Social support modifies the association between pre-pregnancy body mass index and breastfeeding initiation in Brazil
Many biological, social and cultural barriers for suboptimal breastfeeding practices have been identified in literature. Among these, excessive pre-pregnancy weight has been identified as a risk factor for not initiating breastfeeding early. Social support, coming from social networks (e.g. a partne...
Gespeichert in:
| Veröffentlicht in: | PloS one 2020-05, Vol.15 (5), p.e0233452-e0233452 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0233452 |
|---|---|
| container_issue | 5 |
| container_start_page | e0233452 |
| container_title | PloS one |
| container_volume | 15 |
| creator | Pujól von Seehausen, Mariana Pérez-Escamilla, Rafael Couto de Oliveira, Maria Inês do Carmo Leal, Maria Siqueira Boccolini, Cristiano |
| description | Many biological, social and cultural barriers for suboptimal breastfeeding practices have been identified in literature. Among these, excessive pre-pregnancy weight has been identified as a risk factor for not initiating breastfeeding early. Social support, coming from social networks (e.g. a partner, family or friends) or health care providers, has been positively associated with breastfeeding. This study aimed to examine the association between pre-pregnancy excessive weight and breastfeeding within the first hour after birth and if social support modifies this association.
National population-based study conducted with 21,086 postpartum women from February 1, 2011 to October 31, 2012 in 266 hospitals from all five regions of Brazil. Social support was defined as having a companion at the hospital. Main effects and interactions were tested with multivariable regression analyses.
Multivariate regression analyses indicated that class I and class II obese women had lower odds of breastfeeding within the first hour when a companion was not present (AOR = 0.59, 95% CI 0.42-0.82 and AOR = 0.59, 95% CI 0.36-0.97, respectively), but there was no association when the companion was present. Among overweight and obese women, the predicted probability of breastfeeding within the first hour was lower for those without a companion. This association was not found among those with normal pre-pregnancy BMI.
Social support modifies the relationship between pre-gestational BMI and breastfeeding initiation among women who are overweight or obese, specifically it reduces the risk of delayed breastfeeding initiation. |
| doi_str_mv | 10.1371/journal.pone.0233452 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2405599364</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A624573641</galeid><doaj_id>oai_doaj_org_article_26761b7c783d465dbdd15b9075b654e0</doaj_id><sourcerecordid>A624573641</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-dd72a7d9cd76be301eb3f28789976868f34780c71bf7e70b9b003443d942d51f3</originalsourceid><addsrcrecordid>eNqNk21rFDEQxxdRbK1-A9EFQfTFnXnaZPeNUIsPB4WCVd-GZDN7l7KXnElWe356c71tuZW-kBASJr_5T2aSKYrnGM0xFfjdlR-CU_184x3MEaGUVeRBcYwbSmacIPrwYH9UPInxCqGK1pw_Lo4oYbSmdX1cpEvfWtWXcdhsfEjl2hvbWYhlWkGpYtydJutdqSH9BnDlJsAsz6VTrt2W2pttuc5caZ2B61I5U-oAKqYOwFi3zHabRgnryg9B_bH90-JRp_oIz8b1pPj-6eO3sy-z84vPi7PT81nLG5JmxgiihGlaI7gGijBo2pFa1E0jeM3rjjJRo1Zg3QkQSDcaIcoYNQ0jpsIdPSle7nU3vY9yLFiUhKGqahrKWSYWe8J4dSU3wa5V2EqvrLwx-LCUKiTb9iAJFxxr0YqaGsYro43BlW6QqDSvGKCs9X6MNug1mBZcCqqfiE5PnF3Jpf8lBWEEYZ4F3owCwf8cICa5trGFvlcO_HBzb04x4qzK6Kt_0PuzG6mlyglY1_kct92JylNOWCUyhDM1v4fKw8Datvl3dTbbJw5vJw6ZSXCdlmqIUS4uv_4_e_Fjyr4-YFeg-rSKvh92nydOQbYH2-BjDNDdFRkjuWuO22rIXXPIsTmy24vDB7pzuu0G-hcldgpF</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2405599364</pqid></control><display><type>article</type><title>Social support modifies the association between pre-pregnancy body mass index and breastfeeding initiation in Brazil</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Pujól von Seehausen, Mariana ; Pérez-Escamilla, Rafael ; Couto de Oliveira, Maria Inês ; do Carmo Leal, Maria ; Siqueira Boccolini, Cristiano</creator><creatorcontrib>Pujól von Seehausen, Mariana ; Pérez-Escamilla, Rafael ; Couto de Oliveira, Maria Inês ; do Carmo Leal, Maria ; Siqueira Boccolini, Cristiano</creatorcontrib><description>Many biological, social and cultural barriers for suboptimal breastfeeding practices have been identified in literature. Among these, excessive pre-pregnancy weight has been identified as a risk factor for not initiating breastfeeding early. Social support, coming from social networks (e.g. a partner, family or friends) or health care providers, has been positively associated with breastfeeding. This study aimed to examine the association between pre-pregnancy excessive weight and breastfeeding within the first hour after birth and if social support modifies this association.
