Maternal obesity, health status during pregnancy, and breastfeeding initiation and duration

Kitsantas, Panagiota; Pawloski, Lisa

doi:10.1080/14767050903118270

Cited by 24 publications

(34 citation statements)

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“…11,15,16,[18][19][20][21][22][23] Of the 13 studies that evaluated BF duration, 10 found an association between maternal obesity or overweight and reduced duration of BF [17][18][19][20][21][23][24][25] (Table 1). For some of the studies, the results were heterogeneous (present for BF initiation but not duration, or vice versa), or the association was present only for specific population groups and not others.…”

Section: Resultsmentioning

confidence: 99%

“…However, these three studies did not conduct a stratified analysis to assess the interaction between obesity and race=ethnicity, as did Kugyelka et al 19 and Liu et al 21 but rather adjusted for race=ethnicity in the analysis. After adjustments, Li et al, 20 Kitsantas and Pawloski, 18 and Oddy et al 24 continued to find an association between maternal overweight=obesity and reduced BF duration and increased risk for failure to initiate BF.…”

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

“…21 Similarly, 2 of the 10 studies that found an association between overweight=obesity and BF duration found these relationships significant only for Hispanics but not African Americans 19 and only white Americans but not African Americans. 21 Most of the studies in the review were conducted exclusively with white, European-origin women in spite of the diverse international locations (e.g., Canada, France, Russia), with the exception of the studies by Li et al 20 and by Kitsantas and Pawloski, 18 which had sizable Hispanic and African American groups. The Australian study by Oddy et al 24 had a small Asian and Aboriginal minority group.…”

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

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Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Wojcicki

2011

Journal of Women's Health

172

122

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Background: Previous studies have found an association between maternal obesity and overweight and breastfeeding (BF) difficulties, including delayed lactogenesis and shorter duration of BF. Biological, psychological, and mechanical causes have been linked with poor BF outcomes. Other review articles on this topic have included studies that measured maternal body mass index (BMI) in the postpartum period instead of prenatally, presenting difficulties in teasing out the role of gestational weight gain and prepregnancy BMI on BF success. My objective was to evaluate the relationship between maternal prepregnancy BMI, including comorbidites associated with overweight and obesity such as diabetes mellitus, and BF initiation and duration. Methods: Four PubMed searches were conducted, retrieving 13 articles. Results: Of the 12 studies reviewed that assessed the association between prepregnancy maternal BMI category and BF initiation, 9 found an association between maternal overweight or obesity and delayed lactogenesis or failure to initiate BF. One study found increased risk for not initiating BF only in Hispanic women, and 1 found the association only among women with medical comorbidities in addition to obesity. Of the 13 studies retrieved that assessed the association between BMI category and BF duration, 10 found an association between higher BMI categories and shorter duration of BF. Ten of the 13 studies reviewed adjusted for multiple confounders, including maternal smoking status, parity, type of delivery, and infant birthweight. The studies that found an association between BMI category and reduced duration did so in some cases only for certain ethnic=racial groups or BMI categories or if other comorbidities were present in addition to overweight=obesity. Conclusions: Higher BMI levels can adversely impact BF initiation and duration. Further studies need to be conducted to better understand the role of race=ethnicity, gestational weight gain, and such comorbidities as diabetes in increasing risk for reduced BF initiation and duration in overweight and obese women.

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Section: Resultsmentioning

confidence: 99%

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

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Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Wojcicki

2011

Journal of Women's Health

172

122

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“…Thus, maternal obesity, before or during gestation, has been associated with delayed onset and shorter duration of lactation. 19,20 Obese mothers are at increased risk for prolonged labor, excessive stress at delivery and present a higher prevalence of cesarean section than non-obese ones, factors that delay lactogenesis II, when a greater milk secretion is stimulated by prolactin. 12 Regarding this, Rasmussen and Kjolhede 21 observed that prior to lactogenesis II, overweight or obese women had lower levels of prolactin in response to suction, suggesting that the onset, and not only the duration of breastfeeding, is negatively affected by the maternal body mass index (BMI).Overweight and obese women show elevated levels of hormones produced or stored in the adipose tissue.…”

Section: Breastfeedingmentioning

confidence: 99%

Maternal behavioral factors influencing postpartum weight retention. Clinical and metabolic implications

Falivene

Orden

2017

Rev. Bras. Saude Mater. Infant.

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“…Studies of populations in the United States (Kitsantas & Pawloski, 2009;Li et al, 2003) and elsewhere (Baker, Michaelsen, Sorensen & Rasmussen, 2007;Donath & Amir, 2008;Guelinckx, Devlieger, Bagaerts, Pauwels & Vansant, 2011;Mok et al, 2008) have found that overweight and obese mothers were less likely to initiate breastfeeding compared to normal weight women, and that they ceased breastfeeding earlier than normal weight women.…”

Section: Introductionmentioning

confidence: 99%

Clinically overweight and obese mothers and low rates of breastfeeding: Exploring women's perspectives

Massov¹

2015

nzconjnl

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Background: It is universally recognised that breastmilk is the best food for babies and that breastfeeding provides significant health benefits for both mothers and babies. Women who are overweight or obese have lower rates of initiation and duration of breastfeeding. There is a need to understand the woman's perspective, and any additional factors that may contribute to breastfeeding difficulties for overweight or obese women.Objective: The aims of this research were to explore the breastfeeding experiences and perspectives of a specifically recruited group of clinically overweight and obese women and to gain an understanding of what influenced their infant feeding decisions.Method: This study used a qualitative methodology. In-depth interviews were conducted with six mothers who were overweight or obese and initiated breastfeeding, but then did not continue to exclusively or fully breastfeed their babies. Using a thematic analysis the researcher identified seven themes which captured the breastfeeding experiences of these women. Findings:The women believed in the importance of breastfeeding for their babies' health, but experienced challenges with latching and perceived their breast milk supply to be insufficient. The physical challenges of large breasts and body image issues when feeding in public also contributed to early cessation of exclusive breastfeeding. This study adds to the body of knowledge on this subject and to our understanding of the association between maternal overweight and obesity and early cessation of breastfeeding. Conclusion:It is important to recognise the unique needs of overweight and obese women and provide support antenatally and postnatally. This support is crucial if we are to achieve the public health aim of reaching World Health Organization (WHO) and national targets for exclusive and full breastfeeding.

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Maternal obesity, health status during pregnancy, and breastfeeding initiation and duration

Cited by 24 publications

References 0 publications

Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Maternal behavioral factors influencing postpartum weight retention. Clinical and metabolic implications

Clinically overweight and obese mothers and low rates of breastfeeding: Exploring women's perspectives

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