Correlation of Weight Gain during Pregnancy and Onset of Lactation

Yuli Trisetiyono, Ursheila Haekmatiar

Abstract


Pregnancy is associated with weight gain. An increase beyond the recommendation of the Institute of Medicine (IOM), has consequences for pregnancy, childbirth, even postpartum. One result of postpartum is a delayed onset of lactation. This study aimed to evaluate the relationship between weight gain during pregnancy and the onset of fluency lactation. The design was observational analytic with a cross-sectional approach which was carried out on postpartum mothers conducted in six primary health centers in the area of Semarang City. The researchers recorded data from the antenatal care book and a questionnaire on the first postpartum visit. The data  was analyzed bivariately using Chi-square test. From 89 subjects, 41 people (46%) experienced under-recommendation weight gain during pregnancy, 32 people (36%) according to recommendations, and 16 people (18%) above recommendations. The onset of fluent lactation since the first 24 hours was found in 28 people (31.5%), 41 people (46.1%) start from day 1-7, and 20 people (22.5%) never went fluently until one week postpartum were. Chi-square test showed that the results were not significant (p=0.215). There was no significant relationship between weight gain during pregnancy and the onset of fluency lactation.


Keywords


weight gain; pregnancy; the onset of lactation

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References


Dinas Kesehatan Provinsi Jawa Tengah, Profil Kesehatan Provinsi Jawa Tengah Tahun 2016. 2016.

Widiyono, Profil Kesehatan Kota Semarang 2015. Kota Semarang, 2015.

Nicole Theresa Cacho and R. M. Lawrence, “Innate Immunity and Breast Milk,” Front. Immunol., vol. 8, no. 584, pp. 1–10, 2017.

Kementerian Kesehatan Republik Indonesia, Pusat Data dan Informasi Kementrian Kesehatan RI : Penyebab Kematian Ibu. 2014.

Kementerian Kesehatan Republik Indonesia, Profil Kesehatan Indonesia Tahun 2016. Jakarta: Kementerian Kesehatan Republik Indonesia, 2017.

V. J. Flaherman, E. W. Schaefer, M. W. Kuzniewicz, S. X. Li, E. M. Walsh, and I. M. Paul, “Early Weight Loss Nomograms for Exclusively Breastfed Newborns,” Pediatrics, vol. 135, no. 1, pp. e16–e25, 2015.

E. R. Smith, L. Hurt, R. Chowdhury, B. Sinha, W. Fawzi, and K. M. Edmond, “Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis,” PLoS One, vol. 12, no. 7, pp. 1–16, 2017.

E. R.Smith et al., “Delayed Breastfeeding Initiation Is Associated with Infant Morbidity,” J. Pediatr., vol. 191, pp. 57-62.e2, 2017.

F. Marangoni et al., “Maternal Diet and Nutrient Requirements in Pregnancy and Breastfeeding. An Italian Consensus Document,” Nutrients, vol. 8, no. 10, p. 629, 2016.

Jennifer A. Hutcheon and L. M. Bodnar, “Good Practices for Observational Studies of Maternal Weight and Weight Gain in Pregnancy,” Paediatr. Perinat. Epidemiol., vol. 32, no. 2, pp. 152–160, 2018.

C. S. Kovacs, “Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery,” Physiol. Rev., vol. 96, no. 2, pp. 449–547, 2015.

A. Stuebe, “Associations between lactation, maternal carbohydrate metabolism, and cardiovascular health,” Clin. Obstet. Gynecol., vol. 58, no. 4, pp. 827–839, 2015.

K. Nomura, M. Kido, A. Tanabe, K. Nagashima, S. Takenoshita, and K. Ando, “Investigation of Optimal Weight Gain during Pregnancy for Japanese Women,” Sci. Rep., vol. 7, no. 1, pp. 1–7, 2017.

E. Rogozińska et al., “Gestational weight gain outside the Institute of Medicine recommendations and adverse pregnancy outcomes: analysis using individual participant data from randomised trials,” BMC Pregnancy Childbirth, vol. 19, no. 1, p. 322, 2019.

E. E. Campbell et al., “Factors that influence excessive gestational weight gain: moving beyond assessment and counselling,” J. Matern. Neonatal Med., vol. 29, no. 21, pp. 3527–3531, 2016.

N. P. Deputy, A. J. Sharma, S. Y. Kim, and S. N. Hinkle, “Prevalence and Characteristics Associated With Gestational Weight Gain Adequacy,” Int. J. Gynecol. Obstet., vol. 125, no. 4, pp. 773–781, 2015.

X. Y. Tao et al., “Pre-Pregnancy BMI, Gestational Weight Gain and Breast-Feeding: A Cohort Study in China,” Public Health Nutr., vol. 20, no. 6, pp. 1001–1008, 2017.

R. F. Goldstein et al., “Association of Gestational Weight Gain With Maternal and Infant Outcomes A Systematic Review and Meta-analysis,” JAMA, vol. 317, no. 21, pp. 2207–2225, 2017.

K. M. Rasmussen et al., “Context of the Obesity Epidemic,” Am. Coll. Obstet. Gynecol., vol. 116, no. 5, pp. 1191–1195, 2015.

A. Winkvist, A. L. Brantsaeter, M. Brandhagen, M. Haugen, H. M. Meltzer, and L. Lissner, “Maternal Prepregnant Body Mass Index and Gestational Weight Gain Are Associated with Initiation and Duration of Breastfeeding among Norwegian Mothers,” J. Nutr., vol. 145, no. 6, pp. 1263–1270, 2015.

H.-T. Tie et al., “Risk of Childhood Overweight or Obesity Associated with Excessive Weight Gain during Pregnancy: a Meta-analysis,” Arch. Gynecol. Obstet., vol. 289, no. 2, pp. 247–257, 2014.

M. Z. Kapadia, C. K. Park, J. Beyene, L. Giglia, C. Maxwell, and S. D. McDonald, “Weight Loss Instead of Weight Gain within the Guidelines in Obese Women during Pregnancy: A Systematic Review and Meta-analyses of Maternal and Infant Outcomes,” PLoS One, vol. 10, no. 7, pp. 1–22, 2015.

A. Bogaerts, L. Ameye, E. Martens, and R. Devlieger, “Weight Loss in Obese Pregnant Women and Risk for Adverse Perinatal Outcomes,” Obstet. Gynecol., vol. 125, no. 3, pp. 566–575, 2015.

H. Castillo, I. S. Santos, and A. Matijasevich, “Maternal Pre-Pregnancy BMI, Gestational Weight Gain and Breastfeeding,” Eur. J. Clin. Nutr., vol. 70, no. 4, pp. 431–436, 2016.

E.-F. Tavoulari, V. Benetou, P. V.Vlastarakos, E. Andriopoulou, G. Kreatsas, and A. Linos, “Factors affecting breast-feeding initiation in Greece: What is important?,” Midwifery, vol. 31, no. 2, pp. 323–331, 2015.

Z. T. Haile, B. B. Chavan, A. Teweldeberhan, and I. R. Chertok, “Association Between Gestational Weight Gain and Delayed Onset of Lactation : The Moderating Effects of Race / Ethnicity,” Breastfeed. Med., vol. 20, no. 20, pp. 12–14, 2016.

K. M. Mallan, L. A. Daniels, R. Byrne, and S. J. de Jersey, “Comparing barriers to breastfeeding success in the first month for non-overweight and overweight women,” BMC Pregnancy Childbirthvolume, vol. 18, no. 461, pp. 1–9, 2018.




DOI: https://doi.org/10.31983/jkb.v9i2.4909

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