{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:49:14Z","timestamp":1777852154146,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T00:00:00Z","timestamp":1452211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Suboptimal infant feeding practices, including the failure to exclusively breastfeed, are modifiable risk factors that affect multiple maternal and child health outcomes. Women who are overweight or obese prenatally are more likely to fail to exclusively breastfeed. In the United States, Latinas represent a high-risk population with respect to overweight, obesity, and suboptimal infant feeding practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Examine whether exclusive breastfeeding status at hospital discharge among overweight and obese Latinas was associated with (1) prepregnancy body mass index (BMI) and gestational weight gain and (2) sociodemographic, psychosocial, and maternal\/infant biomedical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      An electronic medical records review was conducted to determine exclusive breastfeeding status at hospital discharge among Latinas who gave birth at Hartford Hospital, Hartford, Connecticut, USA (N = 480). Eligible participants were \u2265 16 years, Latina, overweight or obese (BMI \u2265 25.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) and delivered a healthy full-term (\u2265 37 weeks) singleton.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In the multivariable model, obese class II (BMI, 35.0-39.9 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) women had increased odds of failing to exclusively breastfeed at hospital discharge compared with overweight women. Planned formula use\/partial breastfeeding was the single strongest predictor of nonexclusive breastfeeding status. Other risk factors included Puerto Rican ethnicity and parity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Maternal prepregnancy obesity class is an important predictor of exclusive breastfeeding status at hospital discharge among overweight and obese Latinas. Future research should examine why in-hospital exclusive breastfeeding behaviors differ by obesity class to subsequently inform the design of breastfeeding promotion and support interventions tailored to the needs of Latinas by obesity class. Culturally appropriate prenatal breastfeeding promotion interventions emphasizing action and coping planning should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334415622638","type":"journal-article","created":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T22:48:52Z","timestamp":1452293332000},"page":"258-268","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Prepregnancy Obesity Class Is a Risk Factor for Failure to Exclusively Breastfeed at Hospital Discharge among Latinas"],"prefix":"10.1177","volume":"32","author":[{"given":"Josefa L.","family":"Martinez","sequence":"first","affiliation":[{"name":"Yale School of Public Health, Yale University, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna J.","family":"Chapman","sequence":"additional","affiliation":[{"name":"Springfield College, Springfield, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"P\u00e9rez-Escamilla","sequence":"additional","affiliation":[{"name":"Yale School of Public Health, Yale University, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,1,8]]},"reference":[{"key":"bibr1-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1616"},{"key":"bibr2-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318297a047"},{"key":"bibr3-0890334415622638","unstructured":"Centers for Disease Control and Prevention (CDC). Breastfeeding Report Card\u2014United States, 2014. http:\/\/www.cdc.gov\/breastfeeding\/pdf\/2014breastfeedingreportcard.pdf. Accessed December 1, 2014."},{"key":"bibr4-0890334415622638","unstructured":"United Nations Children\u2019s Fund (UNICEF). Child Info: Monitoring the Situation of Children and Women. Infant and Young Child Feeding (2000-2007). http:\/\/www.childinfo.org\/breastfeeding_countrydata.php. Accessed April 12, 2015."},{"key":"bibr5-0890334415622638","unstructured":"Healthy People 2020. Healthy People 2020 Objectives: Maternal, Infant, and Child Health. https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/maternal-infant-and-child-health\/objectives. Accessed August 17, 2015."},{"key":"bibr6-0890334415622638","unstructured":"Centers for Disease Control and Prevention (CDC). Final formula supplementation of breast milk rates by socio-demographic factors, among children born in 2006. http:\/\/www.cdc.gov\/breastfeeding\/data\/NIS_data\/2006\/socio-demographic_formula.htm. 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Summary Health Statistics for U.S. Adults: National Health Interview Survey. www.cdc.gov\/nchs\/data\/series\/sr_10\/sr10_252.pdf. Accessed November 8, 2013."},{"key":"bibr15-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2248"},{"key":"bibr16-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-7-9"},{"key":"bibr17-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2012.00439.x"},{"key":"bibr18-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-015-0046-5"},{"key":"bibr19-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/134.7.1746"},{"key":"bibr20-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-012-1204-7"},{"key":"bibr21-0890334415622638","unstructured":"World Health Organization (WHO). Body mass index (BMI) classification. http:\/\/apps.who.int\/bmi\/index.jsp?introPage=intro_3.html. Accessed November 21, 2015."},{"key":"bibr22-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2009.182"},{"key":"bibr23-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/86.2.404"},{"key":"bibr24-0890334415622638","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0801670"},{"key":"bibr25-0890334415622638","unstructured":"World Health Organization (WHO). Exclusive breastfeeding: e-Library of Evidence for Nutrition Actions (eLENA). http:\/\/www.who.int\/elena\/titles\/exclusive_breastfeeding\/en\/. 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