{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T10:25:18Z","timestamp":1789813518958,"version":"4.0.1"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,31]],"date-time":"2012-12-31T00:00:00Z","timestamp":1356912000000},"content-version":"vor","delay-in-days":1095,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p>Despite the increase in obesity among women of reproductive ages, few studies have considered maternal obesity as a risk factor for breast\u2010feeding success. We tested the hypothesis that women who are obese (BMI = 30\u201334.9) and very obese (BMI \u226535) before pregnancy are less likely to initiate and maintain breast\u2010feeding than are their normal\u2010weight counterparts (BMI = 18.5\u201324.9) among white and black women. Data from 2000 to 2005 South Carolina Pregnancy Risk Assessment Monitoring System (PRAMS) were used. The overall response rate was 71.0%; there were 3,517 white and 2,846 black respondents. Black women were less likely to initiate breast\u2010feeding and breast\u2010fed their babies for a shorter duration than white women. Compared to normal\u2010weight white women, very obese white women were less likely to initiate breast\u2010feeding (odds ratio: 0.63; 95% confidence interval (CI) = 0.42, 0.94) and more likely to discontinue breast\u2010feeding within the first 6 months (hazard ratio (HR) = 1.89; 95% CI: 1.39, 2.58). Among black women, prepregnancy BMI was neither associated with breast\u2010feeding initiation nor with breast\u2010feeding continuation within the first 6 months. Because very obese white women are less likely to initiate or continue breast\u2010feeding than other white women, health professionals should be aware that very obese white women need additional breast\u2010feeding support. Lower rates of breast\u2010feeding among black women suggest that they should continue to be the focus of the programs and policies aimed at breast\u2010feeding promotion in the United States.<\/jats:p>","DOI":"10.1038\/oby.2009.182","type":"journal-article","created":{"date-parts":[[2009,6,11]],"date-time":"2009-06-11T14:27:11Z","timestamp":1244730431000},"page":"175-182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Maternal Obesity and Breast\u2010feeding Practices Among White and Black Women"],"prefix":"10.1002","volume":"18","author":[{"given":"Jihong","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirela A.","family":"Dobre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Ferguson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2491"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.65.5.578"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00453.x"},{"key":"e_1_2_7_5_1","volume-title":"Healthy people 2010: understanding and improving health","author":"US Department of Health and Human Services","year":"2000"},{"key":"e_1_2_7_6_1","unstructured":"Centers for Disease Control and Prevention.Breastfeeding Among U.S. Children Born 1999\u20142005 CDC National Immunization Survey. <http:www.cdc.govbreastfeedingdataNIS_dataindex.htm> (2004). 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