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Caesarean section and image consciousness among barriers to breast feeding for obese women
  1. Sally Wai-chi Chan
  1. School of Nursing & Midwifery, University of Newcastle, Callaghan, New South Wales, Australia
  1. Correspondence to: Professor Sally Wai-chi Chan, School of Nursing & Midwifery, University of Newcastle, Callaghan, NSW 2308, Australia; sally.chan{at}

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Implications for practice and research

  • Healthcare professionals need additional training to increase their knowledge and skills in supporting breast feeding in obese women.

  • Hospital policy and practice should support early skin-to-skin contact and enhance women's privacy in postnatal wards.

  • Future studies can evaluate the outcomes of specific home-based breastfeeding support for obese women.


Evidence supports the benefits of breast feeding to both infants and mothers. Breast feeding is the most advantageous feeding option for infants and the WHO recommends breast feeding exclusively for the first 6 months of life for healthy term infants.1 However, rates for initiation and continuation of breast feeding fall short of the WHO recommendations in many …

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  • Competing interests None declared.