Observational studyInternational breastfeeding journal2020
Relationship between maternal body mass index with the onset of breastfeeding and its associated problems: an online survey.
Observational study in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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
16 citing papers in PubMed, 27 citations in OpenAlex.
- Does Antenatal Expressing Affect Onset of Lactogenesis for Women With Diabetes? Results From a Randomised Controlled Trial and Cohort Study.The Australian & New Zealand journal of obstetrics & gynaecology · 2025Trial
- Maternal Adiposity, Milk Production and Removal, and Infant Milk Intake During Established Lactation.Nutrients · 2025Article
- Maternal Factors, Breast Anatomy, and Milk Production During Established Lactation-An Ultrasound Investigation.Journal of imaging · 2025Article
- Breastfeeding and Sociodemographic Determinants: Evidence from the "MAMI-MED" Cohort.Nutrients · 2025Article
- Etiology of Delayed Lactogenesis in Obesity.Biomedicines · 2025Review
- Development and prevalence of breastfeeding initiation in a tertiary obstetric center and its influencing factors.International breastfeeding journal · 2025Article
- Axial spondyloarthritis and breastfeeding: a prospective study.International breastfeeding journal · 2025Article
- Trajectory of breastfeeding among Chinese women and risk prediction models based on machine learning: a cohort study.BMC pregnancy and childbirth · 2024Article
- Impact of Maternal Body Composition, Hydration, and Metabolic Health on Breastfeeding Success: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024Review
- The relationship of pre-pregnancy body mass index with maternal anthropometric indices, weight retention and the baby's weight and nutrition in the first 6 months post-partum.BMC pregnancy and childbirth · 2023Article
- Factors associated with early initiation of breastfeeding in central Saudi Arabia: a hospital-based survey.International breastfeeding journal · 2023Article
- Cardiovascular Risk in Pediatrics: A Dynamic Process during the First 1000 Days of Life.Pediatric reports · 2023Review
- Mechanisms of Maternal Diet-Induced Obesity Affecting the Offspring Brain and Development of Affective Disorders.Metabolites · 2023Review
- Major maternal related determinants of non-breastfeeding among mothers in Ethiopia: A multilevel analysis from DHS Ethiopia 2016.PloS one · 2023Article
- Breastfeeding, pregnancy, medicines, neurodevelopment, and population databases: the information desert.International breastfeeding journal · 2022Review
- Maintenance of Maternal Breastfeeding up to 6 Months: Predictive Models.Journal of personalized medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is a worldwide public health problem that demands significant attention. Several studies have found that maternal obesity has a negative effect on the duration of breastfeeding and delayed lactogenesis. The World Health Organization has classified Body Max Index (BMI) as normal weight (normoweight) (BMI:18.5-24.9), overweight (BMI:25-29.9), obesity grade I (30.0-34.9), obesity grade II (BMI: 35.0-39.9) and obesity grade III (BMI ≥ 40.0). The objective of this study is to describe the relationship between maternal BMI and breastfeeding rates, as well as breastfeeding-associated problems and discomfort in women assisted by the Spanish Health System.
methodsTo this end, a cross-sectional observational study aimed at women who have been mothers between 2013 and 2018 in Spain was developed. The data was collected through an online survey of 54 items that was distributed through lactation associations and postpartum support groups between March and June 2019. Five thousand eight hundred seventy one women answered the survey. In the data analysis, Crude Odds Ratios (OR) and Adjusted Odds Ratios (AOR) were calculated through a multivariate analysis through binary and multinomial regression.
resultsA linear relationship was observed between the highest BMI figures and the reduction of the probability of starting skin-to-skin contact (AOR for obesity type III of 0.51 [95% CI 0.32, 0.83]), breastfeeding in the first hour (AOR for obesity type III of 0.58 [95% CI 0.36, 0.94]), and exclusive breastfeeding to hospital discharge (AOR for obesity type III of 0.57 [95% CI 0.35, 0.94]), as compared to women with normoweight.
conclusionsWomen with higher BMI are less likely to develop successful breastfeeding than women with normoweight.
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Registered trials
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