Chang, Yan-Shing, Glaria, Amaia Artazcoz, Davie, Philippa, Beake, Sarah and Bick, Debra (2019) Breastfeeding experiences and support for women who are overweight or obese : a mixed methods systematic review. Maternal & Child Nutrition . e12865. doi:10.1111/mcn.12865

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Abstract

Women who are overweight or obese have increased health risks during and beyond pregnancy, with consequences for their infants’ shorter and longer‐term health. Exclusive breastfeeding to six months has many benefits for women and their infants. However, women who are overweight or obese have lower rates of breastfeeding intention, initiation and duration compared to women with normal weight. This systematic review aimed to examine evidence of i) breastfeeding barriers and support experienced and perceived by women who are overweight or obese, ii) support shown to be effective in increasing breastfeeding initiation and duration among these women, and iii) perceptions of healthcare professionals, peer supporters, partners and family members regarding providing breastfeeding support to these women. Sixteen quantitative and qualitative papers were included and critically appraised. Thematic synthesis was undertaken to obtain findings. Maternal physical barriers such as larger breasts, difficulties of positioning to breastfeed, delayed onset of lactation, perceived insufficient supply of breast milk, and impact of caesarean birth were evident. Maternal psychological barriers including low confidence in ability to breastfeed, negative body image, embarrassment at breastfeeding in public and experiencing stigma of obesity were also described. Support from healthcare professionals and family members influenced breastfeeding outcomes. Education for maternity care professionals is needed to enable them to provide tailored, evidence‐based support to women who are overweight or obese who want to breastfeed. Research on healthcare professionals, partners and family members’ experiences and views on supporting this group of women to breastfeed is needed to support development of appropriate interventions.

Item Type:	Journal Article
Subjects:	R Medicine > RJ Pediatrics
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Breastfeeding, Obesity in women, Overweight women
Journal or Publication Title:	Maternal & Child Nutrition
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	1740-8695
Official Date:	25 June 2019
Dates:	Date Event 25 June 2019 Available 19 June 2019 Accepted
Article Number:	e12865
DOI:	10.1111/mcn.12865
Status:	Peer Reviewed
Publication Status:	Published
Publisher Statement:	"This is the peer reviewed version of the following article:Chang, Y‐S, Glaria, AA, Davie, P, Beake, S, Bick, D. Breastfeeding experiences and support for women who are overweight or obese: A mixed methods systematic review. Matern Child Nutr. 2019 ;e12865 , which has been published in final form at https://doi.org/10.1111/mcn.12865. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."
Access rights to Published version:	Restricted or Subscription Access
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID UNSPECIFIED Burdett Trust for Nursing http://dx.doi.org/10.13039/501100000386 UNSPECIFIED National Institute for Health Research (NIHR). Collaboration for Leadership in Applied Health Research and Care South London UNSPECIFIED UNSPECIFIED King's College Hospital NHS Foundation Trust http://dx.doi.org/10.13039/100010872

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