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Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey

BACKGROUND: Obesity is a worldwide public health problem that demands significant attention. Several studies have found that maternal obesity has a negative effect on the duration of breastfeeding and delayed lactogenesis. The World Health Organization has classified Body Max Index (BMI) as normal w...

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Autores principales: Ballesta-Castillejos, Ana, Gomez-Salgado, Juan, Rodriguez-Almagro, Julian, Ortiz-Esquinas, Inmaculada, Hernandez-Martinez, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296910/
https://www.ncbi.nlm.nih.gov/pubmed/32539791
http://dx.doi.org/10.1186/s13006-020-00298-5
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author Ballesta-Castillejos, Ana
Gomez-Salgado, Juan
Rodriguez-Almagro, Julian
Ortiz-Esquinas, Inmaculada
Hernandez-Martinez, Antonio
author_facet Ballesta-Castillejos, Ana
Gomez-Salgado, Juan
Rodriguez-Almagro, Julian
Ortiz-Esquinas, Inmaculada
Hernandez-Martinez, Antonio
author_sort Ballesta-Castillejos, Ana
collection PubMed
description BACKGROUND: Obesity is a worldwide public health problem that demands significant attention. Several studies have found that maternal obesity has a negative effect on the duration of breastfeeding and delayed lactogenesis. The World Health Organization has classified Body Max Index (BMI) as normal weight (normoweight) (BMI:18.5–24.9), overweight (BMI:25–29.9), obesity grade I (30.0–34.9), obesity grade II (BMI: 35.0–39.9) and obesity grade III (BMI ≥ 40.0). The objective of this study is to describe the relationship between maternal BMI and breastfeeding rates, as well as breastfeeding-associated problems and discomfort in women assisted by the Spanish Health System. METHODS: To this end, a cross-sectional observational study aimed at women who have been mothers between 2013 and 2018 in Spain was developed. The data was collected through an online survey of 54 items that was distributed through lactation associations and postpartum support groups between March and June 2019. Five thousand eight hundred seventy one women answered the survey. In the data analysis, Crude Odds Ratios (OR) and Adjusted Odds Ratios (AOR) were calculated through a multivariate analysis through binary and multinomial regression. RESULTS: A linear relationship was observed between the highest BMI figures and the reduction of the probability of starting skin-to-skin contact (AOR for obesity type III of 0.51 [95% CI 0.32, 0.83]), breastfeeding in the first hour (AOR for obesity type III of 0.58 [95% CI 0.36, 0.94]), and exclusive breastfeeding to hospital discharge (AOR for obesity type III of 0.57 [95% CI 0.35, 0.94]), as compared to women with normoweight. CONCLUSIONS: Women with higher BMI are less likely to develop successful breastfeeding than women with normoweight.
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spelling pubmed-72969102020-06-16 Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey Ballesta-Castillejos, Ana Gomez-Salgado, Juan Rodriguez-Almagro, Julian Ortiz-Esquinas, Inmaculada Hernandez-Martinez, Antonio Int Breastfeed J Research BACKGROUND: Obesity is a worldwide public health problem that demands significant attention. Several studies have found that maternal obesity has a negative effect on the duration of breastfeeding and delayed lactogenesis. The World Health Organization has classified Body Max Index (BMI) as normal weight (normoweight) (BMI:18.5–24.9), overweight (BMI:25–29.9), obesity grade I (30.0–34.9), obesity grade II (BMI: 35.0–39.9) and obesity grade III (BMI ≥ 40.0). The objective of this study is to describe the relationship between maternal BMI and breastfeeding rates, as well as breastfeeding-associated problems and discomfort in women assisted by the Spanish Health System. METHODS: To this end, a cross-sectional observational study aimed at women who have been mothers between 2013 and 2018 in Spain was developed. The data was collected through an online survey of 54 items that was distributed through lactation associations and postpartum support groups between March and June 2019. Five thousand eight hundred seventy one women answered the survey. In the data analysis, Crude Odds Ratios (OR) and Adjusted Odds Ratios (AOR) were calculated through a multivariate analysis through binary and multinomial regression. RESULTS: A linear relationship was observed between the highest BMI figures and the reduction of the probability of starting skin-to-skin contact (AOR for obesity type III of 0.51 [95% CI 0.32, 0.83]), breastfeeding in the first hour (AOR for obesity type III of 0.58 [95% CI 0.36, 0.94]), and exclusive breastfeeding to hospital discharge (AOR for obesity type III of 0.57 [95% CI 0.35, 0.94]), as compared to women with normoweight. CONCLUSIONS: Women with higher BMI are less likely to develop successful breastfeeding than women with normoweight. BioMed Central 2020-06-15 /pmc/articles/PMC7296910/ /pubmed/32539791 http://dx.doi.org/10.1186/s13006-020-00298-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ballesta-Castillejos, Ana
Gomez-Salgado, Juan
Rodriguez-Almagro, Julian
Ortiz-Esquinas, Inmaculada
Hernandez-Martinez, Antonio
Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
title Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
title_full Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
title_fullStr Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
title_full_unstemmed Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
title_short Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
title_sort relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296910/
https://www.ncbi.nlm.nih.gov/pubmed/32539791
http://dx.doi.org/10.1186/s13006-020-00298-5
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