Prior breastfeeding experience and infant feeding at discharge among women with pregestational diabetes mellitus

Autor:	M R Stenger, Leandro Cordero, S D Blaney, Craig A. Nankervis, M M Finneran
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty Pregnancy in Diabetics Breastfeeding Intention Hypoglycemia 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Diabetes mellitus medicine Humans Maternal Behavior Medical History Taking Infant feeding Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Infant Newborn Gestational age Prenatal Care Retrospective cohort study medicine.disease Infant Formula Patient Discharge Parity Breast Feeding Infant Care Pediatrics Perinatology and Child Health Pregestational Diabetes Female business
Zdroj:	Journal of Neonatal-Perinatal Medicine. 13:563-570
ISSN:	1878-4429 1934-5798
Popis:	OBJECTIVE: To compare multiparous women with pregestational diabetes mellitus (PGDM) with and without prior breastfeeding (BF) experience and to ascertain their infants’ feeding type during hospitalization and at discharge. METHODS: A retrospective cohort study of 304 women with PGDM who delivered at ≥34 weeks gestational age (GA). Prior BF experience and infant feeding preference was declared prenatally. At discharge, BF was defined as exclusive or partial. RESULTS: BF experience and no experience groups were similar in diabetes type 1 and 2, race and number of pregnancies. Women with no experience had more spontaneous abortions (35 vs 27%), fewer term deliveries (51 vs 61%) and living children (median 1 vs 2). In the current pregnancy, mode of delivery: vaginal (36 & 37%), cesarean (64 & 63%), birthweight (3592 & 3515 g), GA (38 & 37 w), NICU admission (14 & 11%) and hypoglycemia (44 & 43%) were similar. Women with experience intended to BF (79 vs 46%), their infants’ first feeding was BF (64 vs 36%) and had lactation consults (96 vs 63%) more often than those without experience. At discharge, women with BF experience were different in rate of exclusive BF (33 vs 11%), partial BF (48 vs 25%) and formula feeding (19 vs 64%). CONCLUSION: Prior BF experience leads to better BF initiation rates while the absence of BF experience adds a risk for BF initiation failure. A detailed BF history could provide insight into obstacles that lead to unsuccessful BF experiences and may help define appropriate preventive or corrective strategies.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::be48ea316a7e4e9581d2802062fbb8bc https://doi.org/10.3233/npm-190308 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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