Document Detail


Maternal obesity, psychological factors, and breastfeeding initiation.
MedLine Citation:
PMID:  21492019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Maternal obesity has been associated with lower initiation of breastfeeding, but reasons for why this association exists have not been well studied. In this study, we examined associations among prepregnancy obesity, psychological factors during pregnancy, and breastfeeding initiation.
METHODS: Data came from the postpartum component of the Pregnancy, Infection, and Nutrition study, a prospective cohort study. Pregnant women were recruited from the University of North Carolina hospitals between January 2001 and June 2005. This analysis used data from 688 women followed from pregnancy to 3 months postpartum. Multivariable binomial regression was used to determine the association between having a body mass index (BMI) >26 kg/m(2) before pregnancy and breastfeeding initiation. We tested for mediation of the association between pregravid BMI and breastfeeding initiation by certain psychological factors during pregnancy (depressive symptoms, perceived stress, anxiety, and self-esteem).
RESULTS: Women who began pregnancy overweight or obese (BMI >26 kg/m(2)) had almost four times the risk of not initiating breastfeeding compared with underweight or normal weight women (BMI ≤26 kg/m(2)) (risk ratio = 3.94 [95% confidence interval 2.17, 7.18]) after adjusting for race, poverty level, education level, and marital status. Depressive symptoms, perceived stress, anxiety, and self-esteem levels during pregnancy were not found to mediate the association between pregravid BMI and breastfeeding initiation.
CONCLUSIONS: Women who started pregnancy either overweight or obese were more likely to not initiate breastfeeding. Contrary to expectations, pregnancy-related psychological factors did not influence this relationship.
Authors:
Ushma J Mehta; Anna Maria Siega-Riz; Amy H Herring; Linda S Adair; Margaret E Bentley
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-04-14
Journal Detail:
Title:  Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine     Volume:  6     ISSN:  1556-8342     ISO Abbreviation:  Breastfeed Med     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-02     Completed Date:  2012-03-29     Revised Date:  2014-04-17    
Medline Journal Info:
Nlm Unique ID:  101260777     Medline TA:  Breastfeed Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  369-76     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Breast Feeding / psychology*,  statistics & numerical data*
Cohort Studies
Female
Humans
Infant, Newborn
Maternal Behavior
Maternal Health Services
Mothers / psychology*,  statistics & numerical data
North Carolina / epidemiology
Obesity / complications,  psychology*
Odds Ratio
Overweight / psychology
Postpartum Period / psychology
Pregnancy
Prospective Studies
Questionnaires
Grant Support
ID/Acronym/Agency:
DK56350/DK/NIDDK NIH HHS; DK61981/DK/NIDDK NIH HHS; HD37584/HD/NICHD NIH HHS; HD39373/HD/NICHD NIH HHS; P30 ES010126/ES/NIEHS NIH HHS; R24 HD050924/HD/NICHD NIH HHS
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