I have come to the conclusion (and I hope I don't get flames) that obesity has a major impact on breastfeeding. It seems that research is showing a connection between obesity and delayed or failed lactation, but I am talking about the mechanics of breastfeeding. Maybe it's because I live in one of the "fattest countries" in the world. No 1 is now Mexico where 32.8% are obese. The United States ranks just below at No. 2 with an obesity rate of 31.8%. Add to this, that I have only worked with breastfeeding dyads in Louisiana (decades) and now Mississippi for 9 yrs, where the average Body Mass Index (BMI) is 34% and 35%, respectively. Mississippi is the "fattest" state. I work with a lot of large women.
I do not believe that breasts are "supposed" to be super large, and then the nipples totally flatten out, and the edema is worse. I look to the primates and the women with ideal BMI (our medical records flag if over 25 BMI) and they have small breasts that a baby can access easily, grasp a good proportion of, and the nipples seem to be everted. I notice that many babies sort of biologically slurp in the nipple but end up with a good latch and swallowing. In addition, it is very hard for large women to position themselves comfortably and have the baby near their core, and to also handle very large and heavy breasts and the baby too. Again, I look to the primates that seem to have more nipple than breast.
Just an observation and frustration, I guess. I wonder about you ladies who live in countries where most women are thin, what is your take on this?
Laurie Wheeler RN MN IBCLC
MISSISSIPPI USA
Laurie Wheeler | RN | Nursing | BMH-UNION COUNTY
Phone: (662) 538-2395 | [log in to unmask]
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