Women's Experiences With Early Breastfeeding After Gestational Diabetes. Issue 4 (27th May 2015)

• Record Type: Journal Article
• Authors: Jagiello, Karen P.; Azulay Chertok, Ilana R.
• Is Part Of: Journal of obstetric, gynecologic, and neonatal nursing. Volume 44:Issue 4(2015)
• Page Start: 500
• Page End: 509
• Publication Date: 2015-05-27
• Subjects: Maternity nursing -- Periodicals; Gynecologic nursing -- Periodicals; Newborn infants -- Care -- Periodicals; Pediatric nursing -- Periodicals; Genital Diseases, Female -- nursing; Obstetrical Nursing; Pediatric Nursing; 618.2
• DOI: 10.1111/1552-6909.12658
• Languages: English
• ISSNs: 0884-2175

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="jogn12658-sec-0010" sec-type="section"> <title>Objective</title> <p>To explore the lived experience of early breastfeeding for postpartum women who had gestational diabetes mellitus (GDM) in pregnancy.</p> </sec> <sec id="jogn12658-sec-0020" sec-type="section"> <title>Design</title> <p>A qualitative phenomenological research design.</p> </sec> <sec id="jogn12658-sec-0030" sec-type="section"> <title>Setting</title> <p>Participants were recruited from community hospitals, postpartum clinics, and lactation clinics in rural and urban facilities in the Midwest and Atlantic Regions of the United States.</p> </sec> <sec id="jogn12658-sec-0040" sec-type="section"> <title>Participants</title> <p>A purposive sample of 27 women who had been diagnosed with GDM and who had initiated breastfeeding following delivery.</p> </sec> <sec id="jogn12658-sec-0050" sec-type="section"> <title>Methods</title> <p>Questions were used as prompts to initiate conversation and to provide structure for focus group discussions and interviews. Data were analyzed independently and then collaboratively with the researchers and experts to compare findings, including interpretations and concerns before revisions were made in preparation of the final, composite description.</p> </sec> <sec id="jogn12658-sec-0060" sec-type="section"> <title>Results</title> <p>Three themes emerged from the data reflecting the participants' interpreted experience: <italic>Breastfeeding Challenges and Breastfeeding Support</italic>, <italic>Milk Supply Challenges</italic>, and <italic>Concern for Infant Health</italic>. Delayed lactogenesis II was reported by 30% of the women, and 44% perceived decreased milk supply.</p> </sec> <sec id="jogn12658-sec-0070" sec-type="section"> <title>Conclusions</title> <p>Participants identified breastfeeding facilitators and barriers, many of which could have been modified. The women expressed a need for consistent lactation advice, education, assistance, and strategies to address breastfeeding challenges and milk supply issues.</p> </sec> </abstract>