National population-based study conducted with 21,086 postpartum women from February 1, 2011 to October 31, 2012 in 266 hospitals from all five regions of Brazil. Social support was defined as having a companion at the hospital. Main effects and interactions were tested with multivariable regression analyses.
Multivariate regression analyses indicated that class I and class II obese women had lower odds of breastfeeding within the first hour when a companion was not present (AOR = 0.59, 95% CI 0.42-0.82 and AOR = 0.59, 95% CI 0.36-0.97, respectively), but there was no association when the companion was present. Among overweight and obese women, the predicted probability of breastfeeding within the first hour was lower for those without a companion. This association was not found among those with normal pre-pregnancy BMI.
Social support modifies the relationship between pre-gestational BMI and breastfeeding initiation among women who are overweight or obese, specifically it reduces the risk of delayed breastfeeding initiation.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0233452</identifier><identifier>PMID: 32438388</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age ; Biology and Life Sciences ; Births ; Body mass ; Body Mass Index ; Body size ; Body weight ; Brazil ; Breast Feeding ; Breastfeeding & lactation ; Cesarean section ; Data collection ; Design modifications ; Female ; Health aspects ; Health care industry ; Health care policy ; Humans ; Medicine and Health Sciences ; Mothers ; Obesity ; Overweight ; People and places ; Population studies ; Postpartum ; Postpartum Period ; Pregnancy ; Pregnant women ; Prenatal care ; Regression analysis ; Risk analysis ; Risk Factors ; Social aspects ; Social interactions ; Social networks ; Social organization ; Social Sciences ; Social Support ; Statistical analysis ; Studies ; Variables ; Women ; Womens health</subject><ispartof>PloS one, 2020-05, Vol.15 (5), p.e0233452-e0233452</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Pujól von Seehausen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Pujól von Seehausen et al 2020 Pujól von Seehausen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-dd72a7d9cd76be301eb3f28789976868f34780c71bf7e70b9b003443d942d51f3</citedby><cites>FETCH-LOGICAL-c692t-dd72a7d9cd76be301eb3f28789976868f34780c71bf7e70b9b003443d942d51f3</cites><orcidid>0000-0003-0439-6295 ; 0000-0001-8926-1677</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242016/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242016/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32438388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pujól von Seehausen, Mariana</creatorcontrib><creatorcontrib>Pérez-Escamilla, Rafael</creatorcontrib><creatorcontrib>Couto de Oliveira, Maria Inês</creatorcontrib><creatorcontrib>do Carmo Leal, Maria</creatorcontrib><creatorcontrib>Siqueira Boccolini, Cristiano</creatorcontrib><title>Social support modifies the association between pre-pregnancy body mass index and breastfeeding initiation in Brazil</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Many biological, social and cultural barriers for suboptimal breastfeeding practices have been identified in literature. Among these, excessive pre-pregnancy weight has been identified as a risk factor for not initiating breastfeeding early. Social support, coming from social networks (e.g. a partner, family or friends) or health care providers, has been positively associated with breastfeeding. This study aimed to examine the association between pre-pregnancy excessive weight and breastfeeding within the first hour after birth and if social support modifies this association.
National population-based study conducted with 21,086 postpartum women from February 1, 2011 to October 31, 2012 in 266 hospitals from all five regions of Brazil. Social support was defined as having a companion at the hospital. Main effects and interactions were tested with multivariable regression analyses.
