A meta-ethnographic synthesis of women's experience of breastfeeding

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Abstract:

Abstract

Despite considerable evidence and effort, breastfeeding duration rates in resource-rich countries such as Australia remain below World Health Organization recommendations. The literature on the experience of breastfeeding indicates that women construct and experience breastfeeding differently depending upon their own personal circumstances and the culture within which they live. Breastfeeding has also been described as a deeply personal experience, which can be associated with ‘moral’ decision-making. The aim of this synthesis was to better understand the social phenomenon of breastfeeding by making the hidden obvious. Using a meta-ethnographic approach, we analysed the findings from 17 qualitative studies exploring women's experience of breastfeeding. Commonly used metaphors, ideas and phrases across the national and international qualitative studies were identified. Two overarching themes emerged. Breastfeeding was described in terms of ‘expectation’ and ‘reality’, while the emotional aspects of breastfeeding were expressed in ‘connected’ or ‘disconnected’ terms. The prevalence of health professionals and public health discourses in the language women use to describe their experience, and the subsequent impact of this on maternal confidence and self-assessment of breastfeeding are discussed. This synthesis provides insight into some of the subtle ways health professionals can build maternal confidence and improve the experience of early mothering.

Keywords: breastfeeding; discourses; expectations; experiences; meta-ethnography; synthesis

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1740-8709.2009.00209.x

Affiliations: 1: School of Nursing and Midwifery, University of Western Sydney, Parramatta Campus Building ER, Penrith South DC 1797, New South Wales, Australia, 2: Faculty of Nursing and Health, Avondale College, Wahroonga 2076, New South Wales, Australia, and 3: Faculty of Nursing, Midwifery and Health & Centre for Midwifery, Family and Child Health, University of Technology, Sydney 2007, New South Wales, Australia

Publication date: July 1, 2010

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