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Prepregnancy Body Mass Index, Previous Experience and Early Breastfeeding Termination

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dc.contributor.advisor Milligan, Renee A. Addo-Glover, Doris
dc.creator Addo-Glover, Doris 2015-09-14T14:19:56Z 2015-09-14T14:19:56Z 2015
dc.description.abstract The positive benefits of breastmilk for both mothers and infants have been documented conclusively through numerous studies. Breastfeeding is the recommended form of nutrition for babies. The experience of breastfeeding is however challenging for women with prepregnancy body mass index (BMI). Multiple studies have documented the relationship between above normal BMI and early termination of breastfeeding compared to normal BMI. Additionally, previous experience has been shown to improve breastfeeding initiation and continuation, yet, little is known about the influence of previous experience and BMI on length of time spent breastfeeding. Therefore, the primary purpose of this study was to determine the extent to which prepregnancy BMI and previous breastfeeding experience were predictive of early breastfeeding termination at four (4) weeks among postpartum low-income women. A secondary analysis was conducted using a combined data set (n=434) of common variables from two studies: the Nurses' Intervention Study (n= 328), a randomized controlled study to determine the effects of a breastfeeding intervention on postpartum women from 2003-2005; and the Infant Feeding Practices Study II (n=4902), a longitudinal survey of nutritional and dietary intake among prenatal and postpartum women from 2005-2007. In this current study, the dependent variable is early breastfeeding termination and the independent variables are prepregnancy BMI and prior breastfeeding experience. Potential covariates include race, maternal age, education, parity and type of delivery. Three levels of statistical analysis were performed to describe the data: univariate and bivariate analysis, and multivariate binary logistic regression to determine variables that predict early breastfeeding termination. The study was approved by the George Mason University Institutional Review Board. Findings from the study will add to the body of knowledge on prepregnancy BMI, previous breastfeeding experience and early breastfeeding termination among low-income women.
dc.format.extent 283 pages
dc.language.iso en
dc.rights Copyright 2015 Doris Addo-Glover
dc.subject Nursing en_US
dc.subject Public health en_US
dc.subject Public policy en_US
dc.subject BMI en_US
dc.subject Pregnancy and birth outcomes en_US
dc.subject Breastfeeding promotion en_US
dc.subject Early breastfeeding termination en_US
dc.subject Maternal obesity en_US
dc.subject Prepregnancy BMI en_US
dc.subject Previous breastfeeding experience en_US
dc.title Prepregnancy Body Mass Index, Previous Experience and Early Breastfeeding Termination
dc.type Dissertation en Doctoral en Nursing en George Mason University en

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