Authors:
Morrison MK, Collins CE, Lowe JM, Giglia RC.
Authors notes:
Women and Birth. 2015;28(2):143-7.
Keywords:
Breastfeeding duration, Lactation, Gestational diabetes mellitus
Abstract:
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, return to work prior to three months, inadequate breastfeeding support, caesarean delivery, low socioeconomic status (SEIFA 1 unit increase) and BMI (2 unit increase).
Being married or de facto 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.