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Breast-feeding difficulties experienced by women taking part in a qualitative interview study of postnatal depression.
Midwifery. 2004 Sep; 20(3):251-60.M

Abstract

OBJECTIVE

to explore how women experience breast-feeding difficulties. This theme emerged unexpectedly during a study of women's experiences of screening with the Edinburgh postnatal depression scale (EPDS) and subsequent care from primary health-care professionals.

DESIGN

qualitative in-depth interview study.

SETTING

postnatal women of 22 general practices within Oxford City Primary Care Group area.

PARTICIPANTS

39 postnatal women from a purposeful sample were interviewed at an average of 15 months postnatal. They were chosen from different general practices and with a range of emotional difficulties after birth, judged using EPDS results at eight weeks and eight months postnatal, and whether they received 'listening visits' from health visitors.

MEASUREMENTS AND FINDINGS

a qualitative thematic analysis was used, including searches for anticipated and emergent themes. Fifteen women had breast-feeding difficulties. Five themes emerged which explore the difficulties. Firstly, commitment to breast feeding and high expectations of success; secondly, unexpected difficulties; thirdly, seeking professional support for difficulties; fourthly, finding a way to cope; and fifthly, guilt.

KEY CONCLUSIONS

in this study breast-feeding difficulties were common, caused emotional distress and interactions with professionals could be difficult. Current breast-feeding policy, such as the 'Baby Friendly Initiative', may be a contributing factor. This needs to be explored in a further study.

Authors+Show Affiliations

Summertown Health Centre, 160 Banbury Road, Oxford OX2 7BS, UK. judy@shake-speare.demon.co.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15337281

Citation

Shakespeare, Judy, et al. "Breast-feeding Difficulties Experienced By Women Taking Part in a Qualitative Interview Study of Postnatal Depression." Midwifery, vol. 20, no. 3, 2004, pp. 251-60.
Shakespeare J, Blake F, Garcia J. Breast-feeding difficulties experienced by women taking part in a qualitative interview study of postnatal depression. Midwifery. 2004;20(3):251-60.
Shakespeare, J., Blake, F., & Garcia, J. (2004). Breast-feeding difficulties experienced by women taking part in a qualitative interview study of postnatal depression. Midwifery, 20(3), 251-60.
Shakespeare J, Blake F, Garcia J. Breast-feeding Difficulties Experienced By Women Taking Part in a Qualitative Interview Study of Postnatal Depression. Midwifery. 2004;20(3):251-60. PubMed PMID: 15337281.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breast-feeding difficulties experienced by women taking part in a qualitative interview study of postnatal depression. AU - Shakespeare,Judy, AU - Blake,Fiona, AU - Garcia,Jo, PY - 2003/08/06/received PY - 2003/10/01/revised PY - 2003/12/22/accepted PY - 2004/9/1/pubmed PY - 2004/11/17/medline PY - 2004/9/1/entrez SP - 251 EP - 60 JF - Midwifery JO - Midwifery VL - 20 IS - 3 N2 - OBJECTIVE: to explore how women experience breast-feeding difficulties. This theme emerged unexpectedly during a study of women's experiences of screening with the Edinburgh postnatal depression scale (EPDS) and subsequent care from primary health-care professionals. DESIGN: qualitative in-depth interview study. SETTING: postnatal women of 22 general practices within Oxford City Primary Care Group area. PARTICIPANTS: 39 postnatal women from a purposeful sample were interviewed at an average of 15 months postnatal. They were chosen from different general practices and with a range of emotional difficulties after birth, judged using EPDS results at eight weeks and eight months postnatal, and whether they received 'listening visits' from health visitors. MEASUREMENTS AND FINDINGS: a qualitative thematic analysis was used, including searches for anticipated and emergent themes. Fifteen women had breast-feeding difficulties. Five themes emerged which explore the difficulties. Firstly, commitment to breast feeding and high expectations of success; secondly, unexpected difficulties; thirdly, seeking professional support for difficulties; fourthly, finding a way to cope; and fifthly, guilt. KEY CONCLUSIONS: in this study breast-feeding difficulties were common, caused emotional distress and interactions with professionals could be difficult. Current breast-feeding policy, such as the 'Baby Friendly Initiative', may be a contributing factor. This needs to be explored in a further study. SN - 0266-6138 UR - https://www.unboundmedicine.com/medline/citation/15337281/Breast_feeding_difficulties_experienced_by_women_taking_part_in_a_qualitative_interview_study_of_postnatal_depression_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266613804000051 DB - PRIME DP - Unbound Medicine ER -