ArticleMaternal and child health journal2013
The association of maternal pre-pregnancy body mass index with breastfeeding initiation.
Article in Maternal and child health journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Interventions for supporting the initiation and continuation of breastfeeding among women who are overweight or obese.The Cochrane database of systematic reviews · 2019Pooled it
- Breastfeeding initiation: impact of obesity in a large Canadian perinatal cohort study.PloS one · 2015Trial
- Relationship between pre-pregnancy body mass index and postpartum depression, and the mediation effects of cesarean delivery, low birth weight, child anomaly, and breastfeeding: a prospective birth cohort in the Japan environment and children's study.BMC pregnancy and childbirth · 2026Article
- Mechanistic Pathways of Gestational Obesity: Implications for Maternal and Offspring Health: A Narrative Review.Nutrients · 2025Review
- Article
- The Effect of Obesity and Pregnancy Weight Gain on Maternal and Child Health.Journal of obesity · 2024Article
- Impact of breastfeeding on risk of glucose intolerance in early postpartum after gestational diabetes.Frontiers in endocrinology · 2024Article
- Breastfeeding: How is it related to food insecurity and other factors among low-income mothers?Health care for women international · 2023Article
- Impact of prepregnancy body mass index on adverse pregnancy outcomes: analysis from the Longitudinal Indian Family hEalth cohort study.AJOG global reports · 2023Article
- Disordered eating in early childhood: DRD4 and DAT1 gene polymorphisms and quality of mother-child interaction.Eating and weight disorders : EWD · 2022Article
- Vitamin D Supplementation in Exclusively Breastfed Infants Is Associated with Alterations in the Fecal Microbiome.Nutrients · 2022Article
- Determinants of Successful Exclusive Breastfeeding for Saudi Mothers: Social Acceptance Is a Unique Predictor.International journal of environmental research and public health · 2021Article
- Article
- Review
- Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature.Nutrients · 2020Review
- Electronic Monitoring Of Mom's Schedule (eMOMS™): Protocol for a feasibility randomized controlled trial to improve postpartum weight, blood sugars, and breastfeeding among high BMI women.Contemporary clinical trials communications · 2020Article
- Caregiver Influences on Eating Behaviors in Young Children: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2020Review
- Breastfeeding Initiation as Related to the Interaction of Race/Ethnicity and Maternal Diabetes.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2019Article
- Impact of maternal obesity and breastfeeding intention on lactation intensity and duration.Maternal & child nutrition · 2019Article
- Women's perspectives on antenatal breast expression: a cross-sectional survey.Reproductive health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Recent evidence extends the health benefits of breastfeeding to include reduction of maternal body mass index (BMI) and childhood obesity. Since most women decide if they will breastfeed prior to pregnancy, it is important to understand, given the high population prevalence of obesity, if maternal underweight, overweight or obese status is associated with breastfeeding initiation. Population-based study. Florida resident birth certificate records. All live singleton births (2004-2009), excluding observations that lacked the primary outcomes of maternal pre-pregnancy BMI and breastfeeding initiation (final sample of 1,161,949 unique observations). Odds of initiating breastfeeding, adjusted by maternal and infant factors, stratified by pre-pregnancy BMI, categorized as underweight, normal, overweight and obese. Adjusting for the known maternal factors associated with breastfeeding initiation, underweight and obese women were significantly less likely to initiate breastfeeding than women with normal BMI, (adjusted odds ratio 0.87, 95 % confidence interval 0.85-0.89 for underweight women; 0.84, 95 % CI 0.83-0.85 for obese women). The magnitude of these findings did not significantly vary by race or ethnicity. Medicaid status and adherence to the Institute of Medicine's 2009 pregnancy weight gain recommendations had only minor influences on breastfeeding initiation. Among adolescents, only underweight status predicted breastfeeding initiation; obesity did not. Underweight and obese women have significantly lower rates of breastfeeding initiation compared to women with normal pre-pregnancy BMI. Future studies need to address the health care, social, and physical barriers that interfere with breastfeeding initiation, especially in underweight and obese women, regardless of race, ethnicity or income.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.