Combined Influence of Gestational Diabetes and Gestational Weight Gain on Exclusive Breastfeeding
| Autor: | Robert Stocum, Asli K. Teweldeberhan, Bhakti Chavan, Ilana R. Azulay Chertok, Zelalem T. Haile |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty endocrine system diseases Breastfeeding Epidemiological method Logistic regression Pediatrics Risk Assessment 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy 030225 pediatrics Maternity and Midwifery Medicine Humans 030219 obstetrics & reproductive medicine business.industry Obstetrics Health Policy Postpartum Period Infant Newborn Obstetrics and Gynecology Infant Odds ratio medicine.disease Confidence interval Gestational Weight Gain United States Gestational diabetes Diabetes Gestational Breast Feeding Cross-Sectional Studies Logistic Models Multivariate Analysis Gestation Female medicine.symptom business Weight gain |
| Zdroj: | Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. 14(8) |
| ISSN: | 1556-8342 |
| Popis: | Background: Over half of pregnant women in the United States do not meet the recommended gestational weight gain (GWG). In addition, the prevalence of gestational diabetes mellitus (GDM) is increasing. We examined the combined influence of GDM and GWG on breastfeeding practices on exclusive breastfeeding during the neonatal period and at 3 months postpartum. Materials and Methods: A cross-sectional study was performed on 173,603 women from the pregnancy risk assessment monitoring system, 2009-2015. Descriptive statistics and multivariable logistic regression modeling were performed. Results: The prevalence of GDM was 9.5%. Only 30.7% of women had weight gain within the Institute of Medicine (IOM) recommended guidelines. Approximately 21.7% and 10.3% of the participants exclusively breastfed their infants during the neonatal period and at 3 months postpartum, respectively. After adjusting for potential confounders, there was a significant multiplicative interaction between GWG and GDM on exclusive breastfeeding during the neonatal period and at 3 months postpartum. Among women with normal and excessive GWG, the odds of exclusively breastfeeding during the neonatal period were lower for women with GDM compared with women without GDM (odds ratio, 95% confidence interval: 0.74, 0.64-0.85 and 0.75, 0.66-0.85, respectively). Similarly, among women with normal and excessive GWG, the odds of exclusively breastfeeding at 3 months postpartum were lower for women with GDM compared to women without GDM (0.67, 0.55-0.81 and 0.71, 0.60-0.85, respectively). Conclusion: With the increasing prevalence of GDM and weight gain outside the IOM guidelines, it is critical to identify populations at risk and to promote exclusive breastfeeding practices. |
| Databáze: | OpenAIRE |
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