TABLE 3.
Predicting inability to fully breastfeed for 4 and 6 mo postpartum among the Norwegian women in the MoBa study1
4 mo postpartum, OR (95% CI) |
6 mo postpartum, OR (95% CI) |
||||
Prepregnancy BMI and GWG group2 | n | Crude model | Adjusted model3 | Crude model | Adjusted model3 |
Normal | |||||
Within recommendations | 12,958 | 1 | 1 | 1 | 1 |
Below recommendations | 7056 | 1.10 (1.03, 1.16) | 1.09 (1.02, 1.16) | 1.02 (0.94,1.11) | 1.02 (0.94, 1.10) |
Above recommendations | 12,589 | 1.22 (1.16, 1.29) | 1.08 (1.02, 1.13) | 1.25 (1.16, 1.34) | 1.08 (1.01, 1.16) |
Underweight | |||||
Within recommendations | 654 | 1.35 (1.15, 1.58) | 1.19 (1.01, 1.40) | 1.13 (0.90, 1.41) | 0.94 (0.75, 1.18) |
Below recommendations | 440 | 1.20 (0.99, 1.46) | 1.12 (0.92, 1.37) | 0.85 (0.67, 1.09) | 0.78 (0.61, 1.00) |
Above recommendations | 359 | 1.61 (1.30, 1.98) | 1.15 (0.92, 1.42) | 1.87 (1.31, 2.69) | 1.21 (0.84, 1.74) |
Overweight | |||||
Within recommendations | 2254 | 1.45 (1.32, 1.59) | 1.42 (1.29, 1.56) | 1.31 (1.14, 1.49) | 1.29 (1.12, 1.47) |
Below recommendations | 954 | 1.52 (1.33, 1.74) | 1.46 (1.28, 1.68) | 1.18 (0.98, 1.43) | 1.13 (0.93, 1.38) |
Above recommendations | 7516 | 1.61 (1.52, 1.70) | 1.44 (1.36, 1.53) | 1.53 (1.40, 1.67) | 1.36 (1.24, 1.48) |
Obese | |||||
Within recommendations | 953 | 1.91 (1.67, 2.18) | 1.67 (1.45, 1.91) | 1.50 (1.22,1.84) | 1.33 (1.08, 1.64) |
Below recommendations | 807 | 2.15 (1.87, 2.48) | 1.97 (1.70, 2.28) | 1.57 (1.25, 1.97) | 1.48 (1.17, 1.86) |
Above recommendations | 2763 | 2.75 (2.53, 2.99) | 2.27 (2.08, 2.48) | 1.86 (1.62, 2.13) | 1.50 (1.31, 1.73) |
Among those who initiated breastfeeding, n = 49,309. GWG, gestational weight gain; MoBa, Norwegian Mother and Child Cohort Study.
Prepregnant BMI was categorized as normal, underweight, overweight, or obese grades I–III according to WHO classifications, and GWG was expressed as within, below, or above the GWG recommended by the Institute of Medicine (11). The latter recommendation takes prepregnancy BMI into account.
Adjusted for income, education, age, smoking, parity, diabetes, and cesarean delivery.