Exploring women's perceptions of pain when breastfeeding using online forums

Area of Science:

• Public Health
• Sociology
• Women's Health

Background:

• Breastfeeding cessation is a significant public health concern.
• Pain and discomfort are frequently cited reasons for mothers discontinuing breastfeeding.
• Online forums serve as a crucial support system for mothers experiencing breastfeeding challenges.

Purpose of the Study:

• To explore the use of online forums for social support related to breastfeeding pain.
• To understand women's experiences and perceptions of breastfeeding pain.
• To investigate strategies for managing pain and its impact on breastfeeding duration.

Main Methods:

• Data collected from UK and USA online forums (Netmums, What to Expect, Mumsnet).
• Searches used keywords 'painful breastfeeding' and 'sore breastfeeding'.
• Thematic analysis of 123 posts and 193 replies from 2012-2018.

Main Results:

• Identified 'variation in types of pain' experienced throughout the breastfeeding journey.
• Revealed perceived causes and explanations for pain, including recognized conditions and behavioral factors.
• Highlighted 'cessation of breastfeeding related to pain,' including physical and psychological struggles like guilt.
• Demonstrated a strong need for practical and emotional support, often sought through online forums.

Conclusions:

• Breastfeeding pain is a primary driver for cessation, often accompanied by guilt.
• Online forums offer valuable social support for managing breastfeeding pain.
• There is an urgent need for improved antenatal education on realistic breastfeeding expectations.