Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21735
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dc.contributor.authorKeely, Aliceen_UK
dc.contributor.authorLawton, Juliaen_UK
dc.contributor.authorSwanson, Vivienen_UK
dc.contributor.authorDenison, Fiona Cen_UK
dc.date.accessioned2015-05-16T03:02:44Z-
dc.date.available2015-05-16T03:02:44Z-
dc.date.issued2015-05en_UK
dc.identifier.urihttp://hdl.handle.net/1893/21735-
dc.description.abstractObjective: to explore the factors that influence breast-feeding practices in obese women who had either stopped breast-feeding or were no longer exclusively breast-feeding 6-10 weeks following the birth of their babies, despite an original intention to do so for 16 weeks or longer. Specifically (i) to identify the barriers to successful breast-feeding and reasons for introducing formula and/or stopping breast-feeding, and (ii) to explore the women׳s views and experiences of current breast-feeding support services. Design: descriptive, qualitative study comprising semi-structured face-to-face interviews. Interviews were audio recorded and transcribed. The data were analysed using thematic analysis. Setting: participants recruited from one large maternity unit in Scotland and interviewed in their homes. Participants: 28 obese women at 6-10 weeks following birth. Findings: three major themes emerged from the data analysis: the impact of birth complications, a lack of privacy, and a low uptake of specialist breast-feeding support. Impact of birth complications: 19 of 28 women had given birth by caesarean section and some felt this led to feeling ‘out of it' post-operatively, a delay in establishing skin-to-skin contact, and in establishing breast-feeding. Lack of privacy; several women described reluctance to breast feed in front of others, difficulties in achieving privacy, in hospital, at home and in public. Low uptake of postnatal breast-feeding support; despite experiencing problems such as physical difficulties during breast-feeding or a perception of low milk supply, breast-feeding support services were underused by this sample of women. A small number of the women in this study used breast-feeding clinics and reported finding these useful. A further small number felt they benefitted from the support of a friend who was successfully breast-feeding. Conclusion and implications for practice: midwives should be mindful of the presence of additional factors alongside maternal obesity, such as caesarean delivery, physical difficulties when breast-feeding, poor body image, and lack of confidence about sufficient milk supply. Scope for innovation within hospital policies with regard to both the facilitation of early skin-to-skin contact and privacy in postnatal accommodation could be explored in future research. Women should be provided with information about the provision and specific purpose of breast-feeding support groups and services and encouraged to access these services when appropriate. Future research could assess the usefulness of sustained breast-feeding support by health professionals, as well as partner involvement and formal peer support for this group of women. The education and training needs of health professionals in terms of supporting this group of women to breast feed may also usefully be explored.en_UK
dc.language.isoenen_UK
dc.publisherElsevieren_UK
dc.relationKeely A, Lawton J, Swanson V & Denison FC (2015) Barriers to breastfeeding in obese women: a qualitative exploration. Midwifery, 31 (5), pp. 532-539. https://doi.org/10.1016/j.midw.2015.02.001en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectBreast-feedingen_UK
dc.subjectObesityen_UK
dc.subjectCaesarean sectionen_UK
dc.titleBarriers to breastfeeding in obese women: a qualitative explorationen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate3000-01-01en_UK
dc.rights.embargoreason[Swanson_Midwifery_2015.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1016/j.midw.2015.02.001en_UK
dc.citation.jtitleMidwiferyen_UK
dc.citation.issn0266-6138en_UK
dc.citation.volume31en_UK
dc.citation.issue5en_UK
dc.citation.spage532en_UK
dc.citation.epage539en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailvivien.swanson@stir.ac.uken_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.identifier.isiWOS:000353526200009en_UK
dc.identifier.scopusid2-s2.0-84923410329en_UK
dc.identifier.wtid619576en_UK
dc.contributor.orcid0000-0002-1685-2991en_UK
dc.date.accepted2015-02-01en_UK
dcterms.dateAccepted2015-02-01en_UK
dc.date.filedepositdate2015-05-05en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorKeely, Alice|en_UK
local.rioxx.authorLawton, Julia|en_UK
local.rioxx.authorSwanson, Vivien|0000-0002-1685-2991en_UK
local.rioxx.authorDenison, Fiona C|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate3000-01-01en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameSwanson_Midwifery_2015.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0266-6138en_UK
Appears in Collections:Psychology Journal Articles

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