SynthesisBMC pregnancy and childbirth2007
A systematic review of maternal obesity and breastfeeding intention, initiation and duration.
Synthesis in BMC pregnancy and childbirth, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 182 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
182 citing papers in PubMed, 9 syntheses or guidelines pooled it, 523 citations in OpenAlex.
- Complex intertwined association between breastfeeding practices and household food insecurity: Systematic review and meta-analysis.Maternal & child nutrition · 2024Pooled it
- Risk factors for self-reported insufficient milk during the first 6 months of life: A systematic review.Maternal & child nutrition · 2022Pooled it
- Breastfeeding experiences and support for women who are overweight or obese: A mixed-methods systematic review.Maternal & child nutrition · 2020Pooled it
- Interventions for supporting the initiation and continuation of breastfeeding among women who are overweight or obese.The Cochrane database of systematic reviews · 2019Pooled it
- The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg mObesity reviews : an official journal of the International Association for the Study of Obesity · 2018Pooled it
- Obesity and gynaecological and obstetric conditions: umbrella review of the literature.BMJ (Clinical research ed.) · 2017Pooled it
- Technology-supported dietary and lifestyle interventions in healthy pregnant women: a systematic review.European journal of clinical nutrition · 2014Pooled it
- Maternal obesity and breastfeeding intention, initiation, intensity and duration: a systematic review.Maternal & child nutrition · 2014Pooled it
- Prevalence and outcomes of breast milk expressing in women with healthy term infants: a systematic review.BMC pregnancy and childbirth · 2013Pooled it
- Longer-term breastfeeding outcomes associated with domperidone use for lactation differs according to maternal weight.European journal of clinical pharmacology · 2018Trial
- Maternal pre-pregnancy overweight/obesity and gestational diabetes interaction on delayed breastfeeding initiation.PloS one · 2018Trial
- Maternal weight status and responsiveness to preterm infant behavioral cues during feeding.BMC pregnancy and childbirth · 2017Trial
- Transformative Lifestyle Change: key to sustainable weight loss among women in a post-partum diet and exercise intervention.Maternal & child nutrition · 2015Trial
- Reducing postpartum weight retention and improving breastfeeding outcomes in overweight women: a pilot randomised controlled trial.Nutrients · 2015Trial
- Breastfeeding initiation: impact of obesity in a large Canadian perinatal cohort study.PloS one · 2015Trial
- Safety and efficacy of antenatal milk expressing for women with diabetes in pregnancy: protocol for a randomised controlled trial.BMJ open · 2014Trial
- Healthy eating and lifestyle in pregnancy (HELP): a protocol for a cluster randomised trial to evaluate the effectiveness of a weight management intervention in pregnancy.BMC public health · 2014Trial
- Breastfeeding education and support trial for overweight and obese women: a randomized trial.Pediatrics · 2013Trial
- The Expanded Biopsychosocial Model Elucidates the Association Between Pre-Pregnancy Overweight/Obesity and Delayed Lactogenesis II: A Prospective Cohort Study.Maternal & child nutrition · 2026Article
- Maternal exercise during lactation remodels obesity-associated mammary metabolism and milk fatty acids, enhancing offspring lipid oxidation.American journal of physiology. Endocrinology and metabolism · 2026Article
122 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreastfeeding behaviour is multifactorial, and a wide range of socio-cultural and physiological variables impact on a woman's decision and ability to breastfeed successfully. An association has been reported between maternal obesity and low breastfeeding rates. This is of public health concern because obesity is rising in women of reproductive age and the apparent association with increased artificial feeding will lead to a greater risk of obesity in children. The aim of this paper is to examine the relationship between maternal overweight and obesity and breastfeeding intention and initiation and duration.
methodsA systematic review was conducted in January and February 2007, using the following databases: Medline, CINAHL and the Australian Breastfeeding Association's Lactation Resource Centre. Studies which have examined maternal obesity and infant feeding intention, initiation, duration and delayed onset of lactation were tabulated and summarised.
resultsStudies have found that obese women plan to breastfeed for a shorter period than normal weight women and are less likely to initiate breastfeeding. Of the four studies that examined onset of lactation, three reported a significant relationship between obesity and delayed lactogenesis. Fifteen studies, conducted in the USA, Australia, Denmark, Kuwait and Russia, have examined maternal obesity and duration of breastfeeding. The majority of large studies found that obese women breastfed for a shorter duration than normal weight women, even after adjusting for possible confounding factors.
conclusionThere is evidence from epidemiological studies that overweight and obese women are less likely to breastfeed than normal weight women. The reasons may be biological or they may be psychological, behavioral and/or cultural. We urgently need qualitative studies from women's perspective to help us understand women in this situation and their infant feeding decisions and behaviour.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.