TY  - JOUR
T1  - The Effect of Maternal Pre-Pregnancy Obesity on Breastfeeding: A Pilot Prospective Cohort Study
TT  - Gebelik Öncesi Maternal Obezitenin Anne Sütü ile Beslenme Üzerine Etkisi: Prospektif Kohort Pilot Çalışması
AU  - Öztürk Dönmez, Renginar
AU  - Uysal Toraman, Aynur
AU  - Celik, Gulbiye
PY  - 2025
DA  - January
DO  - 10.61399/ikcusbfd.1243387
JF  - İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi
JO  - İKÇÜSBFD
PB  - Izmir Katip Celebi University
WT  - DergiPark
SN  - 2458-9799
SP  - 23
EP  - 30
VL  - 10
IS  - 1
LA  - en
AB  - Objective: This prospective cohort study was conducted to investigate the effect of mothers who have obesity according to body mass index (BMI) in the pre-pregnancy period on their infant’s exclusive breastfeeding status six months after delivery. Material and Methods: The study sample consisted of 44 obese and 44 non-obese mother-infant pairs registered to a Family Health Center in Izmir, Türkiye. The data were collected during the 1st week, 1st, 3rd, and 6th months after delivery using the Individual Identification Form, LaTCH Tool, and Breastfeeding Status Follow-up Form. Independent t-test, Chi-square and Cochran’s Q tests, and Cox’s regression analysis were used. Results: A significant difference was found between the exclusive breastfeeding status of the infants of obese and non-obese participants in all follow-up weeks. In the Cox regression model, the only significant explanatory variable on exclusive breastfeeding in all follow-ups was prepregnancy BMI of the participants. The infants of obese participants were exclusively breastfed by 2.25 times less in the 1st week, 4.50 times less in the 1st month, 2.20 times less in the 3rd month, and 1.69 times less in the 6th month than the infants of non-obese participants. Conclusion: It was determined that maternal obesity statistically decreased the exclusive breastfeeding status. It can be recommended to monitor women of the reproductive age for obesity during pre-pregnancy follow-ups and to implement nursing interventions such as health education and counselling to reduce obesity.
KW  - Maternal obesity
KW  - breastfeeding
KW  - cohort study.
N2  - Amaç: Bu prospektif kohort araştırması, gebelik öncesi dönemde beden kütle indeksi (BKI)’ne göre obezitesi olan kadınların doğum sonrası altı aylık dönemde bebeklerini sadece anne sütü ile beslenme üzerine olan etkisinin incelenmesi amacıyla yürütülmüştür. Gereç ve Yöntem: Araştırma örneklemi, Türkiye İzmir’de bir Aile Sağlığı Merkezine kayıtlı 44 obezitesi olan ve 44 obezitesi olmayan anne ve bebeğinden oluşmuştur. Veriler, doğum sonrası 1. hafta, 1. ay, 3. ay ve 6. ay izleminde Birey Tanılama Formu, LATCH Emzirme Değerlendirme Aracı ve Emzirme Durumunu İzlem Formu ile toplanmıştır. Veri analizinde independent t test, ki kare, Cochran’s Q testi ve Cox’s regresyon analizi kullanılmıştır. Bulgular: Tüm izlem haftalarında obez ve obez olmayan annelerin bebeklerinin sadece anne sütü ile beslenme durumları arasında istatistiksel olarak anlamlı farklılık saptandı. Cox regresyon modelinde, yalnızca anne sütü ile beslenmeye ilişkin istatistiksel olarak tek anlamlı açıklayıcı değişken annelerin gebelik öncesi BKI değeriydi. Obez annelerin bebekleri, obez olmayan annelerin bebeklerine göre; doğum sonrası 1. haftada 2.25 kat, 1. ayda 4.50 kat, 3. ayda 2.20 kat ve 6. ayda 1.69 kat daha az sadece anne sütü ile beslenmiştir. Sonuç: Gebelik öncesi obezitenin, sadece anne sütü ile beslenme durumunu istatistiksel olarak azalttığı belirlendi. Gebelik öncesi takiplerde üreme çağındaki kadınların obezite açısından izlenmesi ve obeziteyi azaltmaya yönelik sağlık eğitimi, danışmanlık gibi hemşirelik girişimlerinin uygulanması önerilebilir.
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UR  - https://doi.org/10.61399/ikcusbfd.1243387
L1  - https://dergipark.org.tr/en/download/article-file/2921451
ER  -