Describing the Phenomenon of Breastfeeding/Nursing Aversion and Agitation in Breastfeeding Mothers
Abstract
Background: Breastfeeding aversion and agitation (BAA) while breastfeeding is anecdotally known to occur in some women who breastfeed while pregnant or those who tandem feed a newborn and a toddler. However, it is a little‑researched area and the paucity of published literature around BAA reveals a significant gap in the literature.
Materials and Methods: This study presents the findings and responses of 694 women who filled in an anonymous survey questionnaire that collected data on their basic demographics and their experiences with breastfeeding. It uses thematic and inductive content analysis, with qualitative interpretive description to present the findings.
Results: The findings of this study shed light on an experienced phenomenon of aversion and agitation whilst breastfeeding, which varies in form, severity, and duration. It is characterised by feelings of anger or rage, a skin crawling sensation and an urge to remove the suckling infant, but can also be feelings of agitation and irritability whilst the infant is latched. A number of mothers who experience aversion still continue to breastfeed, but have feelings of guilt and shame while also experiencing confusion around those feelings.
Conclusions: BAA is a phenomenon that occurs in some women who breastfeed, whereby breastfeeding triggers negative emotions. The reason women experience it is not clearly known. Research is needed to understand its cause, triggers, and strategies to minimise the experience in breastfeeding mothers.
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Watkinson M, Murray C, Simpson J. Maternal experiences of embodied emotional sensations during breast feeding: An Interpretative Phenomenological Analysis. Midwifery 2016;36:53 60.
Flower H, O’Mara P. Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond. Schaumburg Ill: La Leche League International; 2003. p. 327.
Heise AM, Wiessinger D. Dysphoric milk ejection reflex: A case report. Int Breastfeed J 2011;6:6.
Moberg KU. The Oxytocin Factor: Tapping The Hormone Of Calm, Love, And Healing. Da Capo Press; 2003. p. 226.
Strathearn L, Fonagy P, Amico J, Montague PR. Adult Attachment Predicts Maternal Brain and Oxytocin Response to Infant Cues. Neuropsychopharmacology 2009;34:2655 66.
Stuebe AM, Grewen K, Meltzer Brody S. Association Between Maternal Mood and Oxytocin Response to Breastfeeding. J Womens Health 2013;22:352 61.
Fox R, McMullen S, Newburn M. UK women’s experiences of breastfeeding and additional breastfeeding support: A qualitative study of Baby Café services. BMC Pregnancy Childbirth 2015;15:147.
Hauck Y, Irurita V. Incompatible Expectations: The Dilemma of Breastfeeding Mothers. Health Care Women Int 2003;24:62 78.
Thorne S. Interpretive description. Walnut Creek. CA: Left Coast Press; 2008.
Thorne S. Interpretive Description [Internet]. Available from: https://www.researchgate.net/profile/Sally_Thorne/publication/
_Interpretive_description_a_noncategorical qualitative_alternative_for_developing_nursing_knowledge/
links/0c96051b8a6fc61a8d000000.pdf [Last accessed on 2016 Jun 3].
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008;62:107 15.
Stone J, Carson A, Sharpe M. Functional symptoms and signs in neurology: Assessment and diagnosis. J Neurol Neurosurg Psychiatry 2005;76:i2 12.
Carson AJ, Ringbauer B, Stone J, McKenzie L, Warlow C, Sharpe M. Do medically unexplained symptoms matter? A prospective cohort study of 300 new referrals to neurology outpatient clinics. J Neurol Neurosurg Psychiatry 2000;68:207 10.
Gribble KD. Mental health, attachment and breastfeeding: Implications for adopted children and their mothers. Int Breastfeeding J 2006;1:5.
Yu JH, Kim MJ, Cho H, Liu HJ, Han SJ, Ahn TG. Breast diseases during pregnancy and lactation. Obstet Gynecol Sci 2013;56:143 59.
Neville MC, Anderson SM, McManaman JL, Badger TM, Bunik M, Contractor N, et al. Lactation and Neonatal Nutrition: Defining and Refining the Critical Questions. J Mammary Gland Biol Neoplasia 2012;17:167 88.
Hinde K. Richer milk for sons but more milk for daughters: Sex biased investment during lactation varies with maternal life history in rhesus macaques. Am J Hum Biol 2009;21:512 9.
Amir LH, Dennerstein L, Garland SM, Fisher J, Farish SJ. Psychological aspects of nipple pain in lactating women. J Psychosom Obstet Gynaecol 1996;17:53 8.
Picciano MF. Pregnancy and Lactation: Physiological Adjustments, Nutritional Requirements and the Role of Dietary Supplements. J Nutr 2003;133:1997S 2002S.
Ussher JM, Perz J. PMS as a process of negotiation: Women’s experience and management of premenstrual distress. Psychol
Health 2013;28:909 27.
Neville MC, Morton J. Physiology and Endocrine Changes Underlying Human Lactogenesis II. J Nutr 2001;131:3005S 8S.
Miller DJ, Wiley AA, Chen JC, Bagnell CA, Bartol FF. Nursing for 48 hours from birth supports porcine uterine gland development and endometrial cell compartment specific gene expression. Biol Reprod 2013;88:4.
Hinde K, Skibiel AL, Foster AB, Rosso LD, Mendoza SP, Capitanio JP. Cortisol in mother’s milk across lactation reflects maternal life history and predicts infant temperament. Behav Ecol 2014;26:269 81.
Hinde K, Capitanio JP. Lactational programming? Mother’s milk energy predicts infant behavior and temperament in rhesus macaques (Macaca mulatta). Am J Primatol 2010;72:522 9.
Grey KR, Davis EP, Sandman CA, Glynn LM. Human milk cortisol is associated with infant temperament. Psychoneuroendocrinology 2013;38:1178 85.
Glynn LM, Davis EP, Schetter CD, Chicz Demet A, Hobel CJ, Sandman CA. Postnatal maternal cortisol levels predict temperament in healthy breastfed infants. Early Hum Dev 2007;83:675 81.
Britton JR, Britton HL, Gronwaldt V. Breastfeeding, Sensitivity, and Attachment. Pediatr 2006;118:e1436 43.
Coles J. Qualitative Study of Breastfeeding After Childhood Sexual Assault. J Hum Lact 2009;25:317 24.
Borra C, Iacovou M, Sevilla A. New Evidence on Breastfeeding and Postpartum Depression: The Importance of Understanding Women’s Intentions. Matern Child Health J 2014;19:897 907.
Kleiman K, Wenzel A. Dropping the Baby and Other Scary Thoughts: Breaking the Cycle of Unwanted Thoughts in Motherhood. New York, NY: Routledge; 2010. p. 272.
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