In einer eMail vom 13-5-04 18:37:14 West-Europa (zomertijd) schreibt
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> 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.
>

Kirsten, I totally agree. But I still would like to know why overweight or
obesity reduce breastfeeding initiation and/or duration and/or succes? Is it
difficulty in handling and latching the baby? And therefor not enough or not
effective milkremoval and thus ineffective prolactine stimulation? Or could there
really be a mechanisme in overweight/obese women that inhibits functional
prolactin release? Or could there be a factor that easily leads to both
overweight/obesity and ineffective prolactin function?
I do know the fact of a link betweenmaternal weight and bf numbers do come up
every now and then. In the netherlands there are big population statistics
every so many years and in the last this connection did turn up as well.
(Obesity, maternal smoking, low maternal educational level and low socio-economic
status were associated with lower bf incidence/duration)

Warmly greeting,

Gonneke van Veldhuizen, IBCLC, LLLL
Germany - The Netherlands

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