Journal article
Obese Mothers have Lower Odds of Experiencing Pro-breastfeeding Hospital Practices than Mothers of Normal Weight: CDC Pregnancy Risk Assessment Monitoring System (PRAMS), 2004-2008
Maternal and child health journal, Vol.20(3), pp.593-601
03/2016
DOI: 10.1007/s10995-015-1858-z
PMID: 26515471
Abstract
This study examines the extent to which a mother's pre-pregnancy body mass index (BMI) category is associated with her exposure to pro-breastfeeding hospital practices.
Data from the 2004-2008 CDC PRAMS were analyzed for three states (Illinois, Maine, and Vermont) that had administered an optional survey question about hospital pro-breastfeeding practices.
Of 19,145 mothers surveyed, 19 % were obese (pre-pregnancy BMI ≥ 30). Obese mothers had lower odds than mothers of normal weight of initiating breastfeeding [70 vs. 79 % (unweighted), p < 0.0001]. Compared with women of normal weight, obese mothers had lower odds of being exposed to pro-breastfeeding hospital practices during the birth hospitalization. Specifically, obese mothers had higher odds of using a pacifier in the hospital [odds ratio (OR) 1.31, 95 % confidence interval (CI) (1.17-1.48), p < 0.0001] and lower odds of: a staff member providing them with information about breastfeeding [OR 0.71, 95 % CI (0.57-0.89), p = 0.002], a staff member helping them breastfeed [OR 0.69, 95 % CI (0.61-0.78), p < 0.0001], breastfeeding in the first hour after delivery [OR 0.55, 95 % CI (0.49-0.62), p < 0.0001], being given a telephone number for breastfeeding help [OR 0.65, 95 % CI (0.57-0.74), p < 0.0001], rooming in [OR 0.84, 95 % CI (0.73-0.97), p = 0.02], and being instructed to breastfeed on demand [OR 0.66, 95 % CI (0.58-0.75), p < 0.0001]. Adjusting for multiple covariates, all associations except rooming in remained significant.
Obesity stigma may be a determinant of breastfeeding outcomes for obese mothers. Breastfeeding support should be improved for this at-risk population.
Details
- Title: Subtitle
- Obese Mothers have Lower Odds of Experiencing Pro-breastfeeding Hospital Practices than Mothers of Normal Weight: CDC Pregnancy Risk Assessment Monitoring System (PRAMS), 2004-2008
- Creators
- Laura R Kair - Stead Family Department of Pediatrics, University of Iowa, 200 Hawkins Dr. 2626 JCP, Iowa City, IA, 52242, USA. Laura-Kair@uiowa.eduTarah T Colaizy - Stead Family Department of Pediatrics, University of Iowa, 200 Hawkins Dr. 8809 JCP, Iowa City, IA, 52242, USA. Tarah-Colaizy@uiowa.edu
- Resource Type
- Journal article
- Publication Details
- Maternal and child health journal, Vol.20(3), pp.593-601
- DOI
- 10.1007/s10995-015-1858-z
- PMID
- 26515471
- ISSN
- 1092-7875
- eISSN
- 1573-6628
- Language
- English
- Date published
- 03/2016
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984093353502771
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