Antenatal breastfeeding intention, confidence and comfort in obese and non-obese primiparous Australian women: associations with breastfeeding duration

Newby, R. M. and Davies, P. S. W. (2016) Antenatal breastfeeding intention, confidence and comfort in obese and non-obese primiparous Australian women: associations with breastfeeding duration. European Journal of Clinical Nutrition, 70 8: 935-940. doi:10.1038/ejcn.2016.29


Author Newby, R. M.
Davies, P. S. W.
Title Antenatal breastfeeding intention, confidence and comfort in obese and non-obese primiparous Australian women: associations with breastfeeding duration
Journal name European Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 1476-5640
0954-3007
Publication date 2016-03-23
Year available 2016
Sub-type Article (original research)
DOI 10.1038/ejcn.2016.29
Open Access Status Not Open Access
Volume 70
Issue 8
Start page 935
End page 940
Total pages 6
Place of publication London, United Kingdom
Publisher Nature Publishing Group
Collection year 2017
Language eng
Formatted abstract
Background/Objectives: Maternal adiposity is known to affect breastfeeding initiation and duration via both antenatal and postnatal factors. This study investigates associations between maternal pregravid body mass index (BMI), breastfeeding duration and antenatal breastfeeding confidence, intention and social comfort among primiparous Australian women.

Subjects/Methods: Women in their first pregnancy (n=462) were recruited by convenience sampling in Queensland, Australia. Participants responded to an antenatal and six postnatal questionnaires during their infants’ first year between June 2010 and March 2012. Maternal pregravid BMI was examined against breastfeeding duration, participants’ antenatal infant feeding intentions and measures of breastfeeding confidence and social comfort.

Results: Breastfeeding initiation in this cohort was 97%, but 46% of mothers had ceased breastfeeding at 52 weeks postpartum. Breastfeeding duration differed significantly (χ2 (2)=7.21, P=0.007) between normal, overweight and obese women. No differences were found in antenatal intention for feeding type nor intended breastfeeding duration by one-way ANOVA (F(2,178)=1.77, P=0.17). More than half of the pregnant respondents anticipated social discomfort breastfeeding in public, with obese women significantly more likely to anticipate discomfort breastfeeding in the presence of close female friends, (χ2 (1)=5.53, P=0.019).

Conclusions: This study confirmed the risk of premature cessation of breastfeeding for obese mothers. Interventions during pregnancy that address body image issues in relation to breastfeeding may facilitate breastfeeding success for obese mothers and their infants and accrue short- and long-term health benefits for both.European Journal of Clinical Nutrition advance online publication, 23 March 2016; doi:10.1038/ejcn.2016.29.
Keyword Antenatal breastfeeding
Duration
Social comfort
Confidenc
Breastfeeding behaviour
Maternal adiposity
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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