title: Taiwanese Women's Experiences of Lactation Suppression After Stillbirth.
abstract: OBJECTIVE
  To explore the experiences of lactation suppression (LS) among Taiwanese women who experienced stillbirth after 20-weeks gestation.
  
  
  METHODS
  Qualitative research combining practitioner ethnography and the observ-view method (participant observation and unstructured interviews while caring for participants).
  
  
  METHODS
  Participants were recruited from a medical center in central Taiwan between June 2013 and November 2014.
  
  
  METHODS
  Seven Taiwanese women who had stillbirths.
  
  
  METHODS
  Data were collected by the observ-view method. Recorded interviews were analyzed by content analysis.
  
  
  RESULTS
  Participants described three core experiences: deciding to use LS without careful deliberation; psychological pain is substantially stronger than physical pain; and not regretting their choice regarding method of LS.
  
  
  CONCLUSIONS
  Physical pain often remains unaddressed because of the greater psychological pain following fetal death. Therefore, LS should be an essential component of follow-up care as part of the discharge plan. Follow-up should be for at least 14 days. More research is needed on nonpharmacological LS to address cultural differences and personal beliefs about methods of LS.
authors.forename: Fu-Hsuan
authors.initials: FH
authors.lastname: Chen
authors.forename: Shu-Ling
authors.initials: SL
authors.lastname: Chen
authors.forename: Wen-Yu
authors.initials: WY
authors.lastname: Hu
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006727:Hormone Antagonists / Q000627:therapeutic use; D006801:Humans; D007774:Lactation / Q000502:physiology / Q000523:psychology; D011247:Pregnancy; D011388:Prolactin / Q000037:antagonists & inhibitors / Q000378:metabolism; D036301:Qualitative Research; D050497:Stillbirth / Q000453:epidemiology / Q000523:psychology; D013315:Stress, Psychological / Q000208:ethnology; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology
chemical_list: D006727:Hormone Antagonists; D011388:Prolactin
keywords: breast engorgement; cultural beliefs; doing the month; fetal death; lactation suppression