Hospital breastfeeding support and exclusive breastfeeding by maternal prepregnancy body mass index

Bibliographic Data

ID15535923
AuthorsLaura R Kair (0000-0003-4311-6292, University of California, Davis, corresponding author), Nathan Nickel (0000-0001-5836-5297, University of Manitoba), Nathan C Nickel (Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences University of Manitoba Winnipeg Manitoba Canada), Krista Jones (0000-0002-7983-2381, University of Illinois Chicago), Katelin Kornfeind (Benedictine University), Heather Sipsma (0000-0002-7742-6435, Benedictine University), Heather L Sipsma (Department of Public Health Benedictine University Lisle Illinois USA)
Year2019
Volume15
Issue3
Pagese12783-e12783
Publication date2019-01-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12783
PMID30659747
OpenAlexW2910515870
LanguageEN
Citations received3
References cited27

Overweight and obese mothers in the United States have disproportionately lower rates of exclusive breastfeeding than mothers of normal weight. The Ten Steps to Successful Breastfeeding (Ten Steps), a series of evidence-based practices designed to support breastfeeding initiation, duration, and exclusivity, demonstrate effectiveness at the population level. It is unknown, however, whether they are consistently provided to women across all maternal body mass index (BMI) categories. We sought to determine whether pre-pregnancy BMI is associated with the implementation and effectiveness of the Ten Steps. We used data from Listening to Mothers III, a cross-sectional survey administered to a sample of mothers who delivered in U.S. hospitals between July 2011 and June 2012. Measures of the Ten Steps were based on maternal self-report on Listening to Mothers III. Our analytic sample was limited to mothers of term infants intending to breastfeed (N = 1,506, weighted). We conducted chi-square testing and constructed weighted multivariable logistic regression models to account for potential confounders. Results suggest that two practices (i.e., holding their babies skin-to-skin for the first time and being encouraged to breastfeed on demand) were more strongly associated with exclusive breastfeeding among mothers with obesity than other mothers. Additionally, mothers with obesity reported holding babies skin-to-skin significantly less often than other mothers. Thus, interventions aimed at helping mothers with obesity to hold their babies skin-to-skin in the first hour and teaching them to breastfeed on demand have the potential to decrease the breastfeeding disparities in this population

Body mass index · Breast feeding · Breastfeeding · Breastfeeding promotion · Confounding · Environmental health · Family medicine · Logistic regression · Obesity · Overweight · Population · Pregnancy · Psychological intervention · Breastfeeding Practices and Influences · Demography · Gestational Diabetes Research and Management · Medicine · Nursing · Obesity, Physical Activity, Diet · Pediatrics

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