Literature DB >> 29510090

Barriers to Exclusive Breastfeeding Among Women With Gestational Diabetes Mellitus in the United States.

Kimberly N Doughty, Alayne G Ronnenberg, Katherine W Reeves, Jing Qian, Lindiwe Sibeko.   

Abstract

OBJECTIVE: To identify differences in breastfeeding-related knowledge, attitudes, beliefs, and experiences between women with gestational diabetes mellitus (GDM) and women without GDM.
DESIGN: Cross-sectional and prospective cohort study.
SETTING: Secondary analysis of data from the U.S. Infant Feeding Practices Study II. PARTICIPANTS: Pregnant women with GDM (n = 195) and pregnant women without GDM (n = 2,815) were included in cross-sectional analyses. For prospective analyses, complete data were available at the postpartum time point for 107 women with and 1,626 women without GDM.
METHODS: We compared women with and without GDM for breastfeeding knowledge, attitudes, and beliefs during pregnancy and hospital experiences and problems with breastfeeding after birth. We used multivariate logistic regression to estimate associations between GDM and dependent variables.
RESULTS: Women with GDM were less likely to say that breastfeeding is the best way to feed an infant (adjusted odds ratio [aOR] = 0.62, 95% confidence interval [CI] [0.46, 0.85]), more likely to say that the fathers of their infants prefer formula feeding (aOR = 1.74, 95% CI [1.02, 2.97]) or mixed feeding (aOR = 1.78, 95% CI [1.21, 2.61]), and more likely to say their physicians prefer formula (aOR = 2.82, 95% CI [1.17, 6.79]). Women with GDM were less likely to report feeling comfortable breastfeeding in front of female friends (aOR = 0.70, 95% CI [0.50, 0.98]). Newborns of women with GDM were less likely to stay in their mothers' hospital rooms (aOR = 0.55, 95% CI [0.36, 0.85]).
CONCLUSION: We identified differences in breastfeeding-related knowledge, attitudes, beliefs, and experiences between women with GDM and women without GDM that could be targets for further research and intervention.
Copyright © 2018 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  attitudes; breastfeeding and diabetes; breastfeeding confidence; breastfeeding initiation; breastfeeding knowledge; breastfeeding support

Mesh:

Year:  2018        PMID: 29510090     DOI: 10.1016/j.jogn.2018.02.005

Source DB:  PubMed          Journal:  J Obstet Gynecol Neonatal Nurs        ISSN: 0090-0311


  5 in total

1.  Breastfeeding Initiation as Related to the Interaction of Race/Ethnicity and Maternal Diabetes.

Authors:  Danielle R Stevens; Sarah N Taylor; James R Roberts; Brian Neelon; Roger B Newman; John E Vena; Kelly J Hunt
Journal:  Breastfeed Med       Date:  2019-07-31       Impact factor: 1.817

2.  Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus.

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Journal:  Int J Environ Res Public Health       Date:  2022-03-30       Impact factor: 3.390

3.  How breastfeeding behavior develops in women with gestational diabetes mellitus: A qualitative study based on health belief model in China.

Authors:  Pan Qian; Lixia Duan; Rujiao Lin; Xiwang Du; Dan Wang; Chenxi Liu; Tieying Zeng
Journal:  Front Endocrinol (Lausanne)       Date:  2022-10-03       Impact factor: 6.055

4.  Determinants of Successful Exclusive Breastfeeding for Saudi Mothers: Social Acceptance Is a Unique Predictor.

Authors:  Nada A Alyousefi
Journal:  Int J Environ Res Public Health       Date:  2021-05-13       Impact factor: 3.390

5.  Breastfeeding support and barriers to women with gestational diabetes mellitus: a nationwide cross-sectional survey of hospitals in Japan.

Authors:  Mayumi Matsunaga; Yaeko Kataoka; Yumiko Igarashi; Toshiko Fukui; Masumi Imura; Shigeko Horiuchi
Journal:  BMC Pregnancy Childbirth       Date:  2021-08-13       Impact factor: 3.007

  5 in total

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