Factors associated with early cessation of breastfeeding in women with gestational diabetes mellitus

  • M.K. M
  • C.E. C
  • J.M. L
 et al. 
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Abstract

Aim: To determine factors associated with early cessation of breastfeeding (≤3 months) in women with recent gestational diabetes mellitus (GDM). Methods: 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. Results: 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. Conclusion: 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.

Author-supplied keywords

  • Australia
  • adult
  • article
  • attitude to breast feeding
  • behavior
  • body mass
  • breast engorgement
  • breast feeding
  • breast feeding education
  • cesarean section
  • female
  • human
  • major clinical study
  • marriage
  • mastitis
  • pregnancy diabetes mellitus
  • priority journal
  • questionnaire
  • return to work
  • risk
  • social status

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Authors

  • Morrison M.K.

  • Collins C.E.

  • Lowe J.M.

  • Giglia R.C.

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