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“It Makes My Skin Crawl”: Women’s experience of breastfeeding aversion response (BAR)

  • Melissa A. Morns
    Correspondence
    Corresponding author at: Health Research Office, University of Technology Sydney, PO Box 222, Jones St, Ultimo, 2007 NSW, Australia.
    Affiliations
    Australian Centre for Public and Population Health Research (ACPPHR), School of Public Health, Faculty of Health, University of Technology Sydney, PO Box 222, Jones St, Ultimo, 2007 NSW, Australia
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  • Amie E. Steel
    Affiliations
    Australian Centre for Public and Population Health Research (ACPPHR), School of Public Health, Faculty of Health, University of Technology Sydney, PO Box 222, Jones St, Ultimo, 2007 NSW, Australia
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  • Erica McIntyre
    Affiliations
    Australian Centre for Public and Population Health Research (ACPPHR), School of Public Health, Faculty of Health, University of Technology Sydney, PO Box 222, Jones St, Ultimo, 2007 NSW, Australia

    Institute for Sustainable Futures, University of Technology Sydney, PO Box 222, Jones St, Ultimo, 2007 NSW, Australia
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  • Elaine Burns
    Affiliations
    School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW, Australia
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Published:January 07, 2022DOI:https://doi.org/10.1016/j.wombi.2022.01.001

      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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