The Relationship Between Internalized Weight Stigma During Pregnancy and Breastfeeding: A Prospective Longitudinal Study

Dieterich, Rachel; Chang, Judy C.; Danford, Cynthia A.; Scott, Paul; Wend, Caroline; Demirci, Jill

doi:10.1002/oby.23139

Cited by 7 publications

(9 citation statements)

References 49 publications

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“…Breastfeeding reduces the risk of respiratory diseases and diarrhea in infants and reduces infant mortality. Breastfeeding can also promote postpartum recovery, improve parent-child bond, and reduce the risk of diabetes, breast cancer, and ovarian cancer in mothers [ 3 ]. The World Health Organization and UNICEF recommend early initiation of breastfeeding and exclusive breastfeeding of infants under 6 months for optimal growth [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection

Chen

Sun

et al. 2022

BioMed Research International

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Objective To analyze the effects of the info-motivation-behavior skills (IMB) model combined with spousal support breastfeeding intervention on breastfeeding Self-Efficacy Scale (PBSES) scores and breastfeeding rate of primiparas with chronic hepatitis B virus (HBV) infection. Methods Seventy-four first-term pregnant women and 74 of their spouses were selected as the traditional control group by the convenience sampling method from July to September 2021 in obstetrics department of Shenzhen Third People's Hospital. 74 pregnant women with their first child and 74 spouses who had their first child checked during October to December 2021 were classified as the IMB model group. The traditional control group was applied with conventional intervention management mode, and the IMB model group was applied with intervention management mode based on IMB theory on the basis of the traditional control group. The self-efficacy scores of breastfeeding before and after intervention during pregnancy and during hospitalization were compared between the two groups, and the self-efficacy scores of paternal support for breastfeeding were compared. The exclusive breastfeeding rate of infants within 6 months and the maternal breastfeeding knowledge level of the two groups were compared, and the correlation between maternal breastfeeding self-efficacy score and feeding knowledge level was analyzed. Results After pregnancy intervention, PBSES and FBSES-SF scores were significantly increased in both groups, and scores of scales in the IMB model group increased significantly than the traditional control group (all P < 0.05). The BSES-SF and FBSES-SF scores of the IMB model group increased significantly than the traditional control group at 3 days after delivery and at discharge ( P < 0.05), and the scores of each scale at discharge in both groups increased significantly than those at 3 days after delivery ( P < 0.05). The rate of exclusive breastfeeding in the IMB model group was 94.59% (70/74), and that in the traditional control group was 78.38% (58/74). There was a significant difference ( χ 2 = 8.325, P = 0.004). At discharge, the score of maternal breastfeeding knowledge increased significantly in both groups, and the score of the IMB model group increased significantly than that of the traditional control group (all P < 0.05). Pearson correlation coefficient was used to analyze the correlation between PBSES score, FBSES-SF score, and maternal feeding knowledge level, which showed positive correlation (all P < 0.05). Conclusion The self-efficacy of prenatal breastfeeding in pregnant women with HBV is low, and the application of the IMB model combined with the intervention mode of spy-supported breastfeeding has positive effects on the improvemen...

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Section: Introductionmentioning

confidence: 99%

Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection

Chen

Sun

et al. 2022

BioMed Research International

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“…The planned sample size was determined based on the findings of comparable surveys conducted in other countries [ 20 ]. With a confidence level (1 − α = 0.95), permissible error ( δ = 1.2) and response rate of the survey (95%), the required sample size was calculated to be 477 cases using PASS 11.0.…”

Section: Methodsmentioning

confidence: 99%

“…A US study of 358 postpartum women reported that almost one in five women ( n = 63) reported experiencing varying degrees of WS by providers in the medical setting [ 18 ]. A prospective longitudinal study in the US involving 103 women showed that the mean Weight Bias Internalization Scale (WBIS) score for postpartum women was 26.86 ± 13.03 (Scores range from 11 to 77) [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Weight Stigma among Postpartum Women in China

Min

Peng

Lommel

2022

IJERPH

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Weight stigma is linked to a variety of psychological and health problems. In the postpartum period, women may be more likely to experience weight-based discrimination because of their changing social roles, weight, and the new functions their bodies fulfill. However, few studies have explored the issue of postpartum women’s weight stigma. Thus, to investigate the prevalence and correlates of weight stigma for postpartum women in China, we conducted a cross-sectional study of 507 postpartum women. Results showed that almost one quarter (21.1%) of postpartum women claimed to have experienced perceived weight stigma (PWS). Two thirds (66.1%) scored at the mean and 14.8% at the highest levels of weight bias internalization (WBI). During the postnatal period, the conditions of those most likely to report experiences of weight-based discrimination included low income [b = −0.203, p = 0.004], occupation as a worker [b = 0.921, p = 0.017] or farmer [b = 0.826, p = 0.033], stress [b = 0.044, p = 0.035], depression [b = 0.057, p = 0.021], and higher WBIS [b = 0.018, p = 0.002]. In addition, postpartum women who lived alone [b = 7.511, p = 0.048], were overweight or obese [b = 5.443, p = 0.000], and had higher PWS [b = 0.897, p = 0.004] and anxiety symptoms [b = 0.219, p = 0.011] had higher levels of internalized weight stigma. Findings from this study provide a foundation to better understand characteristics of postpartum women in China who are at risk for weight stigma.

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“…Limited research, though, has examined internalization of weight stigma in pregnancy. One study found no association between internalization in the third trimester of pregnancy and eventual breastfeeding behavior 117 . However, the internalization scale was not pregnancy specific.…”

Section: The Wombs Frameworkmentioning

confidence: 98%

The WOMBS Framework: A review and new theoretical model for investigating pregnancy‐related weight stigma and its intergenerational implications

Rodriguez

Nagpal

2021

Obesity Reviews

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Summary As the growing weight stigma literature has developed, one critically relevant and vulnerable population has received little consideration—pregnant and postpartum women. Because weight fluctuations are inherent to this life phase, and rates of prepregnancy overweight and obesity are already high, this gap is problematic. More recently, however, there has been a rising interest in pregnancy‐related weight stigma and its consequences. This paper therefore sought to (a) review the emerging research on pregnancy‐related weight stigma phenomenology and (b) integrate this existing evidence to present a novel theoretical framework for studying pregnancy‐related weight stigma. The Weight gain, Obesity, Maternal‐child Biobehavioral pathways, and Stigma (WOMBS) Framework proposes psychophysiological mechanisms linking pregnancy‐related weight stigmatization to increased risk of weight gain and, in turn, downstream childhood obesity risk. This WOMBS Framework highlights pregnant and postpartum women as a theoretically unique at‐risk population for whom this social stigma engages maternal physiology and transfers obesity risk to the child via social and physiological mechanisms. The WOMBS Framework provides a novel and useful tool to guide the emerging pregnancy‐related weight stigma research and, ultimately, support stigma‐reduction efforts in this critical context.

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The Relationship Between Internalized Weight Stigma During Pregnancy and Breastfeeding: A Prospective Longitudinal Study

Cited by 7 publications

References 49 publications

Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection

Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection

Prevalence and Correlates of Weight Stigma among Postpartum Women in China

The WOMBS Framework: A review and new theoretical model for investigating pregnancy‐related weight stigma and its intergenerational implications

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