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Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence

Aimee Grant Orcid Logo, Sara Jones Orcid Logo, Kathryn Williams Orcid Logo, Jennifer Leigh, Amy Brown Orcid Logo

Autism, Volume: 26, Issue: 6, Pages: 1341 - 1352

Swansea University Authors: Aimee Grant Orcid Logo, Sara Jones Orcid Logo, Amy Brown Orcid Logo

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DOI (Published version): 10.1177/13623613221089374

Abstract

Low breastfeeding rates are driven by multiple bio-psycho-social factors. Experience of breastfeeding is known to differ by maternal demographic factors (age, education and ethnicity) but there is less recognition of factors such as neurodivergence. This review, prospectively registered with PROSPER...

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Published in: Autism
ISSN: 1362-3613 1461-7005
Published: SAGE Publications 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa59898
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However, sensory challenges, pain and interoceptive differences (exacerbated by a lack of support) made breastfeeding impossible for some. Infant formula was viewed as second-best to breastmilk, but a minority of mothers found the ritual of preparing bottles of formula positive. 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spelling 2022-11-02T11:15:44.0968644 v2 59898 2022-04-25 Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence 6a1ce3bc54c692c804e858b70d2e4bd2 0000-0001-7205-5869 Aimee Grant Aimee Grant true false e6ed433db8a59b5e3077e3de5888a98a 0000-0003-2182-6314 Sara Jones Sara Jones true false 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2022-04-25 PHAC Low breastfeeding rates are driven by multiple bio-psycho-social factors. Experience of breastfeeding is known to differ by maternal demographic factors (age, education and ethnicity) but there is less recognition of factors such as neurodivergence. This review, prospectively registered with PROSPERO (registration number: CRD42021271465), systematically identified qualitative research, commentaries and personal accounts related to Autistic mothers and infant feeding. Database searching identified 1225 records, with thematic synthesis undertaken on 22 (eight peer-reviewed studies and 14 grey literature) pieces. Our analysis identified that maternity and infant feeding services were built on a lack of understanding of Autistic needs, and were often inaccessible at a time when Autistic mothers already felt a loss of control and lack of social support. Specifically relating to breastfeeding, knowledge and determination were often high, and a minority of mothers reported positive breastfeeding experiences. However, sensory challenges, pain and interoceptive differences (exacerbated by a lack of support) made breastfeeding impossible for some. Infant formula was viewed as second-best to breastmilk, but a minority of mothers found the ritual of preparing bottles of formula positive. There is an urgent need for maternity and infant feeding services to accommodate the needs of Autistic mothers, including service design and staff training. Journal Article Autism 26 6 1341 1352 SAGE Publications 1362-3613 1461-7005 autism, breastfeeding, infant feeding, maternity 1 8 2022 2022-08-01 10.1177/13623613221089374 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University SU College/Department paid the OA fee This systematic review was funded in part by the Research Wales Innovation Fund, who funded Jones’ time. Grant’s post is funded by the Higher Education Funding Council for Wales, which also supported Brown’s time on this project. Open access publishing was partially funded through an agreement between Sage and Swansea University. 2022-11-02T11:15:44.0968644 2022-04-25T10:11:18.8449444 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Aimee Grant 0000-0001-7205-5869 1 Sara Jones 0000-0003-2182-6314 2 Kathryn Williams 0000-0001-7274-3493 3 Jennifer Leigh 4 Amy Brown 0000-0002-0438-0157 5 59898__23919__c01013b7fb56452bb4820cfad97fb67b.pdf 59898.pdf 2022-04-27T11:51:18.5202290 Output 495131 application/pdf Version of Record true This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License true eng http://creativecommons.org/licenses/by-nc/4.0/
title Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
spellingShingle Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
Aimee Grant
Sara Jones
Amy Brown
title_short Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
title_full Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
title_fullStr Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
title_full_unstemmed Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
title_sort Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence
author_id_str_mv 6a1ce3bc54c692c804e858b70d2e4bd2
e6ed433db8a59b5e3077e3de5888a98a
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author_id_fullname_str_mv 6a1ce3bc54c692c804e858b70d2e4bd2_***_Aimee Grant
e6ed433db8a59b5e3077e3de5888a98a_***_Sara Jones
37aea6965461cb0510473d109411a0c3_***_Amy Brown
author Aimee Grant
Sara Jones
Amy Brown
author2 Aimee Grant
Sara Jones
Kathryn Williams
Jennifer Leigh
Amy Brown
format Journal article
container_title Autism
container_volume 26
container_issue 6
container_start_page 1341
publishDate 2022
institution Swansea University
issn 1362-3613
1461-7005
doi_str_mv 10.1177/13623613221089374
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Low breastfeeding rates are driven by multiple bio-psycho-social factors. Experience of breastfeeding is known to differ by maternal demographic factors (age, education and ethnicity) but there is less recognition of factors such as neurodivergence. This review, prospectively registered with PROSPERO (registration number: CRD42021271465), systematically identified qualitative research, commentaries and personal accounts related to Autistic mothers and infant feeding. Database searching identified 1225 records, with thematic synthesis undertaken on 22 (eight peer-reviewed studies and 14 grey literature) pieces. Our analysis identified that maternity and infant feeding services were built on a lack of understanding of Autistic needs, and were often inaccessible at a time when Autistic mothers already felt a loss of control and lack of social support. Specifically relating to breastfeeding, knowledge and determination were often high, and a minority of mothers reported positive breastfeeding experiences. However, sensory challenges, pain and interoceptive differences (exacerbated by a lack of support) made breastfeeding impossible for some. Infant formula was viewed as second-best to breastmilk, but a minority of mothers found the ritual of preparing bottles of formula positive. There is an urgent need for maternity and infant feeding services to accommodate the needs of Autistic mothers, including service design and staff training.
published_date 2022-08-01T04:17:33Z
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