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Association between gestational weight gain and exclusive breast-feeding for the first 6 months postpartum in Chinese women

  • Mingkun Tong (a1) (a2), Lei Jin (a1) (a2), Jianmeng Liu (a1) (a2), Zhiwen Li (a1) (a2), Hongtian Li (a1) (a2), Le Zhang (a1) (a2), Rongwei Ye (a1) (a2) and Aiguo Ren (a1) (a2)...



The association between gestational weight gain (GWG) and exclusive breast-feeding (EBF) practices remains unclear. The present study evaluated the association between GWG and EBF in the first 6 months postpartum among primiparas in rural China.


The study population was drawn from a previous randomized controlled trial, and the relevant data were obtained from an electronic, population-based perinatal system and a monitoring system for child health care. GWG was categorized according to the guidelines of the Institute of Medicine.


Five rural counties in Hebei Province, China.


A total of 8449 primiparas.


Of the women, 58·7 % breast-fed exclusively for the first 6 months postpartum. Overweight women who gained either more or less weight than the recommended GWG tended to experience failure of EBF (OR=0·49; 95 % CI 0·34, 0·70; P<0·001 and OR=0·79; 95 % CI 0·63, 0·99; P=0·048, respectively). The same results were also observed among obese women; the OR for lower and greater weight gain were 0·28 (95 % CI 0·08, 0·94; P=0·04) and 0·55 (95 % CI 0·32, 0·95; P=0·03), respectively.


GWG that is below or above the Institute of Medicine recommendations is associated with EBF behaviour for the first 6 months postpartum in overweight and obese primiparas in rural China.


Corresponding author

*Corresponding author: Email


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