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. 2019 Aug;22(11):2092-2098.
doi: 10.1017/S1368980019000387. Epub 2019 Mar 12.

Association between gestational weight gain and exclusive breast-feeding for the first 6 months postpartum in Chinese women

Mingkun Tong  1 , Lei Jin  1 , Jianmeng Liu  1 , Zhiwen Li  1 , Hongtian Li  1 , Le Zhang  1 , Rongwei Ye  1 , Aiguo Ren  1
Affiliations

Association between gestational weight gain and exclusive breast-feeding for the first 6 months postpartum in Chinese women

Mingkun Tong et al. Public Health Nutr. 2019 Aug.

Abstract

Objective: The association between gestational weight gain (GWG) and exclusive breast-feeding (EBF) practices remains unclear. The present study evaluated the association between GWG and EBF in the first 6 months postpartum among primiparas in rural China.

Design: The study population was drawn from a previous randomized controlled trial, and the relevant data were obtained from an electronic, population-based perinatal system and a monitoring system for child health care. GWG was categorized according to the guidelines of the Institute of Medicine.

Setting: Five rural counties in Hebei Province, China.ParticipantsA total of 8449 primiparas.

Results: Of the women, 58·7 % breast-fed exclusively for the first 6 months postpartum. Overweight women who gained either more or less weight than the recommended GWG tended to experience failure of EBF (OR=0·49; 95 % CI 0·34, 0·70; P<0·001 and OR=0·79; 95 % CI 0·63, 0·99; P=0·048, respectively). The same results were also observed among obese women; the OR for lower and greater weight gain were 0·28 (95 % CI 0·08, 0·94; P=0·04) and 0·55 (95 % CI 0·32, 0·95; P=0·03), respectively.

Conclusions: GWG that is below or above the Institute of Medicine recommendations is associated with EBF behaviour for the first 6 months postpartum in overweight and obese primiparas in rural China.

Keywords: BMI; Exclusive breast-feeding; Gestational weight gain; Pregnancy.

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Figures

Fig. 1
Fig. 1
Flow diagram showing the selection of the study population (RCT, randomized controlled trial; GWG, gestational weight gain)
See this image and copyright information in PMC

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