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Breast feeding practices and views among diabetic women: a retrospective cohort study.
Midwifery. 2008 Dec; 24(4):471-9.M

Abstract

OBJECTIVE

to explore the pattern and experiences of breast-feeding practices among diabetic women.

DESIGN

retrospective cohort study using maternal records and postal questionnaires in a Baby-Friendly hospital.

PARTICIPANTS

diabetic mothers including women with gestational diabetes, and type 1 and 2 diabetes mellitus.

FINDINGS

from the total group of respondents, 81.9% intended to breast feed. The actual breast feeding rates were 81.9% at birth, 68.1% at 2 weeks and 28.7% at 6 months postpartum. Major themes that were identified from women's experiences included information and advice, support vs. pressure, classification and labelling, and expectations.

CONCLUSIONS

more than two-thirds of the diabetic women intended to breast feed and actually did breast feed in this study. For both the total study population and the type 1 and 2 diabetics alone, more than half were still breast feeding at 2 weeks postpartum, and approximately one-third were still breast feeding at 6 months postpartum.

IMPLICATIONS FOR PRACTICE

structured support, provided for women through Baby-Friendly initiatives, was appreciated by the diabetic women in this study. The extent to which this support influenced the highly successful breast feeding practices in this group of women needs focused investigation. The need for a delicate balancing act between pressure and advice in order to prevent coercion was noted.

Authors+Show Affiliations

Derby City General Hospital, Uttoxeter Road, Derby, UK. h.soltani@shu.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17870219

Citation

Soltani, Hora, et al. "Breast Feeding Practices and Views Among Diabetic Women: a Retrospective Cohort Study." Midwifery, vol. 24, no. 4, 2008, pp. 471-9.
Soltani H, Dickinson FM, Kalk J, et al. Breast feeding practices and views among diabetic women: a retrospective cohort study. Midwifery. 2008;24(4):471-9.
Soltani, H., Dickinson, F. M., Kalk, J., & Payne, K. (2008). Breast feeding practices and views among diabetic women: a retrospective cohort study. Midwifery, 24(4), 471-9.
Soltani H, et al. Breast Feeding Practices and Views Among Diabetic Women: a Retrospective Cohort Study. Midwifery. 2008;24(4):471-9. PubMed PMID: 17870219.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breast feeding practices and views among diabetic women: a retrospective cohort study. AU - Soltani,Hora, AU - Dickinson,Fiona M, AU - Kalk,John, AU - Payne,Karen, Y1 - 2007/09/17/ PY - 2006/08/10/received PY - 2007/04/01/revised PY - 2007/04/24/accepted PY - 2007/9/18/pubmed PY - 2009/2/20/medline PY - 2007/9/18/entrez SP - 471 EP - 9 JF - Midwifery JO - Midwifery VL - 24 IS - 4 N2 - OBJECTIVE: to explore the pattern and experiences of breast-feeding practices among diabetic women. DESIGN: retrospective cohort study using maternal records and postal questionnaires in a Baby-Friendly hospital. PARTICIPANTS: diabetic mothers including women with gestational diabetes, and type 1 and 2 diabetes mellitus. FINDINGS: from the total group of respondents, 81.9% intended to breast feed. The actual breast feeding rates were 81.9% at birth, 68.1% at 2 weeks and 28.7% at 6 months postpartum. Major themes that were identified from women's experiences included information and advice, support vs. pressure, classification and labelling, and expectations. CONCLUSIONS: more than two-thirds of the diabetic women intended to breast feed and actually did breast feed in this study. For both the total study population and the type 1 and 2 diabetics alone, more than half were still breast feeding at 2 weeks postpartum, and approximately one-third were still breast feeding at 6 months postpartum. IMPLICATIONS FOR PRACTICE: structured support, provided for women through Baby-Friendly initiatives, was appreciated by the diabetic women in this study. The extent to which this support influenced the highly successful breast feeding practices in this group of women needs focused investigation. The need for a delicate balancing act between pressure and advice in order to prevent coercion was noted. SN - 0266-6138 UR - https://www.unboundmedicine.com/medline/citation/17870219/Breast_feeding_practices_and_views_among_diabetic_women:_a_retrospective_cohort_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-6138(07)00065-4 DB - PRIME DP - Unbound Medicine ER -