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Association Between Prepregnancy Hypertension and Breastfeeding Duration.
Nourhan Mohamed1, Sravya Walker2, Ifa Abduljelil2
1Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA.
Summary
Prepregnancy hypertension (HTN) is linked to shorter breastfeeding duration. Women with prepregnancy HTN were less likely to breastfeed for at least 3 months, highlighting the need for preconception care interventions.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal-Child Health
Background:
- Hypertension (HTN) during pregnancy and breastfeeding is studied, but prepregnancy HTN's impact on breastfeeding remains unclear.
- This study investigates the association between prepregnancy HTN and breastfeeding duration.
Purpose of the Study:
- To examine the relationship between prepregnancy hypertension and the duration of breastfeeding.
- To determine if prepregnancy hypertension affects the likelihood of breastfeeding for at least 3 months.
Main Methods:
- Utilized data from the 2016-2022 Pregnancy Risk Assessment Monitoring System (N=127,510).
- Employed multivariable logistic regression and Cox proportional hazards models.
- Assessed breastfeeding duration, with the primary outcome being breastfeeding for at least 3 months.
Main Results:
- Women with prepregnancy HTN had significantly lower rates of breastfeeding for at least 3 months (66.1% vs. 71.6%).
- Prepregnancy HTN was associated with lower odds of breastfeeding for at least 3 months (aOR=0.86).
- Women with prepregnancy HTN had a higher hazard of breastfeeding cessation before 3 months (aHR=1.25).
Conclusions:
- Prepregnancy hypertension is independently associated with shorter breastfeeding duration.
- Identifying and managing prepregnancy HTN during preconception care may improve breastfeeding outcomes.
- Further research into interventions for women with prepregnancy HTN is warranted to support breastfeeding.
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