Effect of lactation on the recurrence rate of gestational diabetes mellitus: a retrospective cohort study

Zuarez-Easton, Sivan; Berkovich, Ilanit; Birenbaum‐Carmeli, Daphna; A, Tal; Zoabi, Raja; Salim, Raed

doi:10.1007/s00404-020-05497-3

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…The independent variables included the sociodemographic data, which showed correlations with the breastfeeding self-efficacy scale in the literature [ 1 , 13 , 26 ], such as age, BMI, level of education, mother’s occupation, husband’s monthly income, place of residence, smoking status, and chronic diseases other than GDM parity status. Other factors that showed correlations in the literature were included [ 9 , 13 , 21 , 22 , 27 ] such as previous breastfeeding experience, satisfaction with previous breastfeeding experience, previous breastfeeding duration, inquiry about the intention to breastfeed the coming newborn, and health education sources. In the second part, which contained GDM-related knowledge, questions were included from a valid tool used previously in a Saudi study [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

“…In addition, high-intensity breastfeeding plays a significant role in the postpartum decrease in blood glucose levels and glucose tolerance [ 6 , 7 ]. A retrospective cohort study showed that exclusive lactation for ≥1 month reduced the recurrence rate of GDM and possibly the risk of cardiovascular diseases in the subsequent pregnancy [ 9 ]. Evidence supports the beneficial effect of breastfeeding in postpartum, controlling blood glucose to prevent or delay the development of type 2 diabetes in women who had GDM [ 5 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus

Alyousefi

Alemam

Altwaijri

et al. 2022

IJERPH

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Breastfeeding is beneficial for mothers with gestational diabetes mellitus (GDM). Saudi Arabia is considered one of the countries with the highest prevalence of GDM. Mothers with GDM have a low intention to breastfeed and are less likely to continue breastfeeding. This study aimed to measure breastfeeding self-efficacy among expectant mothers with GDM and quantify its determinants. This cross-sectional study recruited expectant mothers with GDM from an antenatal care clinic and queried them on breastfeeding knowledge and attitudes using the Arabic validated prenatal breastfeeding self-efficacy scale (PBSES). The study took place at the Medical City of King Saud University, during January–April 2021. The average PBSES score among 145 GDM Saudi participants was 64.07 ± 16.3. Higher academic level, previous satisfactory breastfeeding experiences, breastfeeding intention, six months or more breastfeeding experience, and health education were significantly positively correlated with PBSES score. A higher knowledge score was also correlated with a higher PBSES score (p = 0.002). Longer breastfeeding duration (β.197, p = 0.036), satisfactory previous breastfeeding experience (β.218, p = 0.020), and higher knowledge score (β.259, p = 0.004) were significant predictors of a high PBSES score. Breastfeeding self-efficacy is low among expectant Saudi mothers with GDM, especially those with unsatisfactory previous experience or low knowledge scores. Establishing systematic education about breastfeeding during antenatal care is recommended to improve breastfeeding experience and improve GDM outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus

Alyousefi

Alemam

Altwaijri

et al. 2022

IJERPH

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“…Recurrent GDM is defined as a history of GDM and a subsequent pregnancy with abnormal glucose tolerance along with indicators that satisfy the diagnostic criteria for GDM. The duration of breastfeeding, pregnancy interval, weight change, and ethnicity have different effects on the recurrence rate of gestational diabetes 4‐6 . Thyroid function and glucose metabolism are in an interactive relationship.…”

Section: Introductionmentioning

confidence: 99%

“…The duration of breastfeeding, pregnancy interval, weight change, and ethnicity have different effects on the recurrence rate of gestational diabetes. 4 , 5 , 6 Thyroid function and glucose metabolism are in an interactive relationship. Studies have shown that thyroid dysfunction in early pregnancy is associated with an increased risk of developing GDM.…”

Section: Introductionmentioning

confidence: 99%

Subsequent perinatal outcomes of pregnancy with two consecutive pregnancies with gestational diabetes mellitus: A population‐based cohort study

