Contesting authority in breastfeeding support: Maternal negotiation of professional and embodied knowledge

Breastfeeding is a physiological process with profound relational, emotional, and cultural meaning, yet postnatal care often reduces it to a technical task. This study examines how mothers in Aotearoa New Zealand navigate breastfeeding support through Well Child services, focussing on tensions between professional expertise and embodied maternal knowledge. Using an online platform, Wāhi Kōrero, 420 anonymous stories were collected in response to the prompt: "Kōrero I wish I could've had with the Well Child nurse." A subset of 149 stories referencing breastfeeding was analysed using thematic and discourse analysis. Findings reveal conflicting discourses: breastfeeding as an embodied, relational practice versus a technical skill requiring correction. Mothers did not reject professional expertise but resisted prescriptive, standardised advice through strategies such as selective disclosure, strategic compliance, and hybrid knowledge use. These findings contribute to feminist critiques of medicalised motherhood and suggest reframing professional expertise as an epistemic partnership that validates both clinical and maternal ways of knowing.

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Publication Details

Journal
Journal of Health Psychology
Published
2025-11-04
DOI
https://doi.org/10.1177/13591053251383744
Primary Topic
Breastfeeding Practices and Influences
Type
article
Field-Weighted Citation Impact
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article

Contesting authority in breastfeeding support: Maternal negotiation of professional and embodied knowledge

Christina Anne Severinsen, Mary Breheny, Angelique Reweti
Journal of Health Psychology
Breastfeeding Practices and Influences
article

Contesting authority in breastfeeding support: Maternal negotiation of professional and embodied knowledge

Christina Anne Severinsen, Mary Breheny, Angelique Reweti
article en

Abstract

Breastfeeding is a physiological process with profound relational, emotional, and cultural meaning, yet postnatal care often reduces it to a technical task. This study examines how mothers in Aotearoa New Zealand navigate breastfeeding support through Well Child services, focussing on tensions between professional expertise and embodied maternal knowledge. Using an online platform, Wāhi Kōrero, 420 anonymous stories were collected in response to the prompt: "Kōrero I wish I could've had with the Well Child nurse." A subset of 149 stories referencing breastfeeding was analysed using thematic and discourse analysis. Findings reveal conflicting discourses: breastfeeding as an embodied, relational practice versus a technical skill requiring correction. Mothers did not reject professional expertise but resisted prescriptive, standardised advice through strategies such as selective disclosure, strategic compliance, and hybrid knowledge use. These findings contribute to feminist critiques of medicalised motherhood and suggest reframing professional expertise as an epistemic partnership that validates both clinical and maternal ways of knowing.

Journal of Health PsychologyVol. 31(5)
Massey University (NZ)
Openalex Percentile: Top 57%
Breastfeeding Practices and Influences
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Contesting authority in breastfeeding support: Maternal negotiation of professional and embodied knowledge — Christina Anne Severinsen, Mary Breheny, et al. · Journal of Health Psychology (2025) | TGRS Research Map | TGRS