E-ISSN: 2619-9467

Contents    Cover    Publication Date: 15 Mar 2023
Year 2023 - Volume 33 - Issue 1

Open Access

Peer Reviewed

ORIGINAL RESEARCH
697 Viewed889 Downloaded

The Relationship Between Breastfeeding and Maternal Obesity: A Clinical Trial

Full Text PDF  
JCOG. 2023;33(1):12-21
DOI: 10.5336/jcog.2022-92482
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: There are several factors in parental infant feeding decisions including intention to breastfeed which is a strong predictor of initiation and duration of breastfeeding. We aimed to investigate the association between obesity and breastfeeding performance to help further attempts in public health intercession for maternal obesity control. We also compared breastfeeding and non-breastfeeding women regarding other demographic and clinical characteristics. Material and Methods: This prospective cohort study was conducted between December 2019 and February 2020 in the University of Health Sciences, İstanbul Kanuni Sultan Süleyman Health Training and Research Medical Center. All postpartum patients who had delivered in the past 48 hours and were still hospitalized at our center were included. Results: Obese and non-obese groups were similar in terms of age, gravidity, parity, medical history, socioeconomic condition, and education level. Breastfeeding presence, frequency and duration did not show a significant difference between groups. When the breastfeeding and non-breastfeeding patients regarding were compared their clinical and demographic characteristics, there was no significant difference between the groups except for gravidity, parity, and postpartum complication. Among them, 94.4% of patients who were breastfeeding had the wish to breastfeed and 96.1% had a history of breastfeeding in their prior pregnancies. Conclusion: Since obesity is a variable that can affect breastfeeding performance, and can have secondary effects on breastfeeding through postpartum complications, the importance of pre-pregnancy weight and weight gain during pregnancy should be shared with patients in prenatal counseling.
REFERENCES:
  1. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012;129(3):e827-41. [Crossref]  [PubMed] 
  2. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;2012(8):CD003517. [Crossref]  [PubMed]  [PMC] 
  3. Lönnerdal B. Breast milk: a truly functional food. Nutrition. 2000;16(7-8):509-11. [Crossref]  [PubMed] 
  4. Hassiotou F, Filgueira L, Trengove N, Tat Lai C, Hartmann P. Breastmilk contains primitive stem cells from the lactating breast with multi-lineage differentiation potential. Federation of American Societies for Experimental Biology. 2012;26(1):913. [Crossref] 
  5. Newburg DS, He Y. Neonatal gut microbiota and human milk glycans cooperate to attenuate infection and inflammation. Clin Obstet Gynecol. 2015;58(4):814-26. [Crossref]  [PubMed] 
  6. World Health Organization. Infant and young child feding: model chapter for textbooks for medical students and allied health professionals. Geneva: World Health Organization; 2009. [Link] 
  7. Peters SAE, Yang L, Guo Y, Chen Y, Bian Z, Du J, et al. Breastfeeding and the risk of maternal cardiovascular disease: a prospective study of 300 000 Chinese women. J Am Heart Assoc. 2017;6(6):e006081. [PubMed]  [PMC] 
  8. Choi SR, Kim YM, Cho MS, Kim SH, Shim YS. Association between duration of breast feeding and metabolic syndrome: the Korean National Health and Nutrition Examination Surveys. J Womens Health (Larchmt). 2017;26(4):361-7. [Crossref]  [PubMed] 
  9. Schwarz EB, Brown JS, Creasman JM, Stuebe A, McClure CK, Van Den Eeden SK, et al. Lactation and maternal risk of type 2 diabetes: a population-based study. Am J Med. 2010;123(9):863.e1-6. Erratum in: Am J Med. 2011;124(10):e9. [Crossref]  [PubMed]  [PMC] 
