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Subject:
From:
Dawn Kersula <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 23 Apr 2011 09:39:04 -0400
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Lara,
You are so right -  we are only in the baby stages of knowing what is going
on with high BMI moms (my new resolution - since "obese" and morbidly obese"
are such hot button terms) and their breastfeeding experiences. We blame the
fat too often (the adipose tissue and the adipose person!)

Check out Danish Health Care *Providers*' Perception of *Breastfeeding
*Difficulty
Experienced by Women Who Are Obese, Have Large *Breasts*, or
Both<http://jhl.sagepub.com/content/26/2/138.short> in
JHL 2010 - it's a study from Cornell researchers....

Abstract:
Maternal obesity is associated with short duration of breastfeeding, and
many obese women also have large breasts. To determine if health
professionals who support lactating women can distinguish between these
maternal characteristics as obstacles to breastfeeding, the authors
conducted a mail survey of 242 Danish health professionals. They thought
that initiating was more difficult (*P* < .0001) than continuing
breastfeeding for women with large breasts and/or obesity. These
difficulties were thought to be lowest for women with large breasts, higher
for obese women, and highest for obese women with large breasts (*P* <
.0001). These difficult ratings were significantly related in a complex
manner to the respondents’ personal characteristics and type of training.
These findings indicate the importance of recognizing and treating large
breasts and maternal obesity as separate obstacles to successful
breastfeeding and that interventions to reduce these obstacles should be
designed to account for characteristics of the person providing them.

(I may look like a "soft brain" on Lactnet sometimes but I actually read a
lot of research to keep myself up to date - it better help when I sit the
exam for the 3rd time next year!)

Old Timer Dawn Kersula in southern Vermont....where it is snowing AGAIN
today on my daffodils!

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