Aims: The aim of the study was to investigate the effect of pre-pregnancy body mass index on weight gain during pregnancy. Methods and Material: This retrospective study was conducted on family medicine units in Turkey between March 2018 to September 2018. Pregnant files of the last 5 years were scanned and a questionnaire with 40 questions was filled. Results: 1061 pregnants from 72 provinces included in the study. Net weight difference during pregnancy was significantly higher in cesarean patients, in civil servants and in those with first pregnancy (p <0.05). Net weight difference was found to be significantly lower in those without education compared to other groups (p <0.05). Conclusions: Consequently, In conclusion, pre-pregnancy BMI and individual weight gain during pregnancy should be planned. Thus, many complications that may develop in mother and baby can be prevented. In this regard, benefiting from family medicine units that can reach all segments of the society and monitor pregnant women can increase their success rates. Key-words: Pregnancy, body mass index, gestational weight gain Key Messages: What’s already known about this topic? • According to various studies, nearly half of today’s pregnant women are overweight or obese • The body weight of the mother before pregnancy and the weight gained during pregnancy have an effect on pregnancy results. What does this article add? • Lifestyle changes required for ideal BMI should be planned in pre-pregnancy counseling. To achieve this, teams of family physicians, dieticians and individual sports trainers should be formed. • Those in the high risk group (eg, first pregnancy, uneducated and civil servant) should be monitored more frequently in terms of weight gain during pregnancy. • Personal and social information should be provided to correct false information that taking iron and multivitamin support during pregnancy causes weight gain.

Background: To determine the frequency of breastfeeding of mothers working in primary care, the differences between different employment groups, and the effective factors. Methods: This descriptive research study was conducted with a self-report online survey design. The snowball sampling method was used for the sample selection, and 151 family physicians and 126 family health professionals were included in the study during the research period (June 2019-December 2019). A 35-item survey was used to collect data. The response rate was 44.9% (49.5% family physicians/40.3% family health professionals). Results: The mean duration of exclusive breastfeeding was 3.9 ± 2.0 months, and the mean duration of total breastfeeding was 16.7 ± 8.5 months. There was no significant difference between the family physicians and family health professionals in terms of exclusive breastfeeding (P = 0.580) and total breastfeeding (P = 0.325) durations. The most common reasons for weaning was reduced milk supply (25.6%) and not being able to use breastfeeding leave (23.1%) due to problems at work. Of the sample, 41.3% had problems with their co-workers and 41.9% had problems related to patient care when taking breastfeeding leave. Working in a baby-friendly center (P = 0.010), prolonged exclusive breastfeeding (P < 0.001), and increased hours of breastfeeding leave taken (P = 0.001) had a positive effect on breastfeeding for ≥24 months while experiencing problems with co-workers in taking breastfeeding leave (P = 0.023) had a negative effect on this variable. Conclusions: All of the factors that were determined to affect the continuation of breastfeeding for ≥24 months are modifiable. It is very important for relevant authorities to undertake necessary action to improve the conditions of working mothers based on these results. Health professional that can maintain the balance between family and work will work more efficiently.