{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:57Z","timestamp":1787015637955,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T00:00:00Z","timestamp":1556236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/J500094\/1"],"award-info":[{"award-number":["ES\/J500094\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Breastfeeding has copious health benefits for both mother and child, but rates of initiation and maintenance among women with a body mass index (BMI)\u00a0\u2265\u00a030\u00a0kg\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    are low. Few interventions aiming to increase these rates have been successful, suggesting that breastfeeding behaviour in this group is not fully understood. Therefore, this review aimed to systematically identify and synthesise the qualitative literature that explored the perceptions and experiences of women with a BMI\u00a0\u2265\u00a030\u00a0kg\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    who breastfed. The search identified five eligible papers, and a meta\u2010ethnographic approach was taken to synthesise the findings. One theme was identified: \u201cweight amplifies breastfeeding difficulties,\u201d revealing that women with a BMI\u00a0\u2265\u00a030\u00a0kg\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    experience common breastfeeding difficulties to a greater degree. In particular, women with a BMI\u00a0\u2265\u00a030\u00a0kg\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    struggle with the impact of medical intervention, doubt their ability to breastfeed, and need additional support. These findings can inform understanding of breastfeeding models, future research directions, intervention development, and antenatal and post\u2010natal care for women with a BMI\u00a0\u2265\u00a030\u00a0kg\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    .\n                  <\/jats:p>","DOI":"10.1111\/mcn.12813","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T12:08:01Z","timestamp":1553256481000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The perceptions and experiences of women with a body mass index\u00a0\u2265\u00a030\u00a0kg\u00a0m\n                    <sup>2<\/sup>\n                    who breastfeed: A meta\u2010synthesis"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0416-8938","authenticated-orcid":false,"given":"Stephanie","family":"Lyons","sequence":"first","affiliation":[{"name":"Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine, and Health The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinead","family":"Currie","sequence":"additional","affiliation":[{"name":"Psychology, Faculty of Natural Sciences University of Stirling  Stirling UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Peters","sequence":"additional","affiliation":[{"name":"Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine, and Health The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Lavender","sequence":"additional","affiliation":[{"name":"Centre for Global Women's Health, Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine and Health The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine, and Health The University of Manchester  Manchester UK"},{"name":"School of Social and Health Sciences Leeds Trinity University  Horsforth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1057\/978-1-137-47831-3"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-56"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2009.00312.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-5-20"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-168"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1258\/135581902320432732"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta15430"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00064-3"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.113.059600"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0688"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312452938"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.07.008"},{"key":"e_1_2_10_14_1","unstructured":"Declerq E. R. Sakala C. Corry M. P. Applebaum S.&Herrlich A.(2013).Listening to mothers III: Pregnancy and birth. 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