The association of maternal pre-pregnancy body mass index with breastfeeding initiation
Abstract
Objective: evaluate incidence of breastfeeding initiation according to maternal pre-pregnancy body mass index (BMI) in the first 48 hours postpartum.
Patients and methods: A prospective cohort study included 101 pregnant women with a single live pregnancy. The BMI pre-pregnancy was calculated and divided into 4 groups. Log-binomial regression analyses were performed to assess relative risk (RR) of non-initiation of breastfeeding between maternal BMI categories after exclusion of variables with a mediating effect. The duration of the research was one year, from February 2020 to February 2021.
Results: Breastfeeding was initiated among 81.2% of the research sample. 83.6% of normal weight women started breastfeeding compared to 64.7% of obese women (RRunadj 3.4 95% CI [1.7-5.9]). The obese group remained less likely to initiate breastfeeding even after adjusting for prenatal, perinatal and neonatal factors (RRadj 2.3 95% CI [1.2-3.1]).
Conclusion: obese women are twice less likely than normal weight women to initiate
breastfeeding in the immediate postpartum period.
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