Multivariate regression analyses indicated that class I and class II obese women had lower odds of breastfeeding within the first hour when a companion was not present (AOR = 0.59, 95% CI 0.42-0.82 and AOR = 0.59, 95% CI 0.36-0.97, respectively), but there was no association when the companion was present. Among overweight and obese women, the predicted probability of breastfeeding within the first hour was lower for those without a companion. This association was not found among those with normal pre-pregnancy BMI.
Social support modifies the relationship between pre-gestational BMI and breastfeeding initiation among women who are overweight or obese, specifically it reduces the risk of delayed breastfeeding initiation.</description><subject>Adult</subject><subject>Age</subject><subject>Biology and Life Sciences</subject><subject>Births</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Brazil</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Cesarean section</subject><subject>Data collection</subject><subject>Design modifications</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Humans</subject><subject>Medicine and Health Sciences</subject><subject>Mothers</subject><subject>Obesity</subject><subject>Overweight</subject><subject>People and places</subject><subject>Population studies</subject><subject>Postpartum</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Prenatal care</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Social aspects</subject><subject>Social interactions</subject><subject>Social networks</subject><subject>Social organization</subject><subject>Social Sciences</subject><subject>Social Support</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Variables</subject><subject>Women</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk21rFDEQxxdRbK1-A9EFQfTFnXnaZPeNUIsPB4WCVd-GZDN7l7KXnElWe356c71tuZW-kBASJr_5T2aSKYrnGM0xFfjdlR-CU_184x3MEaGUVeRBcYwbSmacIPrwYH9UPInxCqGK1pw_Lo4oYbSmdX1cpEvfWtWXcdhsfEjl2hvbWYhlWkGpYtydJutdqSH9BnDlJsAsz6VTrt2W2pttuc5caZ2B61I5U-oAKqYOwFi3zHabRgnryg9B_bH90-JRp_oIz8b1pPj-6eO3sy-z84vPi7PT81nLG5JmxgiihGlaI7gGijBo2pFa1E0jeM3rjjJRo1Zg3QkQSDcaIcoYNQ0jpsIdPSle7nU3vY9yLFiUhKGqahrKWSYWe8J4dSU3wa5V2EqvrLwx-LCUKiTb9iAJFxxr0YqaGsYro43BlW6QqDSvGKCs9X6MNug1mBZcCqqfiE5PnF3Jpf8lBWEEYZ4F3owCwf8cICa5trGFvlcO_HBzb04x4qzK6Kt_0PuzG6mlyglY1_kct92JylNOWCUyhDM1v4fKw8Datvl3dTbbJw5vJw6ZSXCdlmqIUS4uv_4_e_Fjyr4-YFeg-rSKvh92nydOQbYH2-BjDNDdFRkjuWuO22rIXXPIsTmy24vDB7pzuu0G-hcldgpF</recordid><startdate>20200521</startdate><enddate>20200521</enddate><creator>Pujól von Seehausen, Mariana</creator><creator>Pérez-Escamilla, Rafael</creator><creator>Couto de Oliveira, Maria Inês</creator><creator>do Carmo Leal, Maria</creator><creator>Siqueira Boccolini, Cristiano</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0439-6295</orcidid><orcidid>https://orcid.org/0000-0001-8926-1677</orcidid></search><sort><creationdate>20200521</creationdate><title>Social support modifies the association between pre-pregnancy body mass index and breastfeeding initiation in Brazil</title><author>Pujól von Seehausen, Mariana ; Pérez-Escamilla, Rafael ; Couto de Oliveira, Maria Inês ; do Carmo Leal, Maria ; Siqueira Boccolini, Cristiano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-dd72a7d9cd76be301eb3f28789976868f34780c71bf7e70b9b003443d942d51f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Age</topic><topic>Biology and Life Sciences</topic><topic>Births</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Brazil</topic><topic>Breast Feeding</topic><topic>Breastfeeding & lactation</topic><topic>Cesarean section</topic><topic>Data collection</topic><topic>Design modifications</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health care industry</topic><topic>Health care policy</topic><topic>Humans</topic><topic>Medicine and Health Sciences</topic><topic>Mothers</topic><topic>Obesity</topic><topic>Overweight</topic><topic>People and places</topic><topic>Population studies</topic><topic>Postpartum</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Prenatal care</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Social aspects</topic><topic>Social interactions</topic><topic>Social networks</topic><topic>Social organization</topic><topic>Social Sciences</topic><topic>Social Support</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Variables</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pujól von