Still unclear is how to tailor programs to adolescent development and help maternal grandmothers become an effective support. More study of the prenatal breastfeeding curricula should be done to determine effectiveness. The interventions of Wambach et al. study did not prove effective enough in initiation and exclusivity to be used as is.
Mothers who were breastfed themselves had higher BSES and showed increased breastfeeding rates in other studies (Dennis et al., 2011, p. 269). Perhaps this is due to maternal grandmother support and/or breastfeeding being viewed by that family as normal. Maternal grandmothers, especially those who reside with adolescent mothers, may be gatekeepers to increased breastfeeding and interventions should target them (Bica and Giugliani, 2014, p. 44). Adolescent mothers may defer to their mothers’ ways of child rearing due to undeveloped self-efficacy. Self-efficacy may continue to be underdeveloped due to co-parenting provided by a residential maternal grandmother. Increasing self –efficacy may benefit families and society, expanding beyond breastfeeding into other parenting and self-care