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Body image concerns during pregnancy are associated with a shorter breast feeding duration.
Midwifery. 2015 Jan; 31(1):80-9.M

Abstract

OBJECTIVE

breast feeding is affected by numerous psycho-social factors. Antenatal concerns such as embarrassment regarding public feeding and the impact of breast feeding upon breast shape are known to lead to artificial milk use. However, although work has explored the relationship between maternal weight and infant feeding, wider body image concerns have not been examined. The aim of the current study was to explore the association between maternal body image concerns during pregnancy upon intended and actual breast feeding duration.

DESIGN

a two stage self report questionnaire completed during pregnancy and at six months post partum.

SETTING

mothers were recruited from local mother and infant groups, nurseries and online mother and infant forums.

PARTICIPANTS

128 pregnant women completed both stages.

MEASURES

phase one: completion of a questionnaire exploring body image during pregnancy (concerns about stretch marks, weight gain and appearance) and planned breast feeding duration during the second/third trimester of pregnancy (body image, weight, intended duration) followed by a second questionnaire measuring actual breast feeding duration and breast feeding experiences.

FINDINGS

factor analysis revealed three primary body image concerns: pregnancy body image, prospective postnatal body image and dieting during pregnancy. Higher concerns on all three factors were associated with both intended and actual shorter breast feeding duration. Amongst mothers who stopped breast feeding before six months, those with higher body image concerns were more likely to report stopping due to embarrassment or the perceived impact upon their breast shape. The relationship was not explained by maternal weight, although a higher residual weight gain at six months was associated with a shorter breast feeding duration.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

mothers who are affected negatively by changes to their body during pregnancy may be less likely to plan to or initiate breast feeding potentially due to underlying issues such as embarrassment or perceived impact of feeding upon their appearance. The findings are important to those working with women during pregnancy and the postpartum period in understanding the impact of body image upon intention and ability to initiate and continue breast feeding.

Authors+Show Affiliations

Department of Public Health and Policy Studies, Swansea University, Swansea SA2 8PP, UK. Electronic address: a.e.brown@swansea.ac.uk.Department of Public Health and Policy Studies, Swansea University, Swansea SA2 8PP, UK.School of Healthcare Sciences, Cardiff University, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25151278

Citation

Brown, Amy, et al. "Body Image Concerns During Pregnancy Are Associated With a Shorter Breast Feeding Duration." Midwifery, vol. 31, no. 1, 2015, pp. 80-9.
Brown A, Rance J, Warren L. Body image concerns during pregnancy are associated with a shorter breast feeding duration. Midwifery. 2015;31(1):80-9.
Brown, A., Rance, J., & Warren, L. (2015). Body image concerns during pregnancy are associated with a shorter breast feeding duration. Midwifery, 31(1), 80-9. https://doi.org/10.1016/j.midw.2014.06.003
Brown A, Rance J, Warren L. Body Image Concerns During Pregnancy Are Associated With a Shorter Breast Feeding Duration. Midwifery. 2015;31(1):80-9. PubMed PMID: 25151278.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body image concerns during pregnancy are associated with a shorter breast feeding duration. AU - Brown,Amy, AU - Rance,J, AU - Warren,L, Y1 - 2014/07/02/ PY - 2014/02/25/received PY - 2014/06/10/revised PY - 2014/06/16/accepted PY - 2014/8/25/entrez PY - 2014/8/26/pubmed PY - 2016/12/15/medline KW - Attitudes KW - Body image KW - Breast feeding KW - Public feeding KW - Weight gain SP - 80 EP - 9 JF - Midwifery JO - Midwifery VL - 31 IS - 1 N2 - OBJECTIVE: breast feeding is affected by numerous psycho-social factors. Antenatal concerns such as embarrassment regarding public feeding and the impact of breast feeding upon breast shape are known to lead to artificial milk use. However, although work has explored the relationship between maternal weight and infant feeding, wider body image concerns have not been examined. The aim of the current study was to explore the association between maternal body image concerns during pregnancy upon intended and actual breast feeding duration. DESIGN: a two stage self report questionnaire completed during pregnancy and at six months post partum. SETTING: mothers were recruited from local mother and infant groups, nurseries and online mother and infant forums. PARTICIPANTS: 128 pregnant women completed both stages. MEASURES: phase one: completion of a questionnaire exploring body image during pregnancy (concerns about stretch marks, weight gain and appearance) and planned breast feeding duration during the second/third trimester of pregnancy (body image, weight, intended duration) followed by a second questionnaire measuring actual breast feeding duration and breast feeding experiences. FINDINGS: factor analysis revealed three primary body image concerns: pregnancy body image, prospective postnatal body image and dieting during pregnancy. Higher concerns on all three factors were associated with both intended and actual shorter breast feeding duration. Amongst mothers who stopped breast feeding before six months, those with higher body image concerns were more likely to report stopping due to embarrassment or the perceived impact upon their breast shape. The relationship was not explained by maternal weight, although a higher residual weight gain at six months was associated with a shorter breast feeding duration. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: mothers who are affected negatively by changes to their body during pregnancy may be less likely to plan to or initiate breast feeding potentially due to underlying issues such as embarrassment or perceived impact of feeding upon their appearance. The findings are important to those working with women during pregnancy and the postpartum period in understanding the impact of body image upon intention and ability to initiate and continue breast feeding. SN - 1532-3099 UR - https://www.unboundmedicine.com/medline/citation/25151278/Body_image_concerns_during_pregnancy_are_associated_with_a_shorter_breast_feeding_duration_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-6138(14)00171-5 DB - PRIME DP - Unbound Medicine ER -