Factors associated with early cessation of breastfeeding in women with gestational diabetes mellitus. Issue 2 (June 2015)

• Record Type: Journal Article
• Authors: Morrison, M.K.; Collins, C.E.; Lowe, J.M.; Giglia, R.C.
• Is Part Of: Women and birth. Volume 28:Issue 2(2015)
• Page Start: 143
• Page End: 147
• Publication Date: 2015-06
• Subjects: Midwives -- Periodicals; Pregnancy -- Periodicals; Midwifery -- Periodicals; Pregnancy -- Periodicals; 618.2
• DOI: 10.1016/j.wombi.2014.12.002
• Languages: English
• ISSNs: 1871-5192

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Aim</title> <p id="spar0005">To determine factors associated with early cessation of breastfeeding (≤3 months) in women with recent gestational diabetes mellitus (GDM).</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">A 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.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">738 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.</p> </sec> <sec> <title id="sect0025">Conclusion</title> <p id="spar0020">Strategies 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.</p> </sec> </abstract>