Maternal perceptions of breastfeeding difficulty after caesarean section with regional anaesthesia: a qualitative study

Article


Chaplin, Jacqueline, Kelly, Jennifer and Kildea, Sue. 2016. "Maternal perceptions of breastfeeding difficulty after caesarean section with regional anaesthesia: a qualitative study." Women and Birth. 29 (2), pp. 144-152. https://doi.org/10.1016/j.wombi.2015.09.005
Article Title

Maternal perceptions of breastfeeding difficulty after caesarean section with regional anaesthesia: a qualitative study

ERA Journal ID30465
Article CategoryArticle
AuthorsChaplin, Jacqueline (Author), Kelly, Jennifer (Author) and Kildea, Sue (Author)
Journal TitleWomen and Birth
Journal Citation29 (2), pp. 144-152
Number of Pages9
Year2016
PublisherElsevier
Place of PublicationNetherlands
ISSN1871-5192
1878-1799
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2015.09.005
Abstract

Caesarean delivery rates have increased in Australia over the last decade creating new challenges for breastfeeding mothers and caregivers. The advantages of breastfeeding are well recognised, however breastfeeding problems are common. Review of the literature revealed limited qualitative research relating to the experience of women having difficulties breastfeeding after caesarean section under regional anaesthesia. This study aimed to fill that gap in the literature. Methods: Participants were women referred to the hospital Breastfeeding Support Centre with difficulty initiating and establishing breastfeeding. The methodology employed was interpretive phenomenology and purposeful sampling. Data was analysed using van Manen’s hermeneutical circular process. Results: Themes identified included Unnatural birth, Natural instincts compromised, Helping mothers to mother and Sabotage and defeat. These themes elicited ten subthemes which were interpreted and reflected upon to reveal key findings. These findings included the emotional and physical effects of the delivery and anaesthetic, the lack of true skin to skin contact, separation of mother and baby, inconsistent information, inadequate support, unnecessary formula supplementation and feelings of failure.

Keywordsbreastfeeding difficulties; caesarean section; regional anaesthesia; breastfeeding support; interpretive phenomenology
ANZSRC Field of Research 2020321502. Obstetrics and gynaecology
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Byline AffiliationsUniversity of Queensland
School of Health and Wellbeing
Institution of OriginUniversity of Southern Queensland
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