Abstract
Background Reasons for premature discontinuation of breastfeeding are complex; a variety of social, psychological and physical factors may contribute to a deviation from a mother's breastfeeding plan. Aims To investigate how actual experiences of birth and breastfeeding differed from the mother's pre-birth intentions, and any subsequent perceived impact on breastfeeding experience. Methods Data was collected via an online survey of UK-based women (n=1 000). Findings Respondents faced a variety of challenges when breastfeeding, including nipple soreness and pain, concerns around milk insufficiency, and birth-related pain which impacted their ability to breastfeed comfortably. Predominantly, birth-related pain made breastfeeding difficult rather than preventing it, however 5% of mothers surveyed cited it as contributing to premature cessation of breastfeeding. Conclusions Pain relating to birth may be an under-considered factor in early cessation of breastfeeding. Considering the challenges experienced when establishing and maintaining breastfeeding, it is essential to consider the cumulative pain and discomfort experienced from all sources.
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