the intervention group.
  
  
  RESULTS
  The t test indicated higher childbirth satisfaction in the intervention group. Chi-square analysis indicated that the intervention group was more likely to breastfeed within the first hour after birth. There was no significant relationship between childbirth satisfaction and breastfeeding at three months and no differences between the groups in breastfeeding rates at hospital discharge and three months.
  
  
  CONCLUSIONS
  These results suggest that learning the SNAC intervention may help nurses positively influence adolescents' childbirth experience and timing of breastfeeding initiation. Replication of the study is needed to further explore whether the intervention can significantly influence breastfeeding duration.
authors.affiliation: associate professor in the School of Nursing, Boise State University, Boise, ID.. Electronic address: janegrassley@boisestate.edu.
authors.forename: Jane S
authors.initials: JS
authors.lastname: Grassley
authors.affiliation: associate professor and online PhD program coordinator in the College of Nursing, Texas Woman's University, Denton, TX.
authors.forename: Donna J
authors.initials: DJ
authors.lastname: Sauls
mesh_terms: D000293:Adolescent; D001942:Breast Feeding / Q000706:statistics & numerical data*; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D036861:Delivery, Obstetric / Q000451:nursing*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D009723:Nurse-Patient Relations; D009773:Obstetric Nursing / Q000379:methods; D036801:Parturition / Q000502:physiology / Q000523:psychology*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence / Q000523:psychology*; D012016:Reference Values; D012494:Sampling Studies; D012657:Self-Help Groups; D012944:Social Support; D062606:Tertiary Care Centers; D055815:Young Adult