Thanks Rachel for your thoughtful comments.

As I think about it, of course weight gain in pregnancy itself is a
completely different issue than obesity, gross obesity and morbid obesity
prepregnancy. I think my comments were directed to the second set of
issues.

In thinking further, the progesterone storage in fat is almost a bogus
issue. So what if release from storage takes perhaps 12-24+ hours more?
Did the hospitals of birth have policies for breastfeeding initiation
within the first hour, non-separation of mother and baby, and encourage
skin to skin and feeding on cue? These are the more important questions.

The sad part about this is that all of us, but especially physicians, are
inundated with so much printed material that headlines are the attention
grabbers, and perhaps nearly all of what gets read and remembered!

That's what is said to have happened with the breastmilk and jaundice
issue when Gartner's work was published 3+ decades ago.

Let us hope that this doesn't presage a new ritual  for sacrificing
breastfeeding on the altar of ignorance by discouraging mothers whose
weight patterns don't suit the standards of their particular physicians!
One more missionary impetus for the rest of us!

Jean
*******************
K. Jean Cotterman RNC, IBCLC
who fits into one of the afore-mentioned categories of obesity, and finds
it very discouraging and difficult to change!

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