Breastfeeding in women with diabetes: lower rates despite greater rewards. A population‐based study

Finkelstein, Sara A.; Keely, Erin; Feig, Denice S.; Tu, Xin; Yasseen, Abdool S.; Walker, Mark

doi:10.1111/dme.12238

Cited by 108 publications

(79 citation statements)

References 35 publications

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“…Important secondary findings in this study are the increase of factors that negatively affect breast feeding: in the SNQ register mothers of preterm infants in Sweden are reported to have more physical and mental illnesses in 2013 than in 2004, of which many (eg, mental illness,40 41 obesity,42 gestational diabetes)43 affect breast feeding negatively. The proportion of infants born SGA has increased from 2004 to 2013 and this increase was associated with a negative effect on exclusive breast feeding.…”

Section: Discussionmentioning

confidence: 81%

Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units: a register study over 10 years

et al. 2016

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ObjectiveThere are indications that the prevalence of exclusively breastfed preterm infants is decreasing in Sweden. The objective was to investigate trends in exclusive breast feeding at discharge from Swedish neonatal units and associated factors in preterm infants.Design, setting and participantsThis is a register study with data from the Swedish Neonatal Quality Register. Data from 29 445 preterm infants (gestational age (GA) <37 weeks) who were born during the period 2004–2013 were retrieved. Data included maternal, perinatal and neonatal characteristics. Data were analysed for the whole population as well as for 3 GA groups.ResultsFrom 2004 to 2013, the prevalence of exclusive breast feeding decreased, in extremely preterm (GA 22–27 weeks) from 55% to 16%, in very preterm (GA 28–31 weeks) from 41% to 34% and in moderately preterm infants (GA 32–36 weeks) from 64% to 49%. The decline was statistically significant (p<0.001) in all 3 GA groups. This decline remained significant when adjustments were made for factors negatively associated with exclusive breast feeding and which became more prevalent during the study period, that is, small for GA (all groups) and maternal mental illness (very preterm and moderately preterm infants).ConclusionsIn the past 10 years, Sweden has experienced a lower rate of exclusive breast feeding in preterm infants, especially in extremely preterm infants. The factors analysed in this study explain only a small proportion of this decline. The decline in exclusive breast feeding at discharge from neonatal units raises concern and present challenges to the units to support and promote breast feeding.

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Section: Discussionmentioning

confidence: 81%

Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units: a register study over 10 years

et al. 2016

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“…Despite recent trends of GDM, research investigating the relationship between GDM and breastfeeding is limited. To the authors' knowledge, two studies have been conducted on GDM and breastfeeding [13, 14], both of which utilized international samples. Results from a retrospective cohort analysis conducted in Ontario reported that women with GDM were less likely to breastfeed (odds ratio (OR) = 0.77; 95% confidence interval (CI) = 0.68–0.87) compared to women without GDM after controlling for potential confounders [13].…”

Section: Introductionmentioning

confidence: 99%

“…To the authors' knowledge, two studies have been conducted on GDM and breastfeeding [13, 14], both of which utilized international samples. Results from a retrospective cohort analysis conducted in Ontario reported that women with GDM were less likely to breastfeed (odds ratio (OR) = 0.77; 95% confidence interval (CI) = 0.68–0.87) compared to women without GDM after controlling for potential confounders [13]. Because of the differences in breastfeeding practices between countries and the demonstrated relationship between breastfeeding and infant outcomes for mothers with GDM [15, 16], further research is needed to understand the relationship between GDM and breastfeeding duration in the US.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, we hypothesize that perceived benefits are a mediator in the association between GDM and breastfeeding. Despite showing associations between GDM and breastfeeding [13, 14], only two studies of international populations have investigated this relationship. In order to provide insight into the relationship between GDM and breastfeeding outcomes in the US, this study aims to investigate (1) the direct effect of GDM on breastfeeding duration and (2) the indirect effect of GDM on breastfeeding duration through perceived benefits of breastfeeding (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?

Wallenborn

Perera

Masho

2017

Journal of Pregnancy

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Introduction. Breastfeeding is recognized as one of the best ways to decrease infant mortality and morbidity. However, women with gestational diabetes mellitus (GDM) may have breastfeeding barriers due to the increased risk of neonatal and pregnancy complications. While the prevalence of GDM is increasing worldwide, it is important to understand the full implications of GDM on breastfeeding outcomes. The current study aims to investigate the (1) direct effect of GDM on breastfeeding duration and (2) indirect effect of GDM on breastfeeding duration through perceived benefits of breastfeeding. Methods. Prospective cohort data from the Infant Feeding and Practices Study II was analyzed (N = 4,902). Structural equation modeling estimated direct and indirect effects. Results. Perceived benefits of breastfeeding directly influenced breastfeeding duration (β = 0.392, p ≤ 0.001). GDM was not directly associated with breastfeeding duration or perceived benefits of breastfeeding. Similarly, GDM did not have an indirect effect on breastfeeding duration through perceived benefits of breastfeeding. Conclusions. Perceived benefits of breastfeeding are an important factor associated with breastfeeding duration. Maternal and child health care professionals should enhance breastfeeding education efforts.

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“…The form of antenatal care provider has been found to influence the intention to breastfeed in women with diabetes (Finkelstein et al, 2013). For women in our study the frequent contacts with the antenatal care providers during pregnancy were abruptly interrupted when the child was born.…”

Section: Discussionmentioning

confidence: 99%

Reprioritizing life: a conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood

Carlsson

Berg

Adolfsson

et al. 2017

International Journal of Qualitative Studies on Health and Well

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Purpose: Becoming a mother is related to increased demands for women with type 1 diabetes mellitus, and more research is needed to identify their needs for support in everyday living. Thus, the aim of this study was to explore the main concerns in daily life in early motherhood for women with type 1 diabetes and how they deal with these concerns. Method: A grounded theory study was conducted in which 14 women with type 1 diabetes were interviewed individually 7 to 17 months after childbirth. Results: A conceptual model was identified with the core category “reprioritizing life”, and three related categories: adjusting to motherhood, taking command of the diabetes, and seeking like-minded women. Becoming a mother was a turning point towards a greater awareness and acceptance of prioritizing diabetes management and health, and thus, life. There was a gap in provision of diabetes care after birth and during the time of early motherhood compared with during pregnancy. Conclusions: Healthcare contacts already planned before delivery can promote person-centred care during the whole period from pregnancy to motherhood. Moreover, providing alternative sources for health information and peer support could improve the life situation during early motherhood.

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Breastfeeding in women with diabetes: lower rates despite greater rewards. A population‐based study

Cited by 108 publications

References 35 publications

Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units: a register study over 10 years

Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units: a register study over 10 years

Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?

Reprioritizing life: a conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood

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