Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28472
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Learning from Women with a Body Mass Index (Bmi) ≥ 30 kg/m2 who have Breastfed and/or are Breastfeeding: a Qualitative Interview Study
Author(s): Lyons, Stephanie
Currie, Sinéad
Smith, Debbie M
Keywords: Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
Public Health, Environmental and Occupational Health
Epidemiology
Issue Date: 15-May-2019
Date Deposited: 10-Jan-2019
Citation: Lyons S, Currie S & Smith DM (2019) Learning from Women with a Body Mass Index (Bmi) ≥ 30 kg/m2 who have Breastfed and/or are Breastfeeding: a Qualitative Interview Study. Maternal and Child Health Journal, 23 (5), pp. 648-656. https://doi.org/10.1007/s10995-018-2679-7
Abstract: Objectives Women with a BMI ≥ 30 kg/m2 are less likely to initiate and maintain breastfeeding compared to women with a BMI ≤ 30 kg/m2. Reasons for this disparity are not understood. Therefore, this qualitative interview study aimed to learn from women with a BMI ≥ 30 kg/m2 who have breastfed. Methods Eighteen women participated in a semi-structured telephone interview. Participants were required to have had a BMI ≥ 30 kg/m2 at the start of their pregnancy, and have breastfed and/or be currently breastfeeding. An inductive thematic analysis was used to analyze data. Results Two themes were identified: 'personal control over breastfeeding behavior' and 'realistic expectations of the breastfeeding journey'. To achieve their breastfeeding goals, women described the importance of feeling in control of their behaviors, and having realistic expecta-tions, when facing social and practical barriers. They gained this control and formed realistic expectations by seeking support and information. In particular, gaining support from other breastfeeding women with a BMI ≥ 30 kg/m2, and information about alternative positioning, and compatible clothing and nutrition helped women to breastfeed. Conclusions for Practice Having adequate information and support in order to feel in control of breastfeeding behavior and form realistic expectations are vital contributors to breastfeeding behaviors in women with a BMI ≥ 30 kg/m2. Future work is necessary to develop suitable interventions and to investigate their feasibility
DOI Link: 10.1007/s10995-018-2679-7
Rights: © The Author(s) 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Licence URL(s): http://creativecommons.org/licenses/by/4.0/

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