In light of the obesity studies, I have to add that I think the point of the
research is to be on the alert for breastfeeding problems with obese and
overweight mothers, and to be sure that extra support is provided.  I do not
believe it was the intention of the authors to say that overweight mothers
could not breastfeed, and therefore shouldn't try, but merely that they are
more likely to need extra support in the initiation of breastfeeding if their
prolactin release is indeed inhibited.  I believe it is always of value to
identify a population at greater risk of not breastfeeding in order to provide
them with the additional support they may need.

Reporting from the utopian world where at-risk populations really get the extra
support they need!

Kirsten Berggren, PhD

Quoting Pamela Mazzella Di Bosco <[log in to unmask]>:

> Well, maybe that means I am not really obese?  Nope.  Can't be that.  I
> never
> had supply issues with any of my normal births or vaginal births. However,
> my
> csection with twins---another story.  Obese? Always since my first
> pregnancy.
>   How obese do you think they mean?  I mean there is obese, and then there
> is
> obese.  You know?  I agree with Valerie that by not controlling for birth
> and
> breastfeeding access the study is flawed.  Was obesity the only factor or
> was
> their underlying factors that caused the obesity, etc.  Too many variables
> unaccounted for and I know far too many obese women with no issues of milk
> supply to ever use it to tell a obese mom her chances of breastfeeding
> success with
> a full supply is an issue.
>
> Best,
> Pam MazzellaDiBosco
>
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