Factors associated with early cessation of breastfeeding in women with gestational diabetes mellitus |
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| Institution: | 1. Health & Education Services, Diabetes NSW, Glebe, NSW 2037, Australia;2. School of Health Sciences, Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia;3. Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada;4. School of Public Health, Western Australia Centre for Health Promotion Research, Curtin University, Perth, WA 6845, Australia;1. Department of Midwifery Science, AVAG, and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;2. Department of Health Sciences, University Medical Center Groningen, University of Groningen, The Netherlands;3. Department of Sociology and Interuniversity Center for Social Science Theory and Methodology (ICS), University of Groningen, The Netherlands;4. National Association for Specialty Training for General Practice and GP Trainers, Utrecht, The Netherlands;5. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;6. Department of General Practice and Elderly Care Medicine/EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;1. Health Service Executive (HSE) South, Ireland;2. University College Cork, Ireland;1. The University of Queensland, School of Population Health, Herston, Queensland 4006, Australia;2. The University of Queensland, School of Population Health, Queensland Alcohol and Drug Research and Education Centre (QADREC), Herston, Queensland 4006, Australia;3. Stellar Medical, Lowood, Australia;4. Mater Medical Research Institute, The University of Queensland, South Brisbane, Queensland 4101, Australia;5. The University of Queensland, Schools of Population Health and Social Science, Herston, Queensland 4006, Australia;1. Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3010 Old Clinic Building, CB 7516, Chapel Hill, NC 27599;2. Department of Maternal and Child Health, UNC Gillings School of Global Public Health, Chapel Hill, NC;1. Department of Pediatrics, University of Messina, Messina, Italy;2. Department of Pediatrics, University of Catania, Catania, Italy |
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| Abstract: | AimTo determine factors associated with early cessation of breastfeeding (≤3 months) in women with recent gestational diabetes mellitus (GDM).MethodsA cross-sectional online survey of women aged ≥18 years, diagnosed with GDM in 2010 and registered with the National Diabetes Services Scheme in Australia. The 59 questions examined breastfeeding duration, intention, attitudes, exclusivity and support.Results738 women completed the survey (15% response rate). Data was analysed for 729 eligible respondents. Of these 97% reported ‘ever’ breastfeeding and 19% had breastfed for ≤3 months. Cessation of breastfeeding at or before 3 months was associated with breastfeeding problems at home adjusted odds ratio 8.01, 95% confidence interval (4.57, 14.05)], return to work prior to three months OR 3.39 (95% CI 1.53, 7.55)], inadequate breastfeeding support OR 1.88 (95% CI 1.10, 3.22)], caesarean delivery OR 1.70 (95% CI 1.04, 2.76)], low socioeconomic status (SEIFA 1 unit increase) OR 0.89 (95% CI 0.81, 0.97)] and BMI (2 unit increase) OR 1.08 (95% CI 1.01, 1.57)]. Being married or de facto OR 0.14 (95% CI 0.03, 0.62)] was a protective against early cessation of breastfeeding.ConclusionStrategies to improve breastfeeding duration in women with GDM need to address those most at risk of early cessation and provide appropriate postpartum breastfeeding support in this group. |
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| Keywords: | Breastfeeding duration Lactation Gestational diabetes mellitus |
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