Article

Learning from Women with a Body Mass Index (Bmi) ≥ 30 kg/m2 who have Breastfed and/or are Breastfeeding: a Qualitative Interview Study

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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

Keywords
Obstetrics and Gynaecology; Pediatrics, Perinatology, and Child Health; Public Health, Environmental and Occupational Health; Epidemiology

Journal
Maternal and Child Health Journal: Volume 23, Issue 5

StatusPublished
FundersEconomic and Social Research Council
Publication date15/05/2019
Publication date online04/01/2019
Date accepted by journal10/12/2018
URLhttp://hdl.handle.net/1893/28472
PublisherSpringer Nature
ISSN1092-7875
eISSN1573-6628

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People

Dr Sinead Currie
Dr Sinead Currie

Lecturer, Psychology

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