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Auteur Jennifer J. Moreland
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Early Lactation and Infant Feeding Practices Differ by Maternal Gestational Diabetes History / Reena Oza-Franck in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : Early Lactation and Infant Feeding Practices Differ by Maternal Gestational Diabetes History Type de document : texte imprimé Auteurs : Reena Oza-Franck, Auteur ; Jennifer J. Moreland, Auteur ; Kelly McNamara, Auteur Année de publication : 2016 Article en page(s) : pp. 658-665 Langues : Anglais (eng) Catégories : Aliment pour enfant
Nutrition de l'enfant
Nutrition du nourrisson
Résumé : Background: Detailed data on lactation practices by gestational diabetes mellitus (GDM) history are lacking, precluding potential explanations and targets for interventions to improve lactation intensity and duration and, ultimately, long-term maternal and child health.
Objective: This study aimed to examine breastfeeding practices through 12 months postpartum by GDM history.
Methods: Women who delivered a singleton, liveborn infant at The Ohio State University Wexner Medical Center (Columbus, OH), in 2011 completed a postal questionnaire to assess lactation and infant feeding practices and difficulties. Bivariate and multivariate associations between GDM history and lactation and infant feeding practices were examined.
Results: The sample included 432 women (62% response rate), including 7.9% who had GDM during the index pregnancy. Women with GDM initiated breastfeeding (at-the-breast or pumping) as often as women without any diabetes but were more likely to report introduction of formula within the first 2 days of life (79.4% vs 53.8%, P < .01; adjusted odds ratio: 3.48; 95% confidence interval, 1.47-8.26). Women with GDM initiated pumping 4 days earlier than women without diabetes (P < .05), which was confirmed in adjusted analyses. There was no difference in the proportion of women reporting breastfeeding difficulty (odds ratio: 2.08; 95% confidence interval, 0.78-5.52). However, there was a trend toward women with GDM reporting more formula feeding and less at-the-breast feeding as strategies to address difficulty compared with women without diabetes.
Conclusion: Additional research is needed to understand why women with GDM engage in different early lactation and infant feeding practices, and how best to promote and sustain breastfeeding among these women. [Extrait de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 658-665[article]