Détail de l'auteur
Auteur Kelly McNamara
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Faire une suggestion Affiner la recherche
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]