Women's experiences of breastfeeding: an interpretive phenomenological study

Background: Breastfeeding is a key public health issue, conferring benefits associated with both infant and maternal health. Despite an increasing research base about what helps or hinders breastfeeding, there is a dramatic drop in breastfeeding prevalence within the first six weeks following bir...

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Main Author: Spencer, Rachael Louise
Format: Thesis (University of Nottingham only)
Language:English
Published: 2013
Subjects:
Online Access:https://eprints.nottingham.ac.uk/27881/
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author Spencer, Rachael Louise
author_facet Spencer, Rachael Louise
author_sort Spencer, Rachael Louise
building Nottingham Research Data Repository
collection Online Access
description Background: Breastfeeding is a key public health issue, conferring benefits associated with both infant and maternal health. Despite an increasing research base about what helps or hinders breastfeeding, there is a dramatic drop in breastfeeding prevalence within the first six weeks following birth. The reasons that mothers give for stopping breastfeeding suggest that few mothers gave up because they planned to. This would appear to suggest that there is a gap between women's experiences of breastfeeding and professional practice to promote, support and increase duration. Methodology: Using an interpretive phenomenological methodology this study was designed to capture mothers' own interpretations of their experiences of breastfeeding. In-depth interviews with 22 women from the city and surrounding areas of Lincoln were conducted and analysed. Findings: Analysis of the data from interviews with 22 primiparous and multiparous mothers resulted in the emergence of three main overarching themes: reality shock, illusions of compliance and tensions. Sub-themes Included idealised expectations, incessant demands, onus of responsibility, playing the game, breaking the rules, surveillance and scrutiny, conflicts and contradictions, and cultural constructs. Conclusions: The findings from this study revealed that women were ill-prepared for the realities of breastfeeding and for most women the shock of this experience was overwhelming. Those women who struggled to establish breastfeeding did so in silence. They tried to hide their vulnerabilities rather than admit that they were not coping. A lack of peer and family support, combined with the rigid and inflexible approach espoused by health care professionals, led to the perception that exclusive breastfeeding was an unrealistic and unattainable ideal. This has clear implications for practice and policy.
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spelling nottingham-278812025-02-28T11:32:40Z https://eprints.nottingham.ac.uk/27881/ Women's experiences of breastfeeding: an interpretive phenomenological study Spencer, Rachael Louise Background: Breastfeeding is a key public health issue, conferring benefits associated with both infant and maternal health. Despite an increasing research base about what helps or hinders breastfeeding, there is a dramatic drop in breastfeeding prevalence within the first six weeks following birth. The reasons that mothers give for stopping breastfeeding suggest that few mothers gave up because they planned to. This would appear to suggest that there is a gap between women's experiences of breastfeeding and professional practice to promote, support and increase duration. Methodology: Using an interpretive phenomenological methodology this study was designed to capture mothers' own interpretations of their experiences of breastfeeding. In-depth interviews with 22 women from the city and surrounding areas of Lincoln were conducted and analysed. Findings: Analysis of the data from interviews with 22 primiparous and multiparous mothers resulted in the emergence of three main overarching themes: reality shock, illusions of compliance and tensions. Sub-themes Included idealised expectations, incessant demands, onus of responsibility, playing the game, breaking the rules, surveillance and scrutiny, conflicts and contradictions, and cultural constructs. Conclusions: The findings from this study revealed that women were ill-prepared for the realities of breastfeeding and for most women the shock of this experience was overwhelming. Those women who struggled to establish breastfeeding did so in silence. They tried to hide their vulnerabilities rather than admit that they were not coping. A lack of peer and family support, combined with the rigid and inflexible approach espoused by health care professionals, led to the perception that exclusive breastfeeding was an unrealistic and unattainable ideal. This has clear implications for practice and policy. 2013-12-11 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/27881/1/606360.pdf Spencer, Rachael Louise (2013) Women's experiences of breastfeeding: an interpretive phenomenological study. DHSci thesis, University of Nottingham. Experience of breastfeeding Promotion of breastfeeding Interviews
spellingShingle Experience of breastfeeding
Promotion of breastfeeding
Interviews
Spencer, Rachael Louise
Women's experiences of breastfeeding: an interpretive phenomenological study
title Women's experiences of breastfeeding: an interpretive phenomenological study
title_full Women's experiences of breastfeeding: an interpretive phenomenological study
title_fullStr Women's experiences of breastfeeding: an interpretive phenomenological study
title_full_unstemmed Women's experiences of breastfeeding: an interpretive phenomenological study
title_short Women's experiences of breastfeeding: an interpretive phenomenological study
title_sort women's experiences of breastfeeding: an interpretive phenomenological study
topic Experience of breastfeeding
Promotion of breastfeeding
Interviews
url https://eprints.nottingham.ac.uk/27881/