A Mother’s Account About Lactation in the Context of Perinatal Death
Main Article Content
Abstract
Objective: To discuss the importance of listening and having a humanized intervention in regard to the donation of breastmilk in the context of perinatal death.
Methodology: Content analysis of an interview with a mother in mourning that went through a traumatic lactation following a perinatal death. This case study is one of qualitative, longitudinal research, realized over two partially-structured interviews with parents who had lost their babies with less than 22 weeks of gestation at a public hospital, in Belo Horizonte, Brazil, from February to October 2019.
Results: The interviews in the case of “Eva” (hypothetical name) presented significant suffering from lactation following the death of her child and her mourning process, which caught the authors’ attention about the importance of this topic.
Conclusions: Women who have lost their babies before, during, or after birth should be offered the option of donating their breastmilk, to allow them to choose what to do with it, and then to counsel them during the mourning process.
Downloads
Article Details
Issue
Section

This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
References
Attig, T. (2004). Disenfranchised grief revisited: discounting hope and love. Omega, 49:(3), 197-215. https://doi.org/10.2190/P4TT-J3BF-KFDR-5JB1
Australian Breastfeeding Association. (2020). Lactation after infant death. Melbourne: ABA.
Cole, M., International Board of Lactation Consultant Examiners - IBCLC, Registered Lactation Consultant - RLC. (2012). Lactation after Perinatal, Neonatal, or Infant Loss. Clinical Lactation, 3-3: 94-100.
Doka, J. K. (1989). Disenfranchised grief: recognizing hidden sorrow. Lexington: Lexington Books.
Figley, C. R., Bride, B. E., Mazza, N. (Eds.). (1997). The series in trauma and loss.Death and trauma: the traumatology of grieving. London: Taylor & Francis.
Freud, S. (1974). Mouring and melancholia. In Freud S. On the history of the psycho-analytic movement, papers on metapsychology and other works (1914-1916). (The standard edition of the complete Psychological Works of Sigmund Freud, v. XIV). London: The Hogarth Press and the Institute of Psycho-Analysis.
Global Network of Human Milk. I BRICS (Brazil, China, Russia, India and South Africa) (2019). Workshop on Human Milk Bank: Introduction. Rio de Janeiro: Executive Secretariat of the Global Network of Human Milk Bank. Retrieved from https://tinyurl.com/ydzxlrhw
Hudson, P., Remedios, C., Zordan, R., Thomas, K., Clifton, D., Crewdson, M.,… &Bauld, C. (2012). Guidelines for the psychosocial and bereavement support of family caregivers of palliative care patients. Journal of Palliative Medicine, 15(6), 696-702. https://doi.org/10.1089/jpm.2011.0466
Human Milk Banking Association of North America - HMBANA (2020). Can I donate my milk if my infant has passed away? (Bereavement donations.). Fort Worth: HMBANA. Retrieved from hmbana.org/about-us/frequent-questions.html
Lang, A., Fleiszer, A. R., Duhamel, F., Sword, W., Gilbert, K. R., &Corsini-Munt, S. (2011). Perinatal loss and parental grief: the challenge of ambiguity and disenfranchised grief. Omega (Westport), 63(2), 183‐196. https://doi.org/10.2190/OM.63.2.e
Minayo, M. C. S. (2018). Foundations, mishaps and dissemination of qualitative approaches. In: A. P. Costa, L. P. Reis, F. N. Souza, A. Moreira. (Eds.) Computer supported qualitative research: second international symposium on qualitative research (ISQR 2017 (pp. 55-70.). Cham: Springer International Publishing AG.
Ortiz, F. (2012). Breast milk banks, from Brazil to the world. Rio de Janeiro: Inter Press Service.
Waitzkin H. (1991). The politics of medical encounters: how patients and doctors deal with social problems. New Haven: Yale University Press.
Worden, J. W. (2013). Grief Counseling and Grief Therapy: a handbook for the mental health practitioner. New York: Springer.