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Obesity and Breastfeeding Rates

Obesity and Breastfeeding Rates. Karen Ady and Hawa Al-Hassan. Obesity and Breastfeeding. Media Portrayal of Ideal Body Image. Obese and Overweight women feel self-conscious about exposing their bodies during breastfeeding.

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Obesity and Breastfeeding Rates

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  1. Obesity and Breastfeeding Rates Karen Ady and Hawa Al-Hassan

  2. (OECD, 2011)

  3. Obesity and Breastfeeding

  4. Media Portrayal of Ideal Body Image • Obese and Overweight women feel self-conscious about exposing their bodies during breastfeeding. • Caregivers can be judgmental about women who do not fit the ideal media image.

  5. Obese Pregnant Women • Women who begin pregnancy with a BMI > 26 had almost 4 times the risk of not initiating breastfeeding when compared to underweight or normal weight women. (Mehta, Siega-Riz, Herring, Adair, & Bentley, 2011)

  6. Breastfeeding and the Obese Woman Biologic Factors: • Prepregnant BMI was negatively associated with the timing of lactogenesis II (the onset of copious production of milk) • Mechanical difficulty latching onto large breasts (Rasmussen & Kjolhede, 2004; Riordan, ,2005)

  7. Overcoming Breastfeeding Disparities in the Obese Population • Identify this high-risk population • Targeted intervention in early pregnancy • Lactation consultation before discharge • Support – telephone call early postpartum • Multidisciplinary approach (Rasmussen & Kjolhede, 2004)

  8. Helping the Large-breasted Woman Breastfeed Successfully Address concerns about smothering the baby with very large breasts by teaching positioning, especially football hold and lying down to nurse. Provide privacy A good nursing bra Support the breasts Massage the breasts Breast hygiene Use a breast pump that comes with a large flange • BE POSITIVE • Generally nipples that are larger are viewed as an anatomical gift that will make breastfeeding easier. • Praise Mother and Baby (Riordan, 2005; Smith, 2012)

  9. Karin CadwellPhD, RN, FAAN, ANLC, IBCLC • Healthy Children Project • Baby-Friendly USA • Center for Breastfeeding • US National Breastfeeding Committee • Author Retrieved from http://www.myunion.edu/academics/bachelor-of-science/faculty-pages/cadwell.html

  10. References McDowell, W. K.-S. (2008). Breastfeeding in the United States: Findings from the National Health and Nutrition Examination Surveys 1999 - 2006. NCHS Data Briefs. Mehta, U., Siega-Riz, A., Herring, Adair, A., & Bentley, M. (2011). Maternal obesity, psychological factors, and breastfeeding initiation. Breastfeeding Medicine, 6(6). Organization for Economic Cooperation and Development. (2011). Obesity and the Economics of Prevention: Fit not Fat – United States Key Facts. Health at a Glance – 2011 Edition. Retrieved from http://www.oecd.org/document/57/0,3343,en_2649_33929_46038969_1_1_1_1,00.html Rasmussen, K., & Kjolhede, C. (2004). Prepregnant overweight and obesity diminish the prolactin response to suckling in the first week postpartum. Pediatrics, 113(5), e465 - e471. Riordan, J. (2005). Breastfeeding and Human Lactation. Sudbury, MA: Jones and Bartlett. Smith, Anne. (2012). Nursing Tips for the Large Breasted Woman. Retrieved from http://www.breastfeedingbasics.com/articles/nursing-tips-for-the-large-breasted-woman

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