ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine2015
Prepregnancy obesity and breastfeeding noninitiation in the United States: an examination of racial and ethnic differences.
Article in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg mObesity reviews : an official journal of the International Association for the Study of Obesity · 2018Pooled it
- Effect of a Home-Based Lifestyle Intervention on Breastfeeding Initiation Among Socioeconomically Disadvantaged African American Women with Overweight or Obesity.Breastfeeding medicine : the official journal of the Academy of Breastfeeding MedicineTrial
- Optimizing the Postpartum Period to Support Lifelong Health for Women with Obesity.Current obesity reports · 2026Review
- Etiology of Delayed Lactogenesis in Obesity.Biomedicines · 2025Review
- Influence of abuse and disrespect during childbirth on early initiation of breastfeeding.International breastfeeding journal · 2025Observational
- Initiation and Duration of Breastfeeding in the Maternal Outcomes and Neurodevelopmental Effects of Antiepileptic Drugs Study.Neurology · 2023Observational
- Epidemiology of pre-pregnancy body mass index (BMI) among mothers in Abu Dhabi, the United Arab Emirates.Frontiers in global women's health · 2022Article
- Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature.Nutrients · 2020Review
- Pregnant and postpartum women's experiences of weight stigma in healthcare.BMC pregnancy and childbirth · 2020Article
- Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study.Nutrients · 2020Article
- Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey.International breastfeeding journal · 2020Observational
- 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
- 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
- Prepregnancy Diabetes and Breastfeeding Cessation Among Black Women in the United States.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2019Article
- Periconception weight management in the Women, Infants, and Children program.Obesity science & practice · 2019Article
- Discordance in Couples Pregnancy Intentions and Breastfeeding Duration: Results from the National Survey of Family Growth 2011-2013.Journal of pregnancy · 2018Article
- TOS Scientific Position Statement: Breastfeeding and Obesity.Obesity (Silver Spring, Md.) · 2017Article
- Pre-pregnancy BMI, gestational weight gain and breast-feeding: a cohort study in China.Public health nutrition · 2017Article
- Exploring the need for interventions to manage weight and stress during interconception.Journal of behavioral medicine · 2017Review
- Obesity and Breastfeeding: Exploring the Relationship.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPrepregnancy overweight/obesity can adversely affect breastfeeding initiation, but studies examining this association among different racial/ethnic groups of U.S. women are limited. This study used a large, nationally representative sample to assess racial/ethnic differences in breastfeeding noninitiation among U.S. women of different body mass index (BMI) classifications. MATERIALS AND
methodsThis study analyzed data from the Pregnancy Risk Assessment Monitoring System, including 95,141 women who delivered a live, singleton baby from 2009 to 2011 and provided BMI and breastfeeding information. Prepregnancy BMI was categorized as underweight (<18.5 kg/m(2)), normal weight (18.5-24.9 kg/m(2)), overweight (25.0-29.9 kg/m(2)), and obese (≥30.0 kg/m(2)). Breastfeeding initiation was reported as having ever breastfed after delivery (yes or no). Adjusted models, which included only potential confounders resulting in a 10% or greater change in estimate, generated adjusted odds ratios (AOR) and 95% confidence intervals (CI) for breastfeeding noninitiation. Analysis was stratified by race/ethnicity.
resultsCompared with normal weight non-Hispanic white women, the odds of breastfeeding noninitiation were 17% and 25% higher among overweight (AOR=1.17, 95% CI=1.07-1.29) and obese (AOR=1.25, 95% CI=1.14-1.36) non-Hispanic white women, respectively. Among non-Hispanic black women, the odds of breastfeeding noninitiation were 29% higher only in obese women compared with normal weight non-Hispanic black women. No association was observed among Hispanic women or women of other races.
conclusionsPrepregnancy BMI is a significant predictor for breastfeeding noninitiation for non-Hispanic white and non-Hispanic black women. Further exploration of the differences underlying the association between prepregnancy BMI and breastfeeding behaviors among racial subpopulations of women in the United States is warranted.
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