Attitudes and perceptions of mothers with pregestational diabetes toward breastfeeding-Reference-Cited by-同舟云学术

Attitudes and perceptions of mothers with pregestational diabetes toward breastfeeding

Published:2023-09-06 Issue: Volume: Page:
ISSN:
Container-title:
language:
Short-container-title:

Author:

Schiller Tal¹,Gassner Tali¹,Shafran Yael Winter²,Schiller Ofer³,Zornitzki Taiba¹,Kirzhner Alena⁴

Affiliation:

1. Department of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center and Faculty of Medicine, Hebrew University of Jerusalem

2. Obstetric and Gynecology Department, Kaplan Medical Center and Faculty of Medicine, Hebrew University of Jerusalem

3. Pediatric Cardiac Intensive Care Unit, Schneider Children’s Medical Center of Israel, Petah Tikva

4. Department of Internal Medicine A, Kaplan Medical Center and Faculty of Medicine, Hebrew University of Jerusalem

Abstract

Abstract Background Current data on breastfeeding perceptions and attitudes in women with pregestational diabetes mellitus (PGDM) is limited. The aim of the current study was to evaluate perceptions and attitudes towards breastfeeding before birth in women with PGDM versus women without diabetes and to evaluate whether targeted counseling at the end of pregnancy in the diabetic population affected women’s perceptions regarding breastfeeding. Methods Fifty-two women with PGDM and 38 women without diabetes answered a structured questionnaire designed to evaluate attitudes and perceptions toward breastfeeding. We also explored whether structured instruction, given to diabetic women towards the end of pregnancy, by an experienced breastfeeding counselor changed these perceptions. The purpose of the instruction was twofold; to elucidate practical aspects and strategies to overcome challenges of breastfeeding alongside diabetes, and to review realistic breastfeeding expectations for the early postpartum period. Results Diabetic and non-diabetic women had shared concerns regarding the complexity of breastfeeding, and insufficient knowledge. However, diabetic women expressed more concerns overall. The main motivation to breastfeed among diabetic women was the health benefits for their newborn. End-of-pregnancy targeted instruction improved confidence in breastfeeding knowledge and confidence in being able to manage blood glucose. It also improved confidence in approaching healthcare professional when seeking help. Conclusion A targeted diabetes-oriented breastfeeding instruction session at the end of pregnancy improved knowledge and confidence among diabetic women. It also improved their confidence in medical staff. Further investigation to find the optimal combination of education and support is still needed.

Publisher

Research Square Platform LLC

Reference13 articles.

1. WHO, Implementation Guidance. Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services – The Revised Baby-Friendly Hospital Initiative. Geneva: World Health Organization; 2018.

2. Diabetes Canada 2018 clinical practice guidelines for the prevention and management of diabetes in Canada;Diabetes Canada Clinical Practice Guidelines Expert Committee;Can J Diabetes,2018

3. IDF Clinical Guidelines Task Force. Global Guideline on Pregnancy and Diabetes, Brussels. International Diabetes Federation. ; 2009. Available from https://www.idf.org/e-library/guidelines/84-pregnancy-and-diabetes.html.

4. Transition to motherhood in type 1 diabetes: design of the pregnancy and postnatal well-being in transition questionnaires;Rasmussen B;BMC Pregnancy Childbirth

5. Craig ME, Twigg SM, Donaghue KC, Cheung NW, Cameron FJ, Conn J, Jenkins AJ, Silink M, for the Australian Type 1 Diabetes Guidelines Expert Advisory Group. National evidence-based clinical care guidelines for T1DM diabetes in children, adolescents and adults. Canberra: Australian Government Department of Health and Ageing; 2011.