Is Maternal Obesity a Cause of Poor Lactation Performance?

Lovelady, Cheryl A.

doi:10.1301/nr.2005.oct.352-355

Cited by 9 publications

(12 citation statements)

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“…4 Figure 1 The interplay between obesity, pregnancy, inflammation and disease. Delivery complications 3,19 Cesarean section 3,6,7 Neonatal complications 11,21,25 Breastfeeding failure 26,27 Postpartum bleeding and infection 4,8 Abbrevation: PPROM, premature rupture of membranes. a Level of evidence for all references: II.…”

Section: Obesity and Inflammationmentioning

confidence: 99%

Maternal obesity: the interplay between inflammation, mother and fetus

et al. 2009

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Obesity has reached epidemic proportions in our patients who are of childbearing age, with pregnant patients of normal weight being in the minority. The pregnancy-related complications attributable to obesity affect not only the pregnant women, but also her fetus and potentially both mother and child for their lifetimes. Pregnancy is associated with altered immunity. The physiologic state of chronic inflammation in obesity affects systemic immunity and metabolism, and may be associated with several of the complications associated with maternal obesity. The interplay between pregnancy, obesity and inflammation may have far-reaching implications for fertility, pregnancy, the fetus and neonate.

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Section: Obesity and Inflammationmentioning

confidence: 99%

Maternal obesity: the interplay between inflammation, mother and fetus

et al. 2009

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Section: Delayed Onset Of Lactation Andmentioning

confidence: 99%

Clinically overweight and obese mothers and low rates of breastfeeding: Exploring women's perspectives

Massov¹

2015

nzconjnl

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Background: It is universally recognised that breastmilk is the best food for babies and that breastfeeding provides significant health benefits for both mothers and babies. Women who are overweight or obese have lower rates of initiation and duration of breastfeeding. There is a need to understand the woman's perspective, and any additional factors that may contribute to breastfeeding difficulties for overweight or obese women.Objective: The aims of this research were to explore the breastfeeding experiences and perspectives of a specifically recruited group of clinically overweight and obese women and to gain an understanding of what influenced their infant feeding decisions.Method: This study used a qualitative methodology. In-depth interviews were conducted with six mothers who were overweight or obese and initiated breastfeeding, but then did not continue to exclusively or fully breastfeed their babies. Using a thematic analysis the researcher identified seven themes which captured the breastfeeding experiences of these women. Findings:The women believed in the importance of breastfeeding for their babies' health, but experienced challenges with latching and perceived their breast milk supply to be insufficient. The physical challenges of large breasts and body image issues when feeding in public also contributed to early cessation of exclusive breastfeeding. This study adds to the body of knowledge on this subject and to our understanding of the association between maternal overweight and obesity and early cessation of breastfeeding. Conclusion:It is important to recognise the unique needs of overweight and obese women and provide support antenatally and postnatally. This support is crucial if we are to achieve the public health aim of reaching World Health Organization (WHO) and national targets for exclusive and full breastfeeding.

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Section: Delayed Onset Of Lactation Andmentioning

confidence: 99%

“…It is not clear which factors influence a mother who is overweight or obese to not initiate breastfeeding or to breastfeed for a shorter time. The causes are likely to be multifactorial (Lovelady, 2005), and may be related to physiological factors (e.g., hormonal variations), physical factors (e.g., large breasts) and socio-cultural factors (e.g., body image, low self-esteem, poor mental health) (Amir & Donath, 2007).…”

Section: Studies Of Populations In Thementioning

confidence: 99%

“…Obese women tend to have larger breasts, with an excess of periareolar adipose tissue which may flatten the areola and nipple, making the nipple more difficult for the newborn to grasp. This difficulty contributes to the reduced prolactin response to suckling (Coates, 1989;Jevitt, Hernandez & Groer, 2007;Lovelady, 2005 Low maternal self-esteem and selfconfidence, and reduced belief in their ability to breastfeed are two of the strongest predictors of breastfeeding cessation.Low maternal self-esteem and self-confidence, and reduced belief in their ability to breastfeed are two of the strongest predictors of breastfeeding cessation (Blyth et al, 2002;Grassley & Nelms, 2008;Harris, Nayda & Summers, 2003). Low maternal selfesteem is associated with negative body image and pregnant women may be concerned about changes in their body shape.…”

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confidence: 99%

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Celebrating and honouring midwifery in New Zealand

Crowther¹

2015

nzcomjnl

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JOURNALMidwifery practice arrangements which sustain caseloading Lead Maternity Carer midwives in New Zealand. The impact on midwives of their first stillbirth.Clinically overweight and obese mothers and low rates of breastfeeding: Exploring women's perspectives.ABC by LMC midwives: an innovative intervention to support women to become smoke-free in pregnancy. Guidelines for Contributors to the New Zealand College of Midwives JournalThe Journal focuses on midwifery issues and women's health, it has a readership of midwives and others involved in pregnancy and childbearing, both in New Zealand and overseas.The Journal is printed once each year (December) and uses electronic article based publishing so that papers are published and disseminated as soon as possible. The advantages of article based publishing are:• Articles are processed more quickly • Articles can be disseminated electronically, making them readily available• Improved ability to cite immediately without the need to wait until an issue is complete and then printed• Improved global availability, as each paper is provided with a DOI and put onto the New Zealand College of Midwives website three months after first circulation.Within electronic article based publishing the editors build each issue as an "issue in progress" from papers that have been submitted and accepted for publication. Once an issue is complete, it is printed.The Journal welcomes original research, literature reviews, exemplars/practice stories/case studies, audits and research methodology articles. In general, articles should be between 500-4000 words. It is important that articles submitted for review have not been published previously in any form.The expectation is that articles protect confidentiality where necessary, and that evidence of an ethical process of consent has been undertaken. Confirmation that copyright permission has been obtained for any quoted materials is also expected (see section on copyright). All articles are subject to double blind peer review and the editors reserve the right to make the final decision regarding publication of each article. ARTICLE FORMATArticles should be submitted electronically with double line spacing and a left hand margin of 3cm and a size 12 font. The article should be submitted as an electronic file copy in a WORD document or RTF file.Authors should use the following section headings: Abstract, Key words, followed by the introduction and further subheadings, depending on the type of article, to structure the article. The word count must be stated. Diagrams, tables and photographs should be labelled and supplied as computer generated items. Where these are sent separately from the text, the author/s should indicate where they should be positioned in the article.In addition, authors are requested to provide the following details in a separate "Author information" document (this will not be sent to the reviewers):• Name and qualifications• Occupation (current area of practice/expertise)• Email address and daytime phone number for corre...

show abstract

Is Maternal Obesity a Cause of Poor Lactation Performance?

Cited by 9 publications

References 12 publications

Maternal obesity: the interplay between inflammation, mother and fetus

Maternal obesity: the interplay between inflammation, mother and fetus

Clinically overweight and obese mothers and low rates of breastfeeding: Exploring women's perspectives

Celebrating and honouring midwifery in New Zealand

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