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  • What the research tells us about the larger bodied woman and breastfeeding + supportive clinical skills. Dr Kate Rassie video presentation 11 March 2025
  • Woman-centred language and weight-inclusive care of breastfeeding and lactating women
  • 'Intuitive eating' in the perinatal period

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  • CH 4: The larger bodied woman and lactation

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

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Neuroprotective Developmental Care (or the Possums programs) uses destigmatised language to describe women's bodies

A woman centred approach which counters weight stigma has been a fundamental part of the NDC approach to breastfeeding and lactation from the beginning of the development of the programs. To avoid body stigma, NDC uses carefully chosen words to describe women's bodies, such as generous or delicate or petite to describe breast size, landing pad and breast-tummy contour to describe physical configurations, and goes back to the research to celebrate the wide range of anatomical and functional variation which characterises normal women's bodies.

This woman-centred NDC approach to breastfeeding medicine avoids weight or body stigma by ensuring that…

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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.