Journal
OBESITY REVIEWS
Volume 23, Issue 3, Pages -Publisher
WILEY
DOI: 10.1111/obr.13371
Keywords
breastfeeding; gestational diabetes; obesity; overweight
Categories
Funding
- European Union [847984]
- IReL
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This review evaluates breastfeeding interventions for at-risk populations, finding that such interventions can improve exclusive early postpartum breastfeeding and any breastfeeding at 6 months in women with gestational diabetes or obesity/overweight. Further randomized controlled trials are needed to confirm efficacy and harmonize breastfeeding outcome reporting.
Exclusive breastfeeding is recommended for the first 6 months of life and benefits both mother and child. Women with overweight/obesity or gestational diabetes are at risk for poor breastfeeding outcomes. This review evaluates the efficacy of breastfeeding interventions in these at-risk populations. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Five databases were searched for interventions from inception to May 2020. Nineteen trials including 2,740 participants, 226 of which were dyads, were included. Intervention increased any breastfeeding at >= 6 months (OR 1.43, 95% CI [1.05-1.95]), and women in the intervention group were 90% more likely to exclusively breastfeed at 1-2 weeks (OR 1.9, 95% CI [1.17-3.09]) and more than twice as likely to exclusively breastfeed at 4-6 weeks (OR 2.23, 95% CI [1.27-3.90]) within the sensitivity analysis. These findings support breastfeeding interventions improving exclusive early postpartum breastfeeding and any breastfeeding from 6 months in women with gestational diabetes or obesity/overweight. Further randomized controlled trials with harmonized breastfeeding outcome reporting are needed to confirm efficacy.
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