title: Body image and breastfeeding practices in obese mothers.
abstract: OBJECTIVE
  This study analyzed body image perceptions and breastfeeding practices in obese mothers.
  
  
  METHODS
  Prospective, case-control study on 25 obese (BMI >30 kg/m(2)) and 25 normal-weight puerperae, matched for parity and delivery route. The participants completed the Body Uneasiness Test, a two-part, self-report questionnaire, investigating body image perception before they were discharged from hospital and participated in telephone interviews concerning breastfeeding practices.
  
  
  RESULTS
  Obese women demonstrated body image dissatisfaction related to their obesity. On average, they reported significantly higher scores on Global Severity Index (p < 0.0001) and on all of the BUT-A subscales: Weight Phobia (p < 0.02), Body Image Concerns (p < 0.0001), Avoidance (p < 0.0001), Compulsive Self-Monitoring (p < 0.01), and Depersonalization (p = 0.002) than did normal-weight puerperae. Moreover, they also had higher BUT-B scores and the Positive Symptom Total was significantly higher (p < 0.002). Finally, while breastfeeding practices at discharge were similar in the two groups, the obese mothers were more likely to maintain full breastfeeding at 6 months (p < 0.04).
  
  
  CONCLUSIONS
  Obese mothers have negative body image perceptions but they maintain full breastfeeding longer.
authors.affiliation: Department of Pediatrics, University of Padua School of Medicine, Via Giustiniani 3, 35128, Padua, Italy, vincenzo.zanardo@libero.it.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Zanardo
authors.forename: Irene
authors.initials: I
authors.lastname: Gambina
authors.forename: Maria Elena
authors.initials: ME
authors.lastname: Nicoló
authors.forename: Arturo
authors.initials: A
authors.lastname: Giustardi
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.forename: Gianluca
authors.initials: G
authors.lastname: Straface
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
mesh_terms: D000328:Adult; D001828:Body Image / Q000523:psychology*; D001942:Breast Feeding / Q000523:psychology* / Q000706:statistics & numerical data; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D009765:Obesity / Q000523:psychology*; D011581:Psychological Tests; D011795:Surveys and Questionnaires
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