Enabling Breastfeeding for Women with Obesity

Barriers to breastfeeding: supporting initiation and continuation of breastfeeding: acog committee opinion summary, Number 821. Obstet Gynecol. 2021;137(2):396002D397. https://doi.org/10.1097/Aog.0000000000004250.

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• Garner CD, Mckenzie SA, Devine CM, Thornburg LL, Rasmussen KM. Obese women experience multiple challenges with breastfeeding that are either unique or exacerbated by their obesity: discoveries from a longitudinal, qualitative study. Matern Child Nutr. 2017;13(3). https://doi.org/10.1111/Mcn.12344This is one of the few qualitative studies to elucidate differences in the breastfeeding experience for women with obesity.

• Walker RE, Harvatine KJ, Ross AC, Wagner EA, Riddle SW, Gernand AD, et al. fatty acid transfer from blood to milk is disrupted in mothers with low milk production, obesity and inflammation. J Nutr. 2023;152(12):2716–26. https://doi.org/10.1093/Jn/Nxac220This study revealed that among a control group with normal milk productions. There was a very strong positive correlation between relative levels of long-chain fatty acids in blood and milk, but in cases of very low milk production. There was not a correlation between relative levels of long-chain fatty acids in blood and milk. This finding supports the hypothesis that in women with low milk supply in the presence of obesity and inflammation, there is disruption in the transfer of long-chain fatty acids from blood to milk, depriving the mammary gland of substrate for fuel and milk lipid synthesis.

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