Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey
Abstract 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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-020-00298-5 |
| _version_ | 1818522360289951744 |
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| author | Ana Ballesta-Castillejos Juan Gomez-Salgado Julian Rodriguez-Almagro Inmaculada Ortiz-Esquinas Antonio Hernandez-Martinez |
| author_facet | Ana Ballesta-Castillejos Juan Gomez-Salgado Julian Rodriguez-Almagro Inmaculada Ortiz-Esquinas Antonio Hernandez-Martinez |
| author_sort | Ana Ballesta-Castillejos |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-11T05:32:15Z |
| format | Article |
| id | doaj.art-273610f4054f440a92374ad896f26599 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-11T05:32:15Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-273610f4054f440a92374ad896f265992022-12-22T01:19:23ZengBMCInternational Breastfeeding Journal1746-43582020-06-0115111310.1186/s13006-020-00298-5Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online surveyAna Ballesta-Castillejos0Juan Gomez-Salgado1Julian Rodriguez-Almagro2Inmaculada Ortiz-Esquinas3Antonio Hernandez-Martinez4Department of Obstetrics & GynaecologyDepartment of Sociology, Social Work and Public Health, University of HuelvaDepartment of Nursing, Ciudad Real Nursing School, University of Castilla-La ManchaDepartment of Obstetrics & GynaecologyDepartment of Nursing, Ciudad Real Nursing School, University of Castilla-La ManchaAbstract 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.http://link.springer.com/article/10.1186/s13006-020-00298-5BreastfeedingObesityPublic health |
| spellingShingle | Ana Ballesta-Castillejos Juan Gomez-Salgado Julian Rodriguez-Almagro Inmaculada Ortiz-Esquinas Antonio Hernandez-Martinez Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey International Breastfeeding Journal Breastfeeding Obesity Public health |
| 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 | Breastfeeding Obesity Public health |
| url | http://link.springer.com/article/10.1186/s13006-020-00298-5 |
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