Breast feeding practices and views among diabetic women: A retrospective cohort study

Soltani, Hora; Dickinson, Fiona; Kalk, John; Payne, Karen

doi:10.1016/j.midw.2007.04.005

Cited by 29 publications

(22 citation statements)

References 8 publications

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“…Qualitative studies must always be interpreted in relation to the context; in this study, the postpartum period for mothers in Sweden with type 1 diabetes. Studies have shown socio-demographic factors to be predictive of breastfeeding rates in women with diabetes [22]. The participating women in our study had various educational levels, which correspond with Swedish childbearing women in general and were both primi- and multipara.…”

Section: Discussionmentioning

confidence: 97%

“…However, these studies reported a positive long-term time trend [21]. The role of professionals is discussed, including aspects of support versus pressure related to breastfeeding in women with diabetes [22]. Clinical routines in the Danish study [19] included several supportive actions to facilitate successful breastfeeding in the women with type 1 diabetes which might explain the high level of breastfeeding rates.…”

Section: Introductionmentioning

confidence: 99%

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Extraordinary exposed in early motherhood - a qualitative study exploring experiences of mothers with type 1 diabetes

Sparud-Lundin

Berg

2011

BMC Women's Health

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BackgroundWomen with type 1 diabetes face several challenges during pregnancy, childbirth and in relation to breastfeeding. It is therefore of utmost importance to consider their need for specific support, early postpartum as well as in daily life after discharge from maternity care. Few studies have investigated these aspects of healthcare. The aim of this study was to explore experiences after childbirth regarding breastfeeding, glycemic control, support and well-being in women with type 1 diabetes.MethodsA hermeneutic reflective life world research approach was used in this qualitative study. Data was gathered through audio-recorded focus group discussions and individual interviews with 23 women with type 1 diabetes, 6-24 months after childbirth. After verbatim transcription, the text was analyzed in order to identify themes of meaning and a conclusive interpretation of the explored phenomenon.ResultsExperiences of extraordinary exposure challenged the women with type 1 diabetes in their transition to early motherhood. The exposure included a struggle with breastfeeding, although with a driving force to succeed. Everyday life was filled with uncertainty and unpredictability related to one's own unstable glycemic control and the women down-prioritized their own needs in favor of the child. A feeling of being disconnected from professional care further contributed to the experiences of extraordinary exposure.ConclusionIn early motherhood women with type 1 diabetes have a great need for support in managing daily life postpartum, which requires contemporary approaches to overlap insufficient linkage between health care professionals in maternity and child health care, and diabetes care.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Extraordinary exposed in early motherhood - a qualitative study exploring experiences of mothers with type 1 diabetes

Sparud-Lundin

Berg

2011

BMC Women's Health

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“…Needs of the target groupwomen with type 1 diabetes in the period of pregnancy through early motherhood, including breastfeeding-were identified in both our own 3,6,7,17-19 and additional international research publications. 4,5,[20][21][22][23][24][25][26] An example of such an identified need was the women's call for sharing common experiences with others in similar situations, a need that could not be met within the healthcare setting.…”

Section: Content Specification Phasementioning

confidence: 99%

“…1 Diabetes is unique in that much of the day-to-day responsibility for care rests within the individuals themselves. 2 Due to demanding requirements during the period of pregnancy and early motherhood, [3][4][5][6][7] there is a need for extended professional care, education, and counseling regarding self-care, provided in ways that move beyond the illness of diabetes and focus on the person. Five core areas have been identified in person-centered care: applying a broader scope of medicine, approaching the patient as a person, developing a therapeutic alliance, accomplishing shared decision-making, and expressing this in documentation.…”

Section: Introductionmentioning

confidence: 99%

Person-Centered Web Support to Women with Type 1 Diabetes in Pregnancy and Early Motherhood—The Development Process

Berg

Adolfsson

Ranerup

et al. 2013

Diabetes Technology & Therapeutics

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“…Unfortunately, little evidence is available on which to base advice on insulin dosage for these patients. [3][4][5][6][7] Unsurprisingly, qualitative evidence suggests that many women with type 1 diabetes find post-partum selfmanagement to be challenging, to which fear of hypoglycaemia may contribute. 8,9 The aim of the present study was to monitor glycaemic control in women with type 1 diabetes for 4 weeks post-partum, with a particular focus on the frequency of hypoglycaemia.…”

Section: Introductionmentioning

confidence: 99%

Post-partum hypoglycaemia in lactating women with type 1 diabetes: a pilot study using continuous glucose monitoring

et al. 2015

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Aims: To observe glucose profiles in post-partum women with type 1 diabetes with a particular focus on hypoglycaemia. Methods: Post-partum women with type 1 diabetes were studied for 4 weeks using home blood glucose monitoring (HBGM) and continuous glucose monitoring (CGM). Episodes of hypoglycaemia were documented using self-reported questionnaires. Results: Of 15 consenting participants, only six women completed the study, four of whom breastfed their baby. HBGM was performed a median of 7 times per day. No severe hypoglycaemia (requiring third party assistance) occurred, but a median of 17 (range 10-23) episodes of mild hypoglycaemia occurred. In all participants, CGM revealed several episodes of hypoglycaemia that were not detected by capillary blood glucose testing. Conclusions: Asymptomatic hypoglycaemia is common during breastfeeding. Recruitment and retention difficulties illustrate the challenge of studying glycaemia and intensive interventions in the post-partum period. Education programmes may help to reduce post-partum hypoglycaemia in women with type 1 diabetes. Br J Diabetes Vasc Dis 2015;15:119-122

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Breast feeding practices and views among diabetic women: A retrospective cohort study

Cited by 29 publications

References 8 publications

Extraordinary exposed in early motherhood - a qualitative study exploring experiences of mothers with type 1 diabetes

Extraordinary exposed in early motherhood - a qualitative study exploring experiences of mothers with type 1 diabetes

Person-Centered Web Support to Women with Type 1 Diabetes in Pregnancy and Early Motherhood—The Development Process

Post-partum hypoglycaemia in lactating women with type 1 diabetes: a pilot study using continuous glucose monitoring

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