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Cited by 37Breastfeeding Practices and InfluencesMaternal and Perinatal Health InterventionsAnesthesia and Pain Management

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

Chaplin, Jacqueline, Kelly, Jennifer, Kildea, Sue·2016·Women and Birth
DOI 10.1016/j.wombi.2015.09.005
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Abstract

Background 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.Conclusion Key recommendations included increasing skin to skin contact after caesarean section to support the natural instincts of mother and baby, increasing education on possible effects of surgical delivery on breastfeeding and increasing postnatal breastfeeding support for this group of women. Broader issues of inadequate staffing and a changing postnatal dynamic reflecting increased post-surgical care need further exploration.

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Authors
Chaplin, J., Kelly, J., & Kildea, S.
Affiliations
  • The University of Queensland (AU)
  • University of Southern Queensland (AU)
Corresponding author
Chaplin, Jacqueline
ORCID
Kildea, Sue
Venue
Women and Birth
Publisher
Elsevier BV
Published
2016-04
Volume
29
Issue
2
Pages
144-152
ISSN
1871-5192 (ISSN-L)
DOI
10.1016/j.wombi.2015.09.005
OpenAlex
W1831752022
Cited by
37
References
41
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 1 · 2020: 9 · 2019: 3 · 2018: 2 · 2017: 2
FWCI
1.05
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Women and Birth (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • RMIT Research Repository (RMIT University Library) (submittedVersion)
  • Figshare (submittedVersion)
Funders
Mater Health Services Foundation
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
Keywords
breastfeeding difficulties, cesarean section, regional anesthesia, maternal experience, skin-to-skin contact, maternal separation, formula supplementation, breastfeeding initiation, postoperative care
MeSH terms
Adult, Anesthesia, Conduction, Australia, Breast Feeding, Cesarean Section, Emotions, Female, Humans, Infant, Newborn, Interviews as Topic, Mother-Child Relations, Mothers, Perception, Pregnancy, Qualitative Research, Parturition

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