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Objective: The short duration or lack of breastfeeding has been associated with maternal obesity. The purpose of this study was to systematically review prospective studies that assessed the effect of maternal obesity on lactation. Methods: A search of studies was conducted in Pubmed, these included prospective studies on maternal obesity and initiation, intention and duration of breastfeeding: 653 articles were found, only seven were prospective studies. After adding other studies found by hand, a total of nine studies were analyzed. Results: Three out of four papers observed a higher risk for delay lactogenesis among obese mothers, odds ratio ranging from 1.02 to 1.10. The study assessing the initiation of lactation showed that non-obese mothers initiated lactation sooner, OR: 0.39 (95% CI: 0.25-0.62). The overall risk for cessation of breastfeeding showed that obese mothers had higher risks of early cessation, HR: 1.50 (CI 95% 1.11-2.04). In one study it was observed that obese mothers were not more likely to never breastfeed, OR = 1.56 (95% CI: 0.97-1.50). Conclusions: This review shows that in prospective studies, obese mothers are more likely to have delayed lactogenesis and reduced lactation. Therefore, weight control and breastfeeding promotion should be reinforced before and during pregnancy. In overweight and obese mothers, breastfeeding should be closely monitored after birth.
Palabras Clave: Maternal obesity. Lactogenesis. Breastfeed.
Jessie Nallely Zurita-Cruz , Rodolfo Rivas-ruiz , Virginia Gordillo-Álvarez , Miguel Ángel Villasís-Keever
José Manuel Moreno Villares
María José Aguilar-cordero , Laura Baena García , Antonio Manuel Sánchez-lópez
María José Aguilar Cordero , Laura Baena García , Antonio Manuel Sánchez López , Rafael Guisado Barrilao , Rafael Hermoso Rodríguez , Norma Mur Villar
Lorena Fernández Palacios , Elsa Barrientos Augustinus , Carolina Raudales Urquía , Carmen Frontela Saseta , Gaspar Ros Berruezo
Norma Cecilia Serrano , Adriana Robles Silva , Diana Paola Suárez , Edna Magaly Gamboa-delgado , Doris Cristina Quintero-lesmes
Edgar Manuel Vásquez-Garibay , Elizabeth Guzmán-Mercado , Alfredo Larrosa-Haro , Nelly C. Muñoz-Esparza
Albert Salas-Huetos , Maria Dolores Huetos-Solano , Jordi Salas Salvadó
Isabel Iguacel , Laura Monje , María Jesús Cabero , Luis A. Moreno Aznar , María Pilar Samper , María Rodríguez-Palmero , Montserrat Rivero , Gerardo Rodríguez
Antonio Herrera-Gómez , Javier Ramos-Torrecillas , Concepción Ruiz , Francisco Ocaña Peinado , Elvira de Luna Bertos , Olga García-Martínez
Ana Isabel Jiménez-Ortega , Marta Velasco Rodríguez-Belvis , Jana Ruiz Herrero , África Peral-Suárez , Rosa María Martínez García , Laura Bermejo López
María Jesús Cancelo Hidalgo
René Bailón Uriza , José Antonio Ayala Méndez , Brian M. Cavagnari , Cuauhtémoc Celis González , Rubén Chapa Tellez , Jesús Chávez Brambila , Alan Espinosa-Marrón , Josefina Lira Plascencia , Mardia Guadalupe López Alarcón , Rebeca López García , Juan de Dios Maldonado Alvarado , Fernanda Molina-Segui , Javier Montoya Cossio , Jorge Méndez Trujeque , Victorina Nolasco Morán , Eduardo Sirahuén Neri Ruz , Antonio Erasto Peralta Sánchez , Martin Tulio Santa Rita Escamilla , Gilberto Tena Alavez , Pilar Riobó Serván , Hugo Laviada Molina
Marta Suárez Rodríguez , Violeta Iglesias García , Pilar Ruiz Martínez , Sonia Lareu Vidal , María Caunedo Jiménez , Silvia Martín Ramos , Enrique García López
Anel Ibarra-Ortega , Edgar Manuel Vásquez-Garibay , Alfredo Larrosa-Haro , Jorge Castro-Albarrán
Ana Cecília Travassos Santiago , Louise Perna Martins da Cunha , Mariana de Lima Costa , Priscila Pinheiro Ribeiro Lyra , Patrícia Ribeiro Oliveira , Gildásio Carvalho da Conceição , Lícia Maria Oliveira Moreira , Crésio de Aragão Dantas Alves
Ayala López de Aberasturi Ibáñez de Garayo , Nerea Santos Ibáñez , Yolanda Ramos Castro , María García Franco , Carmen Artola Gutiérrez , Isabel Arara Vidal
Daniza Puca , Pamela Estay Castillo , Carina Valenzuela , Yasna Muñoz
Manuel Ferreiro Ardións , Juan Lezaun Valdubieco
Raúl Aguilera-Eguía , Vanessa Andrea Rodríguez Pindave , Héctor Fuentes-Barría , Ángel Roco-Videla , Pamela Gómez Cerro
Iria Varela Rey , Enrique José Bandín Vilar , Ana Cantón Blanco , Nazareth Martinon Torres , Breogán Amoedo Fariña , Daniel Gayoso González , Iván Barrientos Lema , José Joaquim de Moura Ramos , Irene Zarra Ferro , Miguel González Barcia , Cristina Mondelo García , Miguel Ángel Martínez Olmos , Anxo Fernández Ferreiro
Jesús Delgado Ojeda , Alicia Santamaría Orleans
Ariadna Witte Castro , Carlos Zozaya , Santiago Ruvira , Silvia M. Arribas , María Rosario López-Giménez , David Ramiro-Cortijo
Tomás Sandoval Leiva , Yasna Muñoz , Luis Tabilo Aguirre , Pamela Estay Castillo
Mónica Aidé García Padilla , Edgar Manuel Vásquez-Garibay , Clío Chávez-Palencia , Enrique Romero Velarde , Alfredo Larrosa Haro , María de Lourdes Sánchez-Aldana Robles , Blanca Leticia Sánchez Michel
Ana Isabel Jiménez-Ortega , Rosa M. Martínez-García , Esther Cuadrado-Soto , María del Carmen Lozano-Estevan , Ana M. López-Sobaler
Rosario Edith Ortiz Félix , Patricia Enedina Miranda Félix , Felix Gerardo Buichia Sombra , Liliana Estefanía Ramírez-Jaime , Milton Carlos Guevara Valtier , Velia Margarita Cárdenas-Villarreal
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