Breastfeeding Initiation Among Macrosomic XXXX Born to Obese Nondiabetic Mothers.

@entity1 @entity6 @entity28 @entity532 @entity8455
BACKGROUND: @entity1 who are overweight or @entity28 are at risk for @entity532 , including @entity8455 (birth weight >= 4,000   g), that may contribute to breastfeeding initiation failure. This study examined factors associated with breastfeeding initiation among @entity28 @entity1 without @entity6 who delivered macrosomic @entity1 . STUDY DESIGN AND METHODS: A retrospective chart review was conducted from 2008 to 2011. Based on prepregnancy body mass index (in kg/m(2)), @entity1 were classified as normal (18-24.9), overweight (25-29.9), @entity28 (30-34.9), @entity28 (35-39.9), and @entity28 (>= 40). Intention to breastfeed was ascertained prenatally, and breastfeeding initiation was defined if at discharge >= 50% of the @entity1 feedings were breastmilk. RESULTS: Twenty-nine percent of the population was overweight, 23% @entity28 , 14% @entity28 , and 12% @entity28 . Intention to breastfeed was similar among normal-weight, overweight, @entity28 @entity1 but was significantly lower for those who were @entity28 (p<0.05). Breastfeeding initiation was 75% for normal-weight, 72% for overweight, 71% for @entity28 , 66% for @entity28 , and 53% for @entity28 @entity1 (p<0.05). Among @entity1 who intended to breastfeed, breastfeeding initiation was uniformly high: 94% for normal-weight, 93% for overweight, 95% for @entity28 , 92% for @entity28 , and 87% for @entity28 @entity1 . CONCLUSIONS: Intention to breastfeed as well as breastfeeding initiation was significantly lower for @entity28 @entity1 . Lack of intention to breastfeed declared during the antepartum period by @entity28 @entity1 highlights a need as well as an opportunity for intervention.
