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Type: Journal article
Title: Breastfeeding and obesity in PCOS
Author: Harrison, C.
Teede, H.
Joham, A.
Moran, L.
Citation: Expert Review of Endocrinology and Metabolism, 2016; 11(6):449-454
Publisher: Taylor & Francis
Issue Date: 2016
ISSN: 1744-6651
Statement of
C. L. Harrison, H. J. Teede, A. E. Joham and L. J. Moran
Abstract: Introduction: Polycystic ovary syndrome (PCOS), a common condition affecting up to 18% of reproductive- aged women, has complications including reproductive, metabolic and psychological dysfunction. There is a strong potentially bidirectional association of obesity with PCOS. Women with PCOS both have a higher risk of obesity and greater longitudinal weight gain and obesity increases the prevalence and severity of the reproductive, metabolic and psychological features of PCOS. In limited observational studies, PCOS is proposed as a potential factor contributing to lower breastfeeding initiation and duration. Areas covered: A narrative review using PubMed was performed covering the areas of the association of obesity and PCOS with breastfeeding success and interventions for improving breastfeeding success. Obesity impacts on breastfeeding success related to factors including impaired lactogenesis, mechanical difficulties, psychological considerations and an increased likelihood of having a caesarean section. The common coexistence of obesity in PCOS is the likely key contributor to the breastfeeding problems observed in PCOS, given the contribution of obesity to reduced breastfeeding initiation and duration. Expert review: Facilitating breastfeeding is crucial for optimising maternal and infant health benefits, highlighting the importance of lactation support for overweight and obese women with or without PCOS.
Keywords: Polycystic ovary syndrome; lactation; obesity; insulin resistance; hyperandrogenism; weight gain
Description: Published online 27 September 2016
Rights: © 2016 Informa UK Limited, trading as Taylor & Francis Group
RMID: 0030082263
DOI: 10.1080/17446651.2016.1239523
Appears in Collections:Obstetrics and Gynaecology publications

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