Breastfeeding After CSA

Breastfeeding Awareness Month 2018

The first week of August was World Breastfeeding Awareness Month, but in the US, the United States Breastfeeding Committee has declared the whole month of August Breastfeeding Awareness Month. In honour of that (not in the least because I didn’t blog about the issue during the first seven days of August!), I wanted to share a few thoughts on breastfeeding after child sexual abuse (CSA).

While so many of us want to breastfeed, and spend our pregnancies imagining doing just that – and, indeed, preparing for it, it’s not always that easy. Aside, altogether, from the issues and difficulties that many women without a history of CSA encounter, there are additional difficulties that may manifest if the new mum such a history.  I’ve enumerated a few of them here:

  • If our breasts were a focal point of our abuse, we may be reluctant to offer, or share them, with anyone else – even our own babies. The physical contact may be just too much.
  • Dissociation is something I’ve discussed on this blog before – it’s often a huge part of our experiences when we are being abused. Dissociation, sadly, can also be part of our experiences when we’re breastfeeding – which can effect the mother-child bonding that is a much-mentioned positive element of breastfeeding. This, in turn, can lead to further shame and guilt around our bodies.
  • There are three kinds of touch that can be difficult for a woman with a history of CSA: self-touch, touch of another, and medical touch. Breastfeeding is, often, comprised of all three: The touch of the mother’s own hand on her breast – before, during, and after, a feed; the touch of the baby on the mother’s breasts; the manipulation of the mother’s breasts in order to assist with a latch etc.
  • Bodily fluids – even her own breastmilk – may be disgusting to the new mother who associates such fluids with abuse.
  • The shame that CSA visits on a woman, on her body, on her sense of self, can be mirrored in the shame that attaches to ‘bodies on display’ in many parts of the world. Then, there is the fact that  many societies visit shame on women who breastfeed in public, so this adds to the difficulty.
  • The mouth of her child on her breast can be triggering for the new mother with a history of CSA. It may remind her too much of her abuser/s slobbering all over her breasts.
  • If her birth didn’t go how she planned, the new mother may well have the old tape of ‘I can’t do anything right’ playing in her head. This may mean that she is convinced she can’t breastfeed her baby, either – so she may not even try.
  • If breastfeeding is difficult – or impossible – for the survivor of CSA, it can add to her feelings of guilt, and of the fact that her body is ‘failing’ her.

It’s not all bad, though. For many women with a history of CSA, managing to breastfeed successfully can be an hugely healing experience for women. It is a(nother) example of her body ‘behaving’ properly; of her body doing what it’s supposed to do.

If you are supporting a new mother who has a history of CSA, there are things you can do to help:

  • Reassure her that her choices are valid.
  • Reassure her that she is not being judged.
  • Reassure her that there are myriad other ways to love her baby.
  • If she really wants to breastfeed, discuss using a pump and expressing milk for her baby to exclusively feed breastmilk to her child.
  • Help her to see her milk as a ‘good’ / ‘useful’ fluid.
  • Remind her that she birthed beautifully, and that she can breastfeed beautifully, too – with help and support.
  • Encourage her to attend La Leche League, or Cuidiú meetings while she’s still pregnant.

The transition to motherhood is a monumental one for every woman, but it can be harder for those of us with a history of CSA. Ditto breastfeeding. Being sensitive to the possibilities can make the experience so much easier, and empowering, for these women.

Published by

Hazel Katherine Larkin

@HazelKLarkin

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