Contesting authority in breastfeeding support: Maternal negotiation of professional and embodied knowledge
Christina Severinsen1, Mary Breheny1, Angelique Reweti1
1Massey University, Palmerston North, Manawatu, New Zealand.
None:
Breastfeeding is a physiological process with profound relational, emotional, and cultural meaning, yet postnatal care often reduces it to a technical task. This study examines how mothers in Aotearoa New Zealand navigate breastfeeding support through Well Child services, focussing on tensions between professional expertise and embodied maternal knowledge. Using an online platform, Wāhi Kōrero, 420 anonymous stories were collected in response to the prompt: "Kōrero I wish I could've had with the Well Child nurse." A subset of 149 stories referencing breastfeeding was analysed using thematic and discourse analysis. Findings reveal conflicting discourses: breastfeeding as an embodied, relational practice versus a technical skill requiring correction. Mothers did not reject professional expertise but resisted prescriptive, standardised advice through strategies such as selective disclosure, strategic compliance, and hybrid knowledge use. These findings contribute to feminist critiques of medicalised motherhood and suggest reframing professional expertise as an epistemic partnership that validates both clinical and maternal ways of knowing.
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