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https://hdl.handle.net/2440/128411
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Type: | Journal article |
Title: | Associations of gestational diabetes and type 2 diabetes during pregnancy with breastfeeding at hospital discharge and up to 6 months: the PANDORA study |
Author: | Longmore, D.K. Barr, E.L.M. Wilson, A.N. Barzi, F. Kirkwood, M. Simmonds, A. Lee, I.-L. Hawthorne, E. Van Dokkum, P. Connors, C. Boyle, J.A. Zimmet, P. O'Dea, K. Oats, J. McIntyre, H.D. Brown, A.D.H. Shaw, J.E. Maple-Brown, L.J. |
Citation: | Diabetologia, 2020; 63(12):2571-2581 |
Publisher: | Springer |
Issue Date: | 2020 |
ISSN: | 0012-186X 1432-0428 |
Statement of Responsibility: | Danielle K. Longmore, Elizabeth L. M. Barr, Alyce N. Wilson, Federica Barzi, Marie Kirkwood, Alison Simmonds ... et al. |
Abstract: | AIMS/HYPOTHESIS:Women with gestational diabetes mellitus (GDM) and obesity experience lower rates of breastfeeding. Little is known about breastfeeding among mothers with type 2 diabetes. Australian Indigenous women have a high prevalence of type 2 diabetes in pregnancy. We aimed to evaluate the association of hyperglycaemia, including type 2 diabetes, with breastfeeding outcomes. METHODS:Indigenous (n = 495) and non-Indigenous (n = 555) participants of the Pregnancy And Neonatal Diabetes Outcomes in Remote Australia (PANDORA) cohort included women without hyperglycaemia in pregnancy (n = 222), with GDM (n = 684) and with type 2 diabetes (n = 144). The associations of hyperglycaemia in pregnancy and breastfeeding at hospital discharge, 6 weeks and 6 months post-partum were evaluated with logistic regression, after adjustment for maternal obesity, ethnicity, maternal and neonatal characteristics. RESULTS:Indigenous women were more likely to predominantly breastfeed at 6 weeks across all levels of hyperglycaemia. Compared with women with no hyperglycaemia in pregnancy, women with type 2 diabetes had lower odds for exclusive breastfeeding at discharge (adjusted OR for exclusive breastfeeding 0.4 [95% CI 0.2, 0.8] p = 0.006). At 6 weeks and 6 months, the relationship between type 2 diabetes and predominant breastfeeding was not statistically significant (6 weeks 0.7 [0.3, 1.6] p = 0.40, 6 months 0.8 [0.4, 1.6] p = 0.60). Women with gestational diabetes were as likely to achieve predominant breastfeeding at 6 weeks and 6 months as women without hyperglycaemia in pregnancy. CONCLUSIONS/INTERPRETATION:Indigenous women had high rates of breastfeeding. Women with type 2 diabetes had difficulty establishing exclusive breastfeeding at hospital discharge. Further research is needed to assess the impact on long-term breastfeeding outcomes. Graphical abstract. |
Keywords: | Breastfeeding Diabetes Diabetes associated with pregnancy Gestational diabetes mellitus Indigenous Intergenerational |
Description: | Published online: 10 September 2020 |
Rights: | © Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
DOI: | 10.1007/s00125-020-05271-9 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1032116 http://purl.org/au-research/grants/nhmrc/1078333 http://purl.org/au-research/grants/nhmrc/1038372 http://purl.org/au-research/grants/nhmrc/605837 http://purl.org/au-research/grants/nhmrc/1078477 http://purl.org/au-research/grants/nhmrc/101291 http://purl.org/au-research/grants/nhmrc/1137563 http://purl.org/au-research/grants/nhmrc/1079438 |
Published version: | http://dx.doi.org/10.1007/s00125-020-05271-9 |
Appears in Collections: | Aurora harvest 8 Obstetrics and Gynaecology publications |
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