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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]In-Hospital Breastfeeding Experiences Among Women with Gestational Diabetes / Reena Oza-Franck in Breastfeeding Medicine, Vol. 12, n°5 (Juin 2017)
Titre : In-Hospital Breastfeeding Experiences Among Women with Gestational Diabetes Type de document : texte imprimé Auteurs : Reena Oza-Franck, Auteur ; Erica P. Gunderson, Auteur Année de publication : 2017 Article en page(s) : pp. 261-268 Langues : Anglais (eng) Catégories : Connaissances vis à vis de l'allaitement
Démarrage de l'allaitement
IHAB Initiative Hôpital Ami des Bébés
Résumé : "Background: In-hospital experiences among women with gestational diabetes mellitus (GDM) could impact breastfeeding success. We sought (1) to determine changes in the prevalence of hospital breastfeeding experiences between 2004–2008 and 2009–2011 among women with GDM and women without diabetes; (2) to determine whether GDM is associated with higher occurrence of experiencing Baby-Friendly hospital practices because of their known higher rates of breastfeeding difficulties.
Materials and Methods: Data from the 2004 to 2011 Pregnancy Risk Assessment Monitoring System, a survey of women with a recent live birth from 16 states and New York City, were used based on inclusion of an optional survey question about hospital breastfeeding experiences. We examined the association of in-hospital experiences with GDM within each survey phase using chi-square tests. Weighted multivariable logistic regression was used to determine the association between GDM and hospital breastfeeding experiences.
Results: Among 157,187 (8.8% GDM), there were crude differences by GDM status for at least 60% of hospital experiences despite increases in positive hospital experiences between time periods. Women with GDM were less likely to report breastfeeding in the first hour (adjusted odds ratio: 0.83, confidence interval [95% CI] 0.73–0.94), feeding only breast milk in the hospital (0.73, 0.65–0.82), and feeding on demand (0.86, 0.74–0.99) compared with women without diabetes. Women with GDM were significantly more likely to report receiving a pump (1.28, 1.07–1.53) and a formula gift pack (1.17, 1.03–1.34) compared with women without diabetes.
Conclusions: Although women with GDM experienced improvements in-hospital breastfeeding experiences over time, disparities in breastfeeding practices remained for five in-patient (hospital) practices that included four negative practices (breastfeeding in the first hour, feeding only breast milk in the hospital, told to feed per mother's preference, receiving a formula gift pack) and one positive practice (receiving a pump)."
in Breastfeeding Medicine > Vol. 12, n°5 (Juin 2017) . - pp. 261-268[article]Hospital Supplementation Differentially Impacts the Association Between Breastfeeding Intention and Duration Among Women With and Without Gestational Diabetes Mellitus History / Yiska Loewenberg Weisband in Breastfeeding Medicine, Vol. 12, n°6 (Juillet - Août 2017)
Titre : Hospital Supplementation Differentially Impacts the Association Between Breastfeeding Intention and Duration Among Women With and Without Gestational Diabetes Mellitus History Type de document : texte imprimé Auteurs : Yiska Loewenberg Weisband, Auteur ; Joseph Rausch, Auteur ; Rashmi Kachoria, Auteur Année de publication : 2017 Article en page(s) : pp. 338-344 Langues : Anglais (eng) Catégories : Alimentation
Attitude vis à vis de l'allaitement
Comportement et mécanisme comportemental
Durée de l'allaitement
Résumé : "Background: Little is known about how in-hospital supplementation with water, infant formula, or sugar water affects the relationship between breastfeeding intentions and duration, and whether this differs by gestational diabetes mellitus (GDM) history. Our study objectives were to assess the associations between GDM and exclusive breastfeeding intentions, hospital supplementation, and breastfeeding duration, including whether hospital supplementation mediates the association between exclusive breastfeeding intentions and breastfeeding duration.
Study Design and Methods: Using data from the Infant Feeding Practices Study II (2005–2007), we included women with GDM (n = 160) and women without GDM or prepregnancy diabetes (no diabetes mellitus [NDM]) (n = 2,139). We used multivariable logistic and linear regressions to determine the associations between GDM history and exclusive breastfeeding intentions, and between breastfeeding intentions, hospital supplementation, and breastfeeding duration, by GDM. We used mediation analysis to assess whether hospital supplementation mediated the association between exclusive breastfeeding intention and breastfeeding duration, also by GDM. All analyses were adjusted for prepregnancy body mass index.
Results: GDM was associated with lower odds of intending to exclusively breastfeed (adjusted odds ratio [AOR] 0.71; 95% confidence interval [CI, 0.51–0.99]). GDM and NDM women who did not intend to exclusively breastfeed had similarly increased odds of hospital supplementation (GDM: AOR 3.52; 95% CI [1.44–8.57], NDM: AOR 3.66; 95% CI [2.93–4.56]). Breastfeeding duration was similar by exclusive breastfeeding intentions and by hospital supplementation, regardless of GDM. Hospital supplementation partially mediated the association between breastfeeding intentions and duration in NDM women, but it did not mediate the association in women with GDM.
Conclusions: Breastfeeding intentions, rather than hospital supplementation, are particularly important for women with GDM to optimize breastfeeding outcomes." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 12, n°6 (Juillet - Août 2017) . - pp. 338-344[article]