  10. Bartick MC, Schwarz EB, Green BD, Jegier BJ, Reinhold AG, Colaizy TT, et al. Suboptimal breastfeeding in the United States: Maternal and pediatric health outcomes and costs. Matern Child Nutr. 2017;13(1):e12366. Erratum in: Matern Child Nutr. 2017;13(2):null. [Crossref]  [PubMed]  [PMC] 
  11. Marshall NE, Lau B, Purnell JQ, Thornburg KL. Impact of maternal obesity and breastfeeding intention on lactation intensity and duration. Matern Child Nutr. 2019;15(2):e12732. [Crossref]  [PubMed]  [PMC] 
  12. Hauff LE, Leonard SA, Rasmussen KM. Associations of maternal obesity and psychosocial factors with breastfeeding intention, initiation, and duration. Am J Clin Nutr. 2014;99(3):524-34. [Crossref]  [PubMed]  [PMC] 
  13. Thompson LA, Zhang S, Black E, Das R, Ryngaert M, Sullivan S, Roth J. The association of maternal pre-pregnancy body mass index with breastfeeding initiation. Matern Child Health J. 2013;17(10):1842-51. [Crossref]  [PubMed] 
  14. Amir LH, Donath S. A systematic review of maternal obesity and breastfeeding intention, initiation and duration. BMC Pregnancy Childbirth. 2007;7:9. [Crossref]  [PubMed]  [PMC] 
  15. World Health Organization. Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services. Geneva: World Health Organization; 2017. [Link] 
  16. Hacettepe University Institute of Population Studies. Turkey Demographic and Health Survey Main Report 1998. 1999. [Link] 
  17. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2018 Türkiye Nüfus ve Sağlık Arştırması. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK. Ankara: Elma Teknik Basım; 2019. [Link] 
  18. Forster DA, McLachlan HL. Breastfeeding initiation and birth setting practices: a review of the literature. J Midwifery Womens Health. 2007;52(3):273-80. [Crossref]  [PubMed] 
  19. Hazar HU, Akça EU. Prenatal Emzirme Öz Yeterlilik Ölçeği: geçerlik ve güvenirlik çalışması [Prenatal Breastfeeding Self Efficacy Scale: validity and reliability study]. Turkish Archives of Pediatrics. 2018;53(4):222-30. [Link] 
  20. O'Campo P, Faden RR, Gielen AC, Wang MC. Prenatal factors associated with breastfeeding duration: recommendations for prenatal interventions. Birth. 1992;19(4):195-201. [Crossref]  [PubMed] 
  21. Leddy MA, Power ML, Schulkin J. The impact of maternal obesity on maternal and fetal health. Rev Obstet Gynecol. 2008;1(4):170-8. [PubMed]  [PMC] 
  22. Stuebe AM, Horton BJ, Chetwynd E, Watkins S, Grewen K, Meltzer-Brody S. Prevalence and risk factors for early, undesired weaning attributed to lactation dysfunction. J Womens Health (Larchmt). 2014;23(5):404-12. [Crossref]  [PubMed]  [PMC] 
  23. Wojcicki JM. Maternal prepregnancy body mass index and initiation and duration of breastfeeding: a review of the literature. J Womens Health (Larchmt). 2011;20(3):341-7. [Crossref]  [PubMed]  [PMC] 
  24. Guelinckx I, Devlieger R, Bogaerts A, Pauwels S, Vansant G. The effect of pre-pregnancy BMI on intention, initiation and duration of breast-feeding. Public Health Nutr. 2012;15(5):840-8. [Crossref]  [PubMed] 
  25. Hilson JA, Rasmussen KM, Kjolhede CL. High prepregnant body mass index is associated with poor lactation outcomes among white, rural women independent of psychosocial and demographic correlates. J Hum Lact. 2004;20(1):18-29. [Crossref]  [PubMed] 
  26. Turcksin R, Bel S, Galjaard S, Devlieger R. Maternal obesity and breastfeeding intention, initiation, intensity and duration: a systematic review. Matern Child Nutr. 2014;10(2):166-83. [Crossref]  [PubMed]  [PMC] 
  27. Amir LH, Donath SM. Socioeconomic status and rates of breastfeeding in Australia: evidence from three recent national health surveys. Med J Aust. 2008;189(5):254-6. [Crossref]  [PubMed]