Breastfeeding positions and techniques used by Canadians with physical disabilities

Breastfeeding is recommended by both the World Health Organization and the Canadian Pediatric Society due to the numerous maternal and infant benefits. Current literature examining breastfeeding among people with physical disabilities is limited to the United States with limited information about the Canadian context.

The primary aim of this study was to identify breastfeeding positions and techniques used by people with physical disabilities and explore their perceptions of effectiveness in a Canadian context where individuals had universal access to a lactation consultant.

A cross-sectional interview-based study was undertaken. Individuals were eligible for the study if they breastfed within the last 10 years and a) used a mobility device or b) experienced dysmobility, weakness or pain due to a medical condition while breastfeeding. Interviews were semi-structured to allow in-depth exploration of breastfeeding techniques and perceptions of effectiveness. The interviews were audiotaped, professionally transcribed, and assessed for content surrounding the use and effectiveness of breastfeeding positions and techniques.

Eleven people participated in our study. Participants in our sample mentioned a variety of techniques used to breastfeed including a) accessories, b) assistance from others, c) breastfeeding positions, and d) location of feeding.

People with physical disabilities use a variety of breastfeeding techniques to overcome physical limitations. This practical advice may improve guidance for healthcare professionals, including lactation consultants, to better support people with physical disabilities meet their breastfeeding goals.