Guo

et al. 2022

Journal of Diabetes

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Background Gestational diabetes mellitus (GDM) is glucose intolerance diagnosed during pregnancy. We aimed to explore the different outcomes of women with two consecutive pregnancies with GDM. Methods This study included 861 women with recurrent GDM who had two consecutive singleton deliveries at Fujian Maternity and Child Health Hospital between May 2012 and September 2020. Data on pregnancy complications and neonatal and delivery outcomes were collected and analyzed. Results Among those women with recurrent GDM, there was no difference in pregnancy complications in index pregnancy vs subsequent pregnancy. Our data revealed there was a significantly higher incidence of thyroid disease in the subsequent pregnancies than in the index pregnancy. (6% vs 10%, p = .003)In subsequent pregnancies, the birth weight was greater than that of the index pregnancy (3296.63 ± 16.85 vs 3348.99 ± 16.05, p = .025); and the incidence of large for gestational age (LGA) was higher than that of the index pregnancy (16.3% vs 20.6%, p = .021). More cesarean sections occurred in the subsequent pregnancy. (32.9% vs 6.6%, p = .039). Postpartum hemorrhage, premature birth, and placental abruption were not significantly different between the two pregnancies. Conclusions The results suggest the effect of GDM on thyroid dysfunction may be persistent. Recurrent gestational diabetes results in a higher rate of cesarean delivery, incidence of LGA, and neonatal admission to the neonatal intensive care unit (NICU) in subsequent pregnancies. We need to pay attention to the postpartum thyroid function of pregnant women with GDM. Further studies are still needed on recurrent GDM to reduce this occurrence of admission to NICU.

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“…GDM currently affects 1 out of 7 births worldwide [1]. Risk factors predisposing to GDM include excessive pre-pregnancy adiposity, advanced maternal age, a family history of type 2 diabetes mellitus (T2DM), a history of GDM, not exposed to breastfeeding in a previous pregnancy, a previous large or macrosomic baby, short maternal stature, polycystic ovary disease, previous stillbirth, high blood pressure during pregnancy, multiparity, as well as an unhealthy diet and sedentary lifestyle [4,5]. The median prevalence of GDM ranges from 12.9% in the Middle East followed by around 11% in Southeast Asia, Western Pacific, and South and Central America to 5.8% in regions in Europe [6].…”

Section: Introductionmentioning

confidence: 99%

Gestational Diabetes Mellitus Is Associated with Age-Specific Alterations in Markers of Adiposity in Offspring: A Narrative Review

Shafaeizadeh

Harvey

Abrahamse‐Berkeveld

et al. 2020

IJERPH

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Maternal hyperglycemia alters an offspring’s metabolic health outcomes, as demonstrated by the increased risk for obesity, impaired glucose handling and diabetes from early childhood onwards. Infant growth patterns are associated with childhood adiposity and metabolic health outcomes and, as such, can be used as potential markers to detect suboptimal metabolic development at an early age. Hence, we aimed to assess whether gestational diabetes mellitus (GDM) has an impact on offspring growth trajectories. Outcomes included weight gain (WG), body mass index (BMI), and skin fold thickness (SFT) measured at least at two time points from birth to later childhood. In addition, we explored the role of early life pre- and post-natal nutritional modifiable factors on longitudinal growth in infants of mother with GDM (GDM–F1). Despite the large heterogeneity of the studies, we can still conclude that GDM seems to be associated with altered growth outcomes in the offspring. More specifically, these alterations in growth outcomes seem to be rather time-specific. Increased SFT were reported particularly at birth, with limited information on reporting SFT between 2–5 y, and increased adiposity, measured via SFT and BMI, appeared mainly in later childhood (5–10 y). Studies evaluating longitudinal growth outcomes suggested a potential role of early life nutritional modifiable factors including maternal nutrition and breastfeeding. These may impact the cycle of adverse metabolic health by attenuating growth outcome alterations among GDM–F1. Conclusions: Timely diagnoses of growth deviations in infancy are crucial for early identification of GDM–F1 who are at risk for childhood overweight and metabolic disease development.

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Effect of lactation on the recurrence rate of gestational diabetes mellitus: a retrospective cohort study

Cited by 4 publications

References 27 publications

Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus

Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus

Subsequent perinatal outcomes of pregnancy with two consecutive pregnancies with gestational diabetes mellitus: A population‐based cohort study

Gestational Diabetes Mellitus Is Associated with Age-Specific Alterations in Markers of Adiposity in Offspring: A Narrative Review

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