Abstract
Problem
Some women who intend to breastfeed experience a breastfeeding aversion response (BAR)
while breastfeeding.
Background
Little is known about the experience of those who have feelings of aversion while
breastfeeding.
Aim
This study aimed to investigate the experiences of women who have an aversion response
to breastfeeding while their infant is latched at the breast. This is the first study
that aims to understand this breastfeeding aversion response (BAR) as described by
women who experience this phenomenon.
Methods
Interpretative phenomenological analysis (IPA) was used to conduct and analyse ten
semi-structured in-depth interviews with women who self-identified as experiencing
BAR.
Findings
Four overarching themes were identified: (1) Involuntary, strong sensations of aversion
in response to the act of breastfeeding, (2) Internal conflict and effects on maternal
identity, (3) The connection between BAR and relationships with others, and (4) Reflections
on coping with BAR and building resilience.
Discussion
Some women who intend to breastfeed can experience BAR, and this negative sensation
conflicts with their desire to breastfeed. BAR can impact on maternal wellbeing. Those
who experience BAR may benefit from person-centred support that directly addresses
the challenges associated with BAR to achieve their personal breastfeeding goals.
Conclusion
The experience of BAR is unexpected and difficult for mothers. If support is not available,
BAR can have detrimental effects on maternal identity, mother–child bonds, and intimate
family relationships.
Keywords
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References
- The long-term public health benefits of breastfeeding.Asia Pac. J. Public Health. 2016; 28: 7-14
- Global Strategy for Infant and Young Child Feeding.World Health Organisation, 2003
- What do women lose if they are prevented from meeting their breastfeeding goals?.Clin. Lact. 2018; : 200-207
- Long-term breastfeeding: the embodied experiences of Finnish mothers.NORA Nord. J. Fem. Gender Res. 2020; 28: 43-55
- Why invest, and what it will take to improve breastfeeding practices?.Lancet. 2016; 387: 491-504
- Being a ‘good mother’: managing breastfeeding and merging identities.Soc. Sci. Med. 2007; 65: 2147-2159
- The role of social-cognitive and emotional factors on exclusive breastfeeding duration.J. Hum. Lact. 2017; 33: 606-613
- Psychological effects of breastfeeding on children and mothers.Bundesgesundheitsblatt Gesundh. Gesundh. 2018; 61: 977-985
- Associations between breastfeeding and mother–infant relationships: a systematic review.Breastfeed. Med. 2019; 14: 616-629
- Breastfeeding and the origins of health: interdisciplinary perspectives and priorities.Matern. Child Nutr. 2021; 17e13109
- The association between infant feeding pattern and mother’s quality of life in Taiwan.Qual. Life Res. 2007; 16: 1281-1288
- Greene R. Let’s talk about breastfeeding: the importance of delivering a message in a home visiting program.Am. J. Health Promot. AJHP. 2018; 32: 989-996
- Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey.Int. Breastfeed. J. 2020; 15: 101
- Partner behaviours improving breastfeeding outcomes: an integrative review.Women Birth. 2020; 33: e15-e23
- Maternal experiences of embodied emotional sensations during breast feeding: an interpretative phenomenological analysis.Midwifery. 2016; 36: 53-60
- Women who experience feelings of aversion while breastfeeding: a meta-ethnographic review.Women Birth. 2021; 34: 128-135
- Dysphoric milk ejection reflex: a case report.Int. Breastfeed. J. 2011; 6: 6-12
- Qualitative study of breastfeeding after childhood sexual assault.J. Hum. Lact. 2009; 25: 317-324
- Breastfeeding in women having experienced childhood sexual abuse.J. Hum. Lact. 2017; 33: 119-127
- Physiology, Prolactin.StatPearls, Treasure Island (FL)2020
- Qualitative Inquiry and Research Design, Choosing Among Five Approaches.SAGE Publications, Inc, United States of America2017
- Phenomenology of Practice: Meaning-giving Methods in Phenomenological Research and Writing.Routledge, 2016
- Phenomenological Research Methods.Sage Publications, 1994
- Interpretative Phenomenological Analysis: Theory, Method and Research.Sage, London2009
- Using zoom videoconferencing for qualitative data collection: perceptions and experiences of researchers and participants.Int. J. Qual. Methods. 2019; 181609406919874596
- NVivo.QSR International Pty Ltd, 2020
- Dysphoric milk ejection reflex: a descriptive study.Breastfeed. Med. 2019; 14: 666-673
- Maternal-infant bonding: a review of literature.Int. J. Childbirth Educ. 2013; 28: 17-22
- Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction.BMC Nurs. 2019; 18: 1-7
- Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond.La Leche League International, Illinois2003
- ‘Surely you’re not still breastfeeding’: a qualitative exploration of women’s experiences of breastfeeding beyond infancy in the UK.BMJ Open. 2020; 10 (e035199-e)
- Are unmet breastfeeding expectations associated with maternal depressive symptoms?.Acad. Pediatr. 2015; 15: 319-325
- Guilt, shame, and postpartum infant feeding outcomes: a systematic review.Matern. Child Nutr. 2021; 17e13141
- Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties.J. Adv. Nurs. 2016; 72: 273-282
- Maternal perception of paternal breastfeeding support: a secondary qualitative analysis.Midwifery. 2021; 102103067
- Liquid gold from the milk bar: constructions of breastmilk and breastfeeding women in the language and practices of midwives.Soc. Sci. Med. 2012; 75: 1737-1745
- Women’s experiences of infant feeding support: findings from a cross-sectional survey in Victoria, Australia.Women Birth. 2021; 34: e505-e513
- Risk factors for and protective factors against breastfeeding interruption before 2 years: a birth cohort study.BMC Pediatr. 2021; 21: 310
- Reflexivity in midwifery research: the insider/outsider debate.Midwifery. 2012; 28: 52-60
- Caseload midwifery care versus standard maternity care for women of any risk: [email protected], a randomised controlled trial.Lancet (London, England). 2013; 382: 1723-1732
- Breastfeeding difficulties: the role of integrative medicine (IM) in breastfeeding support.Adv. Integr. Med. 2019; 6: 3-4
- Randomized clinical trial of a prenatal breastfeeding and mental health mixed management intervention.J. Hum. Lact. 2021; 0890334421991058
Article Info
Publication History
Published online: January 07, 2022
Accepted:
January 3,
2022
Received in revised form:
December 1,
2021
Received:
October 3,
2021
Identification
Copyright
© 2022 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