Seehausen, Mariana</creatorcontrib><creatorcontrib>Pérez-Escamilla, Rafael</creatorcontrib><creatorcontrib>Couto de Oliveira, Maria Inês</creatorcontrib><creatorcontrib>do Carmo Leal, Maria</creatorcontrib><creatorcontrib>Siqueira Boccolini, Cristiano</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pujól von Seehausen, Mariana</au><au>Pérez-Escamilla, Rafael</au><au>Couto de Oliveira, Maria Inês</au><au>do Carmo Leal, Maria</au><au>Siqueira Boccolini, Cristiano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social support modifies the association between pre-pregnancy body mass index and breastfeeding initiation in Brazil</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-05-21</date><risdate>2020</risdate><volume>15</volume><issue>5</issue><spage>e0233452</spage><epage>e0233452</epage><pages>e0233452-e0233452</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Many biological, social and cultural barriers for suboptimal breastfeeding practices have been identified in literature. Among these, excessive pre-pregnancy weight has been identified as a risk factor for not initiating breastfeeding early. Social support, coming from social networks (e.g. a partner, family or friends) or health care providers, has been positively associated with breastfeeding. This study aimed to examine the association between pre-pregnancy excessive weight and breastfeeding within the first hour after birth and if social support modifies this association.
National population-based study conducted with 21,086 postpartum women from February 1, 2011 to October 31, 2012 in 266 hospitals from all five regions of Brazil. Social support was defined as having a companion at the hospital. Main effects and interactions were tested with multivariable regression analyses.
Multivariate regression analyses indicated that class I and class II obese women had lower odds of breastfeeding within the first hour when a companion was not present (AOR = 0.59, 95% CI 0.42-0.82 and AOR = 0.59, 95% CI 0.36-0.97, respectively), but there was no association when the companion was present. Among overweight and obese women, the predicted probability of breastfeeding within the first hour was lower for those without a companion. This association was not found among those with normal pre-pregnancy BMI.
Social support modifies the relationship between pre-gestational BMI and breastfeeding initiation among women who are overweight or obese, specifically it reduces the risk of delayed breastfeeding initiation.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32438388</pmid><doi>10.1371/journal.pone.0233452</doi><tpages>e0233452</tpages><orcidid>https://orcid.org/0000-0003-0439-6295</orcidid><orcidid>https://orcid.org/0000-0001-8926-1677</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-05, Vol.15 (5), p.e0233452-e0233452 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2405599364 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Age Biology and Life Sciences Births Body mass Body Mass Index Body size Body weight Brazil Breast Feeding Breastfeeding & lactation Cesarean section Data collection Design modifications Female Health aspects Health care industry Health care policy Humans Medicine and Health Sciences Mothers Obesity Overweight People and places Population studies Postpartum Postpartum Period Pregnancy Pregnant women Prenatal care Regression analysis Risk analysis Risk Factors Social aspects Social interactions Social networks Social organization Social Sciences Social Support Statistical analysis Studies Variables Women Womens health |
| title | Social support modifies the association between pre-pregnancy body mass index and breastfeeding initiation in Brazil |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T10%3A05%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Social%20support%20modifies%20the%20association%20between%20pre-pregnancy%20body%20mass%20index%20and%20breastfeeding%20initiation%20in%20Brazil&rft.jtitle=PloS%20one&rft.au=Puj%C3%B3l%20von%20Seehausen,%20Mariana&rft.date=2020-05-21&rft.volume=15&rft.issue=5&rft.spage=e0233452&rft.epage=e0233452&rft.pages=e0233452-e0233452&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0233452&rft_dat=%3Cgale_plos_%3EA624573641%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2405599364&rft_id=info:pmid/32438388&rft_galeid=A624573641&rft_doaj_id=oai_doaj_org_article_26761b7c783d465dbdd15b9075b654e0&rfr_iscdi=true |