Factors associated with breastfeeding to 3 months postpartum among women with Type 1 and Type 2 Diabetes Mellitus: an exploratory study

Rassmusen, Bodil, Nankervis, Alison, Skouteris, Helen, McNamara, Catherine, Nagle, Cate, Steele, Cheryl, Bruce, Lauren, Holton, Sara, and Wynter, Karen (2020) Factors associated with breastfeeding to 3 months postpartum among women with Type 1 and Type 2 Diabetes Mellitus: an exploratory study. Women and Birth, 33 (3). e274-e279.

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PROBLEM: Breastfeeding has significant health benefits for maternal and infant health, yet women with pre-pregnancy diabetes (type 1 or type 2 diabetes mellitus) are often less likely to breastfeed compared with other childbearing women.

BACKGROUND: Intention to breastfeed and making the decision to breastfeed during pregnancy are significant predictors of breastfeeding in the general population, but intention to breastfeed has not been assessed during pregnancy among women with pre-pregnancy diabetes.

AIM: To investigate factors associated with breastfeeding to three months postpartum, including demographic, health and reproductive characteristics, perceived support and pre-birth intention to breastfeed, among women with pre-pregnancy diabetes.

METHODS: A prospective cohort of women with pre-pregnancy diabetes was recruited at three metropolitan hospitals in Melbourne, Australia. Women completed surveys during the third trimester of pregnancy (including intention to breastfeed) and at approximately 3 months postpartum (including current breastfeeding). Factors associated with any breastfeeding at 3 months postpartum were investigated using logistic regression.

FINDINGS: Pregnancy surveys were completed by 79 women; three-month postpartum data were available for 47 women. Of these, more than two-thirds (n=32, 68%) indicated that they were breastfeeding. Controlling for other relevant variables, only pre-birth intention to breastfeed was significantly associated with any breastfeeding at three months (Adjusted Odds Ratio (95% confidence intervals, p)=20.49 (20.18-20.80, 0.017)).

DISCUSSION: Pre-birth intention to breastfeed was the only significant predictor of continued breastfeeding to 3 months postpartum.

CONCLUSION: Pregnancy provides an important opportunity for health professionals to educate and support women with pre-pregnancy diabetes about their breastfeeding intentions.

Item ID: 58890
Item Type: Article (Research - C1)
ISSN: 1878-1799
Keywords: breastfeeding, intention to breastfeed, type 1 diabetes, type 2 diabetes
Copyright Information: © 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
Funders: Nurses Board of Victoria (NBV)
Projects and Grants: NBV Ella Lowe Grant
Date Deposited: 16 Oct 2019 03:41
FoR Codes: 42 HEALTH SCIENCES > 4204 Midwifery > 420499 Midwifery not elsewhere classified @ 75%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320208 Endocrinology @ 25%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 100%
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