Mothering with an Intellectual Disability: A Phenomenological Exploration of Making Infant-Feeding Decisions

J Appl Res Intellect Disabil. 2017 May;30(3):511-520. doi: 10.1111/jar.12298. Epub 2016 Nov 23.

Abstract

Background: Mothers with intellectual disability are less likely than mothers without intellectual disability to breastfeed their infants, but there is little literature that addresses infant-feeding decisions among this population. This study explores experiences of mothers with intellectual disability in making and carrying out infant-feeding decisions.

Methods: Using a phenomenological approach, in-depth interviews were conducted with four mothers with intellectual disability.

Results: Analysis focused on making and carrying out infant-feeding decisions. Three sub-themes of making infant-feeding decisions emerged: being familiar with benefits of breastfeeding, owning the initial decision and preparing for infant-feeding. Two sub-themes of carrying out infant-feeding decisions transpired: facing challenges and receiving support.

Conclusions: The prenatal period was a crucial time for the mothers regarding infant-feeding decisions. It is the time in which they felt the most decision-making power, yet opportunities to prepare for possible challenges were missed.

Keywords: breastfeeding; infant-feeding; intellectual disability; mothering; phenomenology.

MeSH terms

  • Adult
  • Breast Feeding / psychology*
  • Child, Preschool
  • Decision Making*
  • Female
  • Humans
  • Infant
  • Intellectual Disability / psychology*
  • Male
  • Maternal Behavior / psychology*
  • Qualitative Research