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Maternal obesity, psychological factors, and breastfeeding initiation.
Breastfeed Med 2011; 6(6):369-76BM

Abstract

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+Show Affiliations

Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA. umehta@email.unc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21492019

Citation

Mehta, Ushma J., et al. "Maternal Obesity, Psychological Factors, and Breastfeeding Initiation." Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, vol. 6, no. 6, 2011, pp. 369-76.
Mehta UJ, Siega-Riz AM, Herring AH, et al. Maternal obesity, psychological factors, and breastfeeding initiation. Breastfeed Med. 2011;6(6):369-76.
Mehta, U. J., Siega-Riz, A. M., Herring, A. H., Adair, L. S., & Bentley, M. E. (2011). Maternal obesity, psychological factors, and breastfeeding initiation. Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, 6(6), pp. 369-76. doi:10.1089/bfm.2010.0052.
Mehta UJ, et al. Maternal Obesity, Psychological Factors, and Breastfeeding Initiation. Breastfeed Med. 2011;6(6):369-76. PubMed PMID: 21492019.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal obesity, psychological factors, and breastfeeding initiation. AU - Mehta,Ushma J, AU - Siega-Riz,Anna Maria, AU - Herring,Amy H, AU - Adair,Linda S, AU - Bentley,Margaret E, Y1 - 2011/04/14/ PY - 2011/4/16/entrez PY - 2011/4/16/pubmed PY - 2012/3/30/medline SP - 369 EP - 76 JF - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JO - Breastfeed Med VL - 6 IS - 6 N2 - 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. SN - 1556-8342 UR - https://www.unboundmedicine.com/medline/citation/21492019/Maternal_obesity_psychological_factors_and_breastfeeding_initiation_ L2 - https://www.liebertpub.com/doi/full/10.1089/bfm.2010.0052?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -