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Breastfeed Med. 2011 Apr;6(2):69-75. doi: 10.1089/bfm.2010.0014. Epub 2010 Oct 19.

Interventions to increase the duration of breastfeeding in obese mothers: the Bassett Improving Breastfeeding Study.

Author information

1
Division of Nutritional Sciences, Cornell University, Ithaca, New York 14853, USA. kathleen.rasmussen@cornell.edu

Abstract

OBJECTIVE:

Maternal obesity is associated with poor breastfeeding outcomes, yet no intervention has been developed to improve them. To ascertain whether increased breastfeeding support or provision of a breast pump is a feasible, effective intervention to improve breastfeeding, we enrolled obese women who intended to breastfeed in two randomized trials.

METHODS:

In Bassett Improving Breastfeeding Study (BIBS) 1, 40 women received targeted breastfeeding support in the hospital and via telephone or usual care. Information regarding breastfeeding was collected via telephone for 7 days after delivery and at 30 and 90 days postpartum. In BIBS 2, 34 obese mothers received a manual or electric breast pump to use for 10-14 days or no pump; data collection was similar.

RESULTS:

In both experiments, randomization failed to distribute women of differing postpartum body mass index adequately among the treatment groups. When analyses were adjusted for this, there was no difference in BIBS 1 between targeted and usual care groups and in BIBS 2 among the treatment groups in the proportion of women still breastfeeding at the times studied.

CONCLUSIONS:

In future studies of obese women, stratified randomization may be necessary. Further development of interventions to help obese women achieve optimal breastfeeding outcomes is required.

PMID:
20958105
DOI:
10.1089/bfm.2010.0014
[Indexed for MEDLINE]

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