The Association of Maternal Pre-Pregnancy Obesity on Breastfeeding: A Pilot Prospective Cohort Study
Makaleler > Tam Makale · 2023
Yazarlar: Renginar ÖZTÜRK DÖNMEZ, Aynur UYSAL TORAMAN, Gülbiye Çelik
Greater South Information System, Uluslararası, 2023
DOI: 10.60692/d3ap4-jm027
Özet
Objective: This prospective cohort study was conducted to investigate the association of mothers who are obese according to body mass index (BMI) in the pre-pregnancy period on their infant's exclusive breastfeeding status six months after delivery. Material and Method: The study sample consisted of 44 obese and 44 non-obese mother-infant dyads in Izmir, Turkey. The data were collected during the 1st week, 1st, 3rd, and 6th months after delivery using the Individual Identification Form, LaTCH Tool, and Breastfeeding Status Follow-up Form. Independent t-test, Chi-square and Cochran's Q tests, and Cox's regression analysis were used. Results: A significant difference was found between the exclusive breastfeeding status of the infants of obese and non-obese participants in all follow-up weeks. In the Cox regression model, the only significant explanatory variable on exclusive breastfeeding in all follow-ups was prepregnancy BMI of the participants. The infants of obese participants were exclusively breastfed by 2.25 times less in the 1st week, 4.50 times less in the 1st month, 2.20 times less in the 3rd month, and 1.69 times less in the 6th month than the infants of non-obese participants. Conclusions: It was determined that maternal obesity statistically decreased the exclusive breastfeeding status. It can be recommended to monitor women of the reproductive age for obesity during pre-pregnancy follow-ups and to implement nursing interventions such as health education and counseling to reduce obesity. Keywords: Maternal obesity, breastfeeding, cohort study.