Kitsantas Panagiota, Pawloski Lisa R
Department of Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, Virginia 22030, USA.
J Matern Fetal Neonatal Med. 2010 Feb;23(2):135-41. doi: 10.3109/14767050903118270.
The purpose of this study was to determine whether maternal prepregnancy overweight/obesity has independent effects on breastfeeding initiation and duration and whether these effects are different for women who experience medical problems during pregnancy or labor/delivery complications in comparison with those who have no medical or labor/delivery complications.
We used the early childhood longitudinal study-birth cohort data. Kaplan-Meier survival functions, logistic, and Cox regression modeling were used in the analyses.
Findings indicate that overweight/obese women with medical or labor/delivery complications were less likely to initiate breastfeeding in comparison with their counterparts of normal weight. We did not find an independent effect of prepregnancy overweight/obesity on breastfeeding initiation among women with no medical problems. This group of women, however, had an 11% increased risk of stopping breastfeeding with each additional month of breastfeeding duration in comparison to those of normal weight.
It is important to evaluate the health history and pregnancy complications among overweight/obese mothers in developing interventions for successful initiation and duration of breastfeeding.
本研究旨在确定孕前超重/肥胖是否对母乳喂养的开始和持续时间有独立影响，以及与未出现孕期医疗问题或分娩并发症的女性相比，出现这些情况的女性的上述影响是否有所不同。
我们使用了儿童早期纵向研究——出生队列数据。分析中采用了Kaplan-Meier生存函数、逻辑回归和Cox回归模型。
研究结果表明，与体重正常的女性相比，患有医疗问题或分娩并发症的超重/肥胖女性开始母乳喂养的可能性较小。我们没有发现孕前超重/肥胖对没有医疗问题的女性开始母乳喂养有独立影响。然而，与体重正常的女性相比，这组女性每多哺乳一个月，停止母乳喂养的风险就会增加11%。
在制定促进母乳喂养成功开始和持续的干预措施时，评估超重/肥胖母亲的健康史和妊娠并发症非常重要。
