The association of maternal overweight and obesity with breastfeeding duration

Wendy Hazel Oddy1, Jianghong Li, Linda Landsborough

  • 1Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, PO Box 855, West Perth, Perth, Western Australia 6872, Australia. wendyo@ichr.uwa.edu.au

Insights

Maternal prepregnancy overweight or obesity is linked to shorter breastfeeding duration. This finding holds true even after accounting for socioeconomic and demographic factors, highlighting a significant association.

Area of Science:

  • Obstetrics and Gynecology
  • Pediatrics
  • Public Health Nutrition

Background:

  • Maternal prepregnancy body mass index (BMI) is a critical health indicator.
  • Understanding factors influencing breastfeeding duration is vital for infant and maternal health outcomes.

Purpose of the Study:

  • To investigate the independent effect of maternal prepregnancy overweight and obesity on the duration of breastfeeding.
  • To determine if prepregnancy BMI is a significant predictor of breastfeeding cessation.

Main Methods:

  • Prospective birth cohort study involving 1803 mother-infant dyads.
  • Statistical analyses included unconditional logistic regression, Cox regression, and Kaplan-Meier survival analysis.
  • Adjustments were made for numerous infant and maternal confounding factors.

Main Results:

  • Overweight and obese women were significantly more likely to discontinue breastfeeding before six months compared to normal weight women (P < .0005).
  • The association between prepregnancy overweight/obesity and reduced breastfeeding duration remained significant after adjusting for confounders.

Conclusions:

  • Prepregnancy body mass index is independently associated with reduced breastfeeding duration.
  • Overweight and obese mothers tend to breastfeed for shorter periods, irrespective of socioeconomic and demographic characteristics.
Abstract

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