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

Chaplin, Jacqueline and 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. ISSN 1871-5192

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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version cannot be displayed due to copyright restrictions
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing
Date Deposited: 10 Apr 2017 04:47
Last Modified: 04 Jul 2017 03:14
Uncontrolled Keywords: breastfeeding difficulties; caesarean section; regional anaesthesia; breastfeeding support; interpretive phenomenology
Fields of Research : 11 Medical and Health Sciences > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1016/j.wombi.2015.09.005
URI: http://eprints.usq.edu.au/id/eprint/30889

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