Lactation Patterns in Women with Hypertensive Disorders of Pregnancy: An Analysis of Illinois 2012–2015 Pregnancy Risk Assessment Monitoring System (PRAMS) Data

Hypertensive disorders of pregnancy and breastfeeding practices: A secondary analysis of data from the All Our Families Cohort

“…Cordero et al found no association between severe preeclampsia and breastfeeding initiation among women who were separated from their infants in the immediate postpartum period (ie first 24 h) due to magnesium sulfate treatment, a finding that may be accounted for by the inclusion of only late‐preterm infants 14 . Others have found that women with HDP report lower rates of breastfeeding initiation and exclusive breastfeeding (EBF) duration during the first 6 months postpartum relative to normotensive controls 16,17 . Although these studies document differences in breastfeeding outcomes among women with and without HDP, findings are limited by retrospective study design, short follow‐up assessments and exclusion of confounding variables, and potential reasons for observed differences are often not considered.…”

“…There has been some research conducted to examine the impact of HDP on breastfeeding initiation and duration 14–17 . For example, Leeners et al revealed that women with HDP had lower rates of breastfeeding initiation and were less likely to be breastfeeding at 1 and 3 months postpartum compared with women without HDP 15 .…”

“…There has been some research conducted to examine the impact of HDP on breastfeeding initiation and duration. 14 , 15 , 16 , 17 For example, Leeners et al revealed that women with HDP had lower rates of breastfeeding initiation and were less likely to be breastfeeding at 1 and 3 months postpartum compared with women without HDP. 15 Cordero et al found no association between severe preeclampsia and breastfeeding initiation among women who were separated from their infants in the immediate postpartum period (ie first 24 h) due to magnesium sulfate treatment, a finding that may be accounted for by the inclusion of only late‐preterm infants.…”

“… 14 Others have found that women with HDP report lower rates of breastfeeding initiation and exclusive breastfeeding (EBF) duration during the first 6 months postpartum relative to normotensive controls. 16 , 17 Although these studies document differences in breastfeeding outcomes among women with and without HDP, findings are limited by retrospective study design, short follow‐up assessments and exclusion of confounding variables, and potential reasons for observed differences are often not considered.…”

Study protocol for the sheMATTERS study (iMproving cArdiovascular healTh in new moThERS): a randomized behavioral trial assessing the effect of a self-efficacy enhancing breastfeeding intervention on postpartum blood pressure and breastfeeding continuation in women with hypertensive disorders of pregnancy

“…However, the difference in breastfeeding continuation to 3 months was smaller (37.2% in those with HDP versus 42.2% in those without), underscoring the importance of supporting successful initiation of lactation among those with HDP who intend to breastfeed [ 48 ]. A US survey of 5285 postpartum persons reported that those with HDP ( N = 754) were significantly less likely to initiate lactation (82% vs. 87%) or to provide their infant with breastmilk for at least 8 weeks (48% vs. 55%) than those without HDP [ 49 ]. A Brazilian prospective cohort study comparing individuals with gestational hypertension ( N = 42) to normotensive controls ( N = 124) found that those with hypertension were significantly more likely to supplement their infants with formula during postpartum hospitalization ( p < .00001) and to cease exclusive breastfeeding or wean by 6 months after controlling for mode of delivery, parity, and gestational age at birth, suggesting greater difficulties with maintenance of lactation over time [ 50 ].…”