Evidence map›Paper›PMID 25347705›Full record

ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine2014

Health professionals' experiences providing breastfeeding-related care for obese women.

Christine D Garner, Stephannie L Ratcliff, Carol M Devine, Loralei L Thornburg, Kathleen M Rasmussen

Open access · greenAbstract read
In one paragraph

Article in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Structural weight stigma in healthcare toward preconception, pregnant, and postpartum women: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
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  13. Health professionals' experiences providing breastfeeding-related care for obese women.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2014
    Article
  14. Discontinuity of Breastfeeding Care: "There's No Captain of the Ship".Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Christine D Garner1 Division of Nutritional Sciences, Cornell University , Ithaca, New York.
Stephannie L Ratcliff
Carol M Devine
Loralei L Thornburg
Kathleen M Rasmussen
Cornell University · USUniversity of Rochester · US

Funding

TRAINING IN MATERNAL AND CHILD NUTRITIONT32HD007331 · NICHD · CORNELL UNIVERSITY ITHACA · PI RASMUSSEN, KATHLEEN M · 1987 to 2013
$1.3M
The University of Rochester Clinical and Translational Science InstituteTL1TR000096 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$930k
NCATS NIH HHS TL1 TR000096NICHD NIH HHS 5 T32 HD007331
6 · The paper itself

Abstract

backgroundObese women are at high risk of early breastfeeding cessation, and health professionals (HPs) have a unique opportunity to provide them with breastfeeding support. Our objective was to describe HPs' experiences providing breastfeeding care for obese women during the prenatal, peripartum, and postpartum periods. MATERIALS AND

methodsIn-depth, qualitative interviews were conducted with 34 HPs (including obstetricians, midwives, pediatricians, nurses, and lactation consultants) who care for pregnant or lactating women. They were recruited from a variety of settings in central New York. Interviews were audio-recorded, transcribed, verified for accuracy, and then analyzed qualitatively.

resultsHPs identified obesity in multiple ways, some of which were consistent with standard cutoffs, whereas others implied extreme obesity. Nearly all HPs discussed ways they perceive obese women have challenges with breastfeeding. Some HPs described challenges as specific to obese women (e.g., limited mobility), whereas others described challenges as universal but more likely to occur among obese women (e.g., difficulties positioning the infant to breastfeed). Across professions, HPs described providing breastfeeding care for obese women as requiring more time and physical work and as being more challenging. HPs acknowledged stigma around obesity and discussed treating obese women with dignity and the same as other women. Strategies were suggested for improving breastfeeding support for obese women.

conclusionsHPs identified multiple challenges that obese women encounter with breastfeeding, as well as their own challenges with providing care. Comprehensive strategies are needed to assist obese women with breastfeeding and to alleviate strain on HPs who provide their care.

Indexed as

Attitude of Health PersonnelBreast FeedingHealth PersonnelMidwiferyAnxietyBreastChoice BehaviorFemaleHumansInfantInfant, NewbornLactationMaleMothersObesityPatient Education as Topic

Identifiers

PMID25347705
PMCPMC4267547
OpenAlexW2322554354

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.