Reena Oza-Frank1, Ilana Chertok2, Adam Bartley3. 1. 1Center for Perinatal Research,Research Institute at Nationwide Children's Hospital,Department of Pediatrics,The Ohio State University,700 Children's Drive,Research Building 3,Columbus,OH 43205,USA. 2. 2School of Nursing,West Virginia University,Morgantown,WV,USA. 3. 3College of Public Health,The Ohio State University,Columbus,OH,USA.
Abstract
OBJECTIVE: To examine (i) the prevalence of and associations between breast-feeding initiation and continuation by maternal diabetes status and (ii) the reasons for not initiating and/or continuing breast-feeding by maternal diabetes status. DESIGN: Secondary data analyses of a population-based cross-sectional study were conducting using data from the US Centers for Disease Control and Prevention's Pregnancy Risk Assessment Monitoring System (PRAMS), 2009-2011. Multivariable logistic regression was used to investigate the associations between breast-feeding initiation and continuation by diabetes status. SETTING: Thirty states and New York City, USA. SUBJECTS: Mothers of recently live-born infants, selected by birth certificate sampling. RESULTS: Among 72755 women, 8.8 % had gestational diabetes mellitus (GDM) and 1.7 % had pregestational diabetes mellitus (PDM). Breast-feeding initiation was similar among GDM and no diabetes mellitus (NDM) women (80.8 % v. 82.2 %, respectively, P=0.2), but continuation was lower among GDM (65.7 % v. 68.8 %, respectively, P=0.01). PDM women had lower initiation and continuation compared with NDM (78.2 %, P=0.03 and 60.4 %, P<0.01, respectively). In adjusted analyses, current smoking status was a significant effect modifier for initiation, but not for continuation. CONCLUSIONS: Differences in breast-feeding initiation and continuation prevalence by maternal diabetes status may reflect differences in prenatal education, indicating the need for increased efforts among PDM women. Additionally, non-smoking women with PDM or GDM would benefit from additional breast-feeding education.
OBJECTIVE: To examine (i) the prevalence of and associations between breast-feeding initiation and continuation by maternal diabetes status and (ii) the reasons for not initiating and/or continuing breast-feeding by maternal diabetes status. DESIGN: Secondary data analyses of a population-based cross-sectional study were conducting using data from the US Centers for Disease Control and Prevention's Pregnancy Risk Assessment Monitoring System (PRAMS), 2009-2011. Multivariable logistic regression was used to investigate the associations between breast-feeding initiation and continuation by diabetes status. SETTING: Thirty states and New York City, USA. SUBJECTS: Mothers of recently live-born infants, selected by birth certificate sampling. RESULTS: Among 72755 women, 8.8 % had gestational diabetes mellitus (GDM) and 1.7 % had pregestational diabetes mellitus (PDM). Breast-feeding initiation was similar among GDM and no diabetes mellitus (NDM) women (80.8 % v. 82.2 %, respectively, P=0.2), but continuation was lower among GDM (65.7 % v. 68.8 %, respectively, P=0.01). PDM women had lower initiation and continuation compared with NDM (78.2 %, P=0.03 and 60.4 %, P<0.01, respectively). In adjusted analyses, current smoking status was a significant effect modifier for initiation, but not for continuation. CONCLUSIONS: Differences in breast-feeding initiation and continuation prevalence by maternal diabetes status may reflect differences in prenatal education, indicating the need for increased efforts among PDM women. Additionally, non-smoking women with PDM or GDM would benefit from additional breast-feeding education.
Authors: Taniqua T Ingol; Jennifer Kue; Elizabeth J Conrey; Reena Oza-Frank; Mary Beth Weber; Julie K Bower Journal: Diabetes Educ Date: 2020-06 Impact factor: 2.140
Authors: Ellen M Chetwynd; Alison M Stuebe; Lynn Rosenberg; Melissa A Troester; Julie R Palmer Journal: Breastfeed Med Date: 2019-03-06 Impact factor: 1.817
Authors: Emily M Nagel; Mariann A Howland; Cynthia Pando; Jamie Stang; Susan M Mason; David A Fields; Ellen W Demerath Journal: Clin Ther Date: 2021-12-20 Impact factor: 3.393
Authors: Davida M Schiff; Elisha M Wachman; Barbara Philipp; Kathleen Joseph; Hira Shrestha; Elsie M Taveras; Margaret G K Parker Journal: Breastfeed Med Date: 2018-04-09 Impact factor: 1.817
Authors: Wei Wei Pang; Donna T Geddes; Ching-Tat Lai; Shiao-Yng Chan; Yiong Huak Chan; Clara Y Cheong; Doris Fok; Mei Chien Chua; Sok Bee Lim; Jonathan Huang; Shikha Pundir; Kok Hian Tan; Fabian Yap; Keith M Godfrey; Peter D Gluckman; Lynette P Shek; Mark H Vickers; Johan G Eriksson; Yap-Seng Chong; Mary E Wlodek Journal: Am J Clin Nutr Date: 2021-09-01 Impact factor: 7.045
Authors: Laurie A Nommsen-Rivers; Erin A Wagner; Dayna M Roznowski; Sarah W Riddle; Laura P Ward; Amy Thompson Journal: Breastfeed Med Date: 2022-04-26 Impact factor: 2.335