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  • Diabetes, Polycystic Ovary Syndrome, Insufficient Glandular Tissue, and lactation. Dr Kate Rassie video presentation 8_10_24
  • KEY CLINICAL TIPS: Diabetes, Polycystic Ovary Syndrome, delayed onset of secretory activation, and breastfeeding
  • What the research tells us about the larger bodied woman and breastfeeding + supportive clinical skills. Dr Kate Rassie video presentation 11 March 2025
  • KEY CLINICAL TIPS: Obesity and breastfeeding
  • Impact of maternal breast development, diet and diabetes on milk production and composition. Video presentation by Professor Donna Geddes 26 November 2024

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  • PBL Advanced
  • S9: Milk production: models, mechanisms, management, evolutionarily-aligned breastfeeding patterns
  • CH 4: Low supply: when breastmilk production is less than the infant's caloric needs in exclusive breastfeeding
  • PT 4.2: Metabolic dysfunction

What the research tells us about the larger bodied woman and breastfeeding + supportive clinical skills. Dr Kate Rassie video presentation 11 March 2025

Dr Pamela Douglas12th of Mar 20256th of Jan 2026

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Weight-inclusive, destigmatising care of breastfeeding and lactating women

Neuroprotective Developmental Care (or the Possums programs) supports the use of respectful language which is woman-centred and avoids the stigmatising of larger bodied women.

This presentation on larger bodied women and breastfeeding, below, is by endocrinologist Dr Kate Rassie MBChB FRACP Dr Rassie works at Monash Health and Jean Hailes for Women's Health, Melbourne, Australia, and is finalising a PhD at the Monash Centre for Health Research and Implementation, Monash University).

Time stamps

Topic Pdf slide number Time stamp
Obesity pathophysiology 5-14 02:58mins
Obesity stigma 15-17 16:19mins
Impacts of obesity on breastfeeding 18-35 18:53mins
Optimising breastfeeding for women with obesity 36-42 36:01mins
Weight (and weight loss) during breastfeeding 43-50 45:39mins

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Recommended resources

Woman-centred language and weight-inclusive care of breastfeeding and lactating women

'Intuitive eating' in the perinatal period

Eight-week-old Jamal who'd previously been unable to feed from his generous-breasted mother has a long drink at her breast then falls asleep in our consultation

What works best for you and your baby when you have a generous breast?

A woman-centred approach to weight stigma (downloadable pdf)

The body positive birth alliance

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Next up in Metabolic dysfunction

KEY CLINICAL TIPS: Obesity and breastfeeding

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Ten useful things to know when consulting with larger-bodied breastfeeding or lactating women

  1. 50% of Australian mothers entering pregnancy are affected by overweight or obesity.

  2. Genetic contribution to adult BMI is 40-70% - obesity is polygenetic.

  3. One biological parent with obesity increases a woman's risk of developing obesity three to four times; two parents increases risk tenfold.

  4. Diets only work in the short term.

  5. We need to address weight stigma with respect and careful use of language e.g. "living with obesity", "larger-bodied woman", "movement" (instead of exercise), "low-inflammatory diet patterns" and "reduced processed foods" (instead of talk of calories and portion sizes), person-centred languages.

  6. Breastfeeding…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.