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Acta Paediatr. 2018 Jun;107(6):1028-1035. doi: 10.1111/apa.14274. Epub 2018 Mar 24.

Recent gestational diabetes was associated with mothers stopping predominant breastfeeding earlier in a multi-ethnic population.

Author information

1
Norwegian National Advisory Unit on Breastfeeding, Oslo University Hospital, Oslo, Norway.
2
Department of Pediatric and Adolescents Medicine, Akershus University Hospital, Lørenskog, Norway.
3
Oslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, University of Oslo, Oslo, Norway.
4
Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
5
Institute of Health and Society, University of Oslo, Oslo, Norway.
6
Department of General Practice, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
7
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
8
Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
9
General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Abstract

AIM:

It has previously been shown that breastfeeding may reduce the risk of type 2 diabetes in mothers with recent gestational diabetes mellitus (GDM). This study compared the cessation of predominant breastfeeding in mothers with and without recent GDM in a multi-ethnic population.

METHODS:

From May 2008 to May 2010, healthy pregnant women attending antenatal care provided by community health services in Eastern Oslo, Norway were recruited. We included 616 women-58% non-Western-and interviewed and examined them at a mean of 15 and 28 weeks of gestation and 14 weeks' postpartum. Cox regression models examined the association between GDM, as assessed by the 2013 World Health Organization criteria, and breastfeeding cessation.

RESULTS:

Overall, 190 of the 616 (31%) mothers had GDM and they ended predominant breastfeeding earlier than mothers without GDM, with an adjusted hazard ratio (aHR) of 1.33 and 95% confidence interval (95% CI) of 1.01-1.77. Mothers of South Asian origin ended predominant breastfeeding earlier than Western European mothers in the adjusted analysis (aHR 1.53, 95% CI: 1.04-2.25), but Middle Eastern mothers did not.

CONCLUSION:

Recent gestational diabetes was associated with earlier cessation of predominant breastfeeding in Western European and non-Western women.

KEYWORDS:

Breastfeeding; Ethnic differences; Gestational diabetes mellitus; Lactation; Norway

PMID:
29432660
DOI:
10.1111/apa.14274

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