title: Infant feeding experiences of women who were sexually abused in childhood.
abstract: OBJECTIVE
  To explore the effects of childhood sexual abuse (CSA) on women's breastfeeding and infant feeding decisions and experiences.
  
  
  METHODS
  Qualitative, participatory study using semistructured in-depth interviews.
  
  
  METHODS
  Tamara's House, a healing centre for women who were sexually abused in childhood, located in Saskatoon, Sask.
  
  
  METHODS
  Six mothers who were sexually abused in childhood.
  
  
  METHODS
  In-depth interviews were conducted and transcribed verbatim. Thematic analysis was iterative and participatory. The emerging themes that resulted from initial analysis by the researchers were presented at a meeting held jointly with academics, survivors, and professionals in the field to achieve consensus. Throughout the process, findings were considered in relation to related literature on breasts, breastfeeding, and CSA.
  
  
  RESULTS
  History of CSA complicated the women's infant feeding decisions and experiences. For 2 women, birthing and breastfeeding facilitated healing from the effects of the abuse. Shame, touch, breasts, dissociation, medical care, and healing emerged as analytic themes.
  
  
  CONCLUSIONS
  A history of CSA can affect a woman's experience of breastfeeding, including acting as a trigger for remembering or reexperiencing the abuse. Women who were sexually abused as children need to experience a sense of safety, acceptance, sensitivity, and understanding. Physicians need to be aware of the effects of CSA on infant feeding and women's health, and might need to be trained in a sensitive-practice approach to working with patients who were sexually abused as children.
authors.affiliation: University of Saskatchewan, Community Health and Epidemiology, Health Sciences Bldg, 107 Wiggins Rd, Saskatoon, SK S7N 5E5. ke.wood@shaw.ca
authors.forename: Karen
authors.initials: K
authors.lastname: Wood
authors.forename: Penny
authors.initials: P
authors.lastname: Van Esterik
mesh_terms: D000328:Adult; D001828:Body Image; D001940:Breast; D001942:Breast Feeding / Q000523:psychology*; D002648:Child; D004213:Dissociative Disorders / Q000523:psychology; D005260:Female; D006297:Health Services Accessibility / Q000592:standards; D006801:Humans; D007223:Infant; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D036301:Qualitative Research; D012525:Saskatchewan; D012742:Sex Offenses / Q000517:prevention & control / Q000523:psychology*; D012752:Shame; D055698:Touch Perception / Q000502:physiology
references.citation: J Hum Lact. 1998 Jun;14(2):125-30; quiz 131-3
references.pmid: 9775845
references.citation: J Interpers Violence. 2005 Jun;20(6):651-66
references.pmid: 15851534
references.citation: J Obstet Gynecol Neonatal Nurs. 1998 Nov-Dec;27(6):671-7
references.pmid: 9836162
references.citation: Mayo Clin Proc. 1992 Jun;67(6):527-32
references.pmid: 1434879
references.citation: Child Abuse Negl. 1988;12(1):51-9
references.pmid: 3365583
references.citation: Am J Psychiatry. 1989 Dec;146(12):1602-6
references.pmid: 2589554
references.citation: Trauma Violence Abuse. 2007 Jul;8(3):344-53
references.pmid: 17596350
references.citation: J Hum Lact. 2007 May;23(2):194-7
references.pmid: 17478873
references.citation: Ann Intern Med. 1990 Dec 1;113(11):828-33
references.pmid: 2240898
references.citation: Child Abuse Negl. 1993 Sep-Oct;17(5):623-40
references.pmid: 8221217
references.citation: Aust N Z J Psychiatry. 1997 Apr;31(2):194-9
references.pmid: 9140625
references.citation: J Psychosom Res. 2006 Aug;61(2):139-51
references.pmid: 16880016
references.citation: Arch Fam Med. 1999 Jan-Feb;8(1):35-43
references.pmid: 9932070
references.citation: Phys Ther. 1999 Mar;79(3):248-61; discussion 262-9
references.pmid: 10078769
references.citation: Can Fam Physician. 2004 Mar;50:405-12
references.pmid: 15318678
references.citation: J Fam Pract. 1993 Jun;36(6):633-8
references.pmid: 8505606
references.citation: Can Fam Physician. 2005 Oct;51:1317-9, 1323-5
references.pmid: 16250414
references.citation: Women Health. 2000;30(4):27-41
references.pmid: 10983608
references.citation: Child Abuse Negl. 2000 Apr;24(4):547-56
references.pmid: 10798843
references.citation: Trauma Violence Abuse. 2008 Jan;9(1):19-33
references.pmid: 18182629
references.citation: JAMA. 1997 May 7;277(17):1362-8
references.pmid: 9134941