'Just one more feed': The impact of traumatic birth on breastfeeding

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.