References

Andersen LB, Melvaer LB, Videbech P, Lamont RF, Joergensen JS Risk factors for developing post-traumatic stress disorder following childbirth: a systematic review. Acta Obstet Gynecol Scand. 2012; 91:(11)1261-1272 https://doi.org/10.1111/j.1600-0412.2012.01476.x

Baptie G, Andrade J, Bacon A, Norman A Trauma after childbirth: the mediating effects of perceived support. Br J Midwifery. 2020; 28:(10)724-730 https://doi.org/10.12968/bjom.2020.28.10.724

Baptie G, Januário EM, Norman A Empowered or powerless? Contributing factors to women's appraisal of traumatic childbirth. Br J Midwifery. 2021; 29:(12)674-682 https://doi.org/10.12968/bjom.2021.29.12.674

Beck CT, Watson S Impact of birth trauma on breast-feeding: a tale of two pathways. Nurs Res. 2008; 57:(4)228-236 https://doi.org/10.1097/01.NNR.0000313494.87282.90

Braun V, Clarke V Thematic approaches. In: Cooper H (ed). Washington, DC: American Psychological Association; 2012

Braun V, Clarke V Using thematic analysis in psychology. Qual Res Psychol. 2006; 3:(2)77-101 https://doi.org/10.1191/1478088706qp063oa

Britt K, Ashworth A, Smalley M Pregnancy and the risk of breast cancer. Endocr Relat Cancer. 2007; 14:(4)907-933 https://doi.org/10.1677/ERC-07-0137

Delicate A, Ayers S, McMullen S Health-care practitioners' assessment and observations of birth trauma in mothers and partners. J Reprod Infant Psychol. 2022; 40:(1)34-46 https://doi.org/10.1080/02646838.2020.1788210

Groër MW Differences between exclusive breastfeeders, formula-feeders, and controls: a study of stress, mood, and endocrine variables. Biol Res Nurs. 2005; 7:(2)106-117 https://doi.org/10.1177/1099800405280936

Gunderson EP, Hurston SR, Ning X Study of women, infant feeding and type 2 diabetes after GDM pregnancy investigators. Lactation and progression to type 2 diabetes mellitus after gestational diabetes mellitus. Ann Intern Med. 2015; 163:(12)889-898 https://doi.org/10.7326/M15-0807

Harris R, Ayers S What makes labour and birth traumatic? A survey of intrapartum ‘hotspots’. Psychol Health. 2012; 27:(10)1166-1177 https://doi.org/10.1080/08870446.2011.649755

Hauck YL, Fenwick J, Dhaliwal SS, Butt J A Western Australian survey of breastfeeding initiation, prevalence and early cessation patterns. Matern Child Health J. 2011; 15:(2)260-268 https://doi.org/10.1007/s10995-009-0554-2

Keevash J, Norman A, Forrest H, Mortimer S What influences women to stop or continue breastfeeding? A thematic analysis. Br J Midwifery. 2018; 26:(10)651-658 https://doi.org/10.12968/bjom.2018.26.10.651

Krol KM, Grossmann T Psychological effects of breastfeeding on children and mothers. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018; 61:(8)977-985 https://doi.org/10.1007/s00103-018-2769-0

McGuire E Feelings of failure: early weaning. Breastfeed Rev. 2016; 24:(2)21-26

Milosavljevic M, Lecic Tosevski D, Soldatovic I Posttraumatic stress disorder after vaginal delivery at primiparous women. Sci Rep. 2016; 6:(1) https://doi.org/10.1038/srep27554

Breastfeeding celebration week – supporting mothers who breastfeed. 2021. https://ukhsa.blog.gov.uk/2021/06/25/breastfeeding-celebration-week-supporting-mothers-who-breastfeed/ (accessed 8 January 2025)

Norman A, Mortimer S, Ferrario H, Baptie G Breastfeeding experiences & support: a mixed methods approach to identifying factors influencing breastfeeding behaviour. Br J Midwifery. 2022; 30:(4) https://doi.org/10.12968/bjom.2022.30.4.190

van Odijk J, Kull I, Borres MP Breastfeeding and allergic disease: a multidisciplinary review of the literature (1966–2001) on the mode of early feeding in infancy and its impact on later atopic manifestations. Allergy. 2003; 58:(9)833-843 https://doi.org/10.1034/j.1398-9995.2003.00264.x

Public Health England. Official statistics: breastfeeding prevalence at 6-8 weeks after birth (experimental statistics), 2016/17 annual data statistical commentary. 2017. https://www.gov.uk/government/statistics/breastfeeding-at-6-to-8-weeks-after-birth-annual-data (accessed 8 January 2025)

Quigley MA, Carson C, Sacker A, Kelly Y Exclusive breastfeeding duration and infant infection. Eur J Clin Nutr. 2016; 70:(12)1420-1427

Riordan J, Wambach K Breastfeeding and human lactation.London: Jones and Bartlett; 2010

Scarborough J, Norman A, Cooper L The bi-directional relationship between breastfeeding and mental health. Br J Midwifery. 2022; 30:(10)554-562 https://doi.org/10.12968/bjom.2022.30.10.554

Sundin EC, Horowitz MJ Impact of event scale: psychometric properties. Br J Psychiatry. 2002; 180:(3)205-209 https://doi.org/10.1192/bjp.180.3.205

Thompson KA, White JP, Bardone-Cone AM Associations between pressure to breastfeed and depressive, anxiety, obsessive-compulsive, and eating disorder symptoms among postpartum women. Psychiatry Research. 2023; 328 https://doi.org/10.1016/j.psychres.2023.115432

Global nutrition targets 2025: breastfeeding policy brief.Geneva: World Health Organization; 2023

‘Just one more feed’: the impact of traumatic birth on breastfeeding

02 February 2025
Volume 33 · Issue 2

Abstract

Background/Aims

A range of factors influence breastfeeding behaviour, including maternal mental health. Traumatic births have an impact on maternal mental health and have been found to negatively affect breastfeeding behaviour. The aim of this study was to better understand the impact of traumatic birth on breastfeeding experiences.

Methods

A total of 19 women aged 20–43 years who reported having a traumatic birth since 2010 and attempting to breastfeed were recruited for one-to-one semi-structured interviews. Data were analysed thematically.

Results

Four main themes were identified: bonding with baby, over/compensation, empowerment and physical complications. Breastfeeding reduced the psychological impact of traumatic birth through effective infant bonding and a sense of empowerment. However, it could also lead to a sense of failure, distress and pain.

Conclusions

Increased support is needed for people who have experienced a traumatic birth to ensure successful breastfeeding. Such support may help to ameliorate the sense of failure experienced by individuals following ‘failed’ birthing experiences.

Implications for practice

Greater support is needed for those breastfeeding after a traumatic birth, including longer-term support with mental health. Equipment should be available to assist with feeding complications and there should be an opportunity to debrief and talk through any negative experiences that may impact breastfeeding.

Breast milk is remarkable in its ability to match infant needs, providing a complete nutritional profile that adapts in synchrony with infant maturation (Riordan and Wambach, 2010). The World Health Organization (2023) recommends exclusive breastfeeding from birth for at least 6 months and encourages continuation of non-exclusive breastfeeding for up to 2 years. These recommendations are based on the numerous advantages of breast milk for the child, including enhancing the infant immune response, reducing the chance of allergies, such as eczema or asthma (van Odijk et al, 2003; Quigley et al, 2016), as well as for maternal health, reducing the risk of breast cancer and developing type 2 diabetes postpartum (Britt et al, 2007; Gunderson et al, 2015).

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