Factors Associated with the Breastfeeding Aversion Response.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2025-01-21 DOI:10.1089/bfm.2024.0178
Berrak Mizrak Sahin
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Abstract

Background: The breastfeeding aversion response (BAR) is defined as the compulsion to remove the baby from the breast in response to negative physical sensations experienced during breastfeeding. This phenomenon is characterized by involuntary and overwhelming feelings of disgust that arise during breastfeeding or at various stages of the breastfeeding process. Objectives: The aim of the study is to evaluate the frequency of BAR and affecting factors in mothers with breastfeeding experience in Türkiye. Methods: The survey was conducted online using the Google Forms® tool, accessible from November 2, 2023, to January 5, 2024. A total of 1,046 mothers with breastfeeding experience were included in the research. Results: A total of 9.8% (n = 103) of mothers participating in the study stated that they experienced BAR. Fatigue (23.3%), breastfeeding a toddler (19.4%), and breast pain (18.4%) were the most frequently reported risk factors for BAR. The BAR rate was higher among working mothers (p = 0.037), those lacking spousal support (p = 0.001), mothers diagnosed with postpartum depression (p = 0.009), and those encountering breastfeeding problems (p = 0.007). Conclusion: Further research on the factors that trigger BAR, its severity, and what symptoms it may cause may provide guidance on how midwives and nurses working with breastfeeding mothers can support these mothers, how to prevent BAR, and possible treatment options. The findings of our study revealed that BAR is especially affected by psychological processes. For this reason, it is recommended to approach breastfeeding in the postpartum period as a holistic experience that also includes psychological and sociocultural processes rather than solely from a physiological perspective.

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母乳喂养厌恶反应的相关因素。
背景:母乳喂养厌恶反应(BAR)被定义为对母乳喂养过程中经历的负面身体感觉做出的强迫将婴儿从乳房中取出的反应。这种现象的特点是在母乳喂养期间或母乳喂养过程的各个阶段产生的不自主和压倒性的厌恶感。目的:本研究的目的是评估基耶省有母乳喂养经历的母亲发生BAR的频率及其影响因素。方法:该调查于2023年11月2日至2024年1月5日期间使用谷歌Forms®工具进行在线调查。共有1046名有母乳喂养经历的母亲参与了这项研究。结果:参与研究的母亲中有9.8% (n = 103)表示她们经历过BAR。疲劳(23.3%)、母乳喂养幼儿(19.4%)和乳房疼痛(18.4%)是BAR最常见的危险因素。职业母亲(p = 0.037)、缺乏配偶支持的母亲(p = 0.001)、诊断为产后抑郁症的母亲(p = 0.009)和遇到母乳喂养问题的母亲(p = 0.007)的BAR率较高。结论:对诱发BAR的因素、其严重程度以及可能引起的症状的进一步研究可以为助产士和护士如何为母乳喂养的母亲提供支持、如何预防BAR以及可能的治疗方案提供指导。我们的研究结果表明,BAR特别受心理过程的影响。因此,建议将产后母乳喂养作为一种包括心理和社会文化过程的整体体验,而不是仅仅从生理角度来看待。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
期刊最新文献
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