Puapornpong Pawin, Raungrongmorakot Kasem, Manolerdtewan Wichian, Suksamarnwong Maysita, Wongin Sinutchanan
J Med Assoc Thai. 2016 Nov;99 Suppl 8:S36-S42.
To compare the 6-week postpartum, exclusive breastfeeding rates between obese mothers and mothers with a normal body mass index (BMI), with early breastfeeding initiation.
The subjects were 415 singleton, postpartum, obese mothers who delivered without complications at the HRH Princess Maha Chakri Sirindhorn Medical Center in the Nakhon Nayok province between the years of 2013 through 2015 and the same number of matched normal body mass index mothers. The early breastfeeding initiation of both the obese mothers and the normal BMI mothers was recorded. The exclusive breastfeeding rates were collected at the second day postpartum. Following discharge, telephone follow-ups were used for the collection of breastfeeding data at the 7th, 14th day and six weeks postpartum. The exclusive breastfeeding rates of the obese mothers were analyzed and compared with the exclusive breastfeeding rates of normal BMI mothers at the 2nd, 7th, 14th day and 6 weeks postpartum. The data was analyzed by Chi-square, relative risk and 95% confidence interval.
At the 2nd, 7th, 14th day and 6th week postpartum; the exclusive breastfeeding rates of the obese mothers’ group were 94.5, 71.1, 64.8 and 51.3%, respectively. The exclusive breastfeeding rates of the normal BMI mothers’ group for the same periods were 95.7, 79.3, 75.4 and 63.1%, respectively. There are statistically significant differences between the exclusive breastfeeding rates of the obese mothers’ group and the normal BMI groups at the 7th day, 14th day and 6th week postpartum. In the situation of early breastfeeding initiation, the exclusive breastfeeding rates of the obese mothers at the 2nd, 7th, 14th day and 6th week postpartum were 96.3, 77.0, 71.2 and 58.4%, respectively. The exclusive breastfeeding rates of the normal BMI mothers who had early breastfeeding initiation were 96.2, 81.3, 77.4 and 67.2% at the 2nd, 7th, 14th day and 6th week postpartum, respectively. No significant differences were seen between the two groups in the exclusive breastfeeding rates at the 2nd, 7th and 14th day postpartum.
The obesity had negative effect on exclusive breastfeeding rates during six weeks postpartum after mothers’ discharge. But the exclusive breastfeeding rates of both the obese and normal BMI mothers were not significantly different during two weeks postpartum in early breastfeeding initiation situation. The obese mothers could be advised about early breastfeeding initiation.
比较肥胖母亲与体重指数（BMI）正常的母亲产后6周纯母乳喂养率，并观察早期开始母乳喂养的情况。
研究对象为415名单胎产后肥胖母亲，她们于2013年至2015年期间在那空那育府的玛哈·扎克里·诗琳通公主殿下医疗中心顺利分娩，且无并发症，同时选取了相同数量的匹配的BMI正常的母亲。记录肥胖母亲和BMI正常母亲的早期母乳喂养开始情况。在产后第二天收集纯母乳喂养率。出院后，通过电话随访收集产后第7天、第14天和6周的母乳喂养数据。分析肥胖母亲的纯母乳喂养率，并与产后第2天、第7天、第14天和6周时BMI正常母亲的纯母乳喂养率进行比较。数据采用卡方检验、相对风险和95%置信区间进行分析。
在产后第2天、第7天、第14天和第6周，肥胖母亲组的纯母乳喂养率分别为94.5%、71.1%、64.8%和51.3%。同期BMI正常母亲组的纯母乳喂养率分别为95.7%、79.3%、75.4%和63.1%。肥胖母亲组与BMI正常组在产后第7天、第14天和第6周的纯母乳喂养率存在统计学显著差异。在早期开始母乳喂养的情况下，肥胖母亲在产后第2天、第7天、第14天和第6周的纯母乳喂养率分别为96.3%、77.0%、71.2%和58.4%。早期开始母乳喂养的BMI正常母亲在产后第2天、第7天、第14天和第6周的纯母乳喂养率分别为96.2%、81.3%、77.4%和67.2%。两组在产后第2天、第7天和第14天的纯母乳喂养率无显著差异。
肥胖对母亲出院后产后6周的纯母乳喂养率有负面影响。但在早期开始母乳喂养的情况下，肥胖母亲和BMI正常母亲在产后两周内的纯母乳喂养率无显著差异。可建议肥胖母亲早期开始母乳喂养。
