Facilitators and barriers to establishing lactation among women with diabetes?

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-04-11 DOI:10.1111/dme.70045

Denise McGuinness, Usha Daniel, Denise O Brien

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引用次数: 0

Abstract

Aim: To identify the facilitators and barriers to establishing lactation among women with diabetes in pregnancy.

Methods: A qualitative descriptive study involving face-to-face semi-structured interviews with 13 postpartum women. An inductive, data-driven content analysis approach was utilised. This study followed the consolidated criteria for reporting qualitative research (COREQ) guidelines.

Results: Facilitators to breastfeeding and establishing lactation among women with diabetes included antenatal colostrum harvesting during the antenatal period and support from health care professionals. Barriers included emotional self-efficacy challenges and a lack of support from healthcare professionals in the hospital setting.

Conclusion: Women with diabetes report further challenges establishing breastfeeding due to delayed lactogenesis ll (secretory activation), hypoglycaemia and self-efficacy challenges. Given the adverse health risks for mother and infant associated with not breastfeeding, women with diabetes require individualised person-centred lactation care plans to maximise their opportunity to experience a successful breastfeeding journey.

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糖尿病妇女泌乳的促进因素和障碍？

目的：探讨妊娠期糖尿病妇女泌乳的促进因素和障碍。方法：采用质性描述性研究，对13名产后妇女进行面对面半结构化访谈。采用归纳的、数据驱动的内容分析方法。本研究遵循报告定性研究的综合标准（COREQ）指南。结果：促进糖尿病妇女母乳喂养和建立泌乳的因素包括产前初乳收获和卫生保健专业人员的支持。障碍包括情绪自我效能的挑战和缺乏医院医疗保健专业人员的支持。结论：糖尿病妇女报告了由于延迟的泌乳生成ll（分泌激活）、低血糖和自我效能挑战而建立母乳喂养的进一步挑战。鉴于不母乳喂养对母亲和婴儿的不利健康风险，糖尿病妇女需要个性化的以人为本的哺乳护理计划，以最大限度地提高她们体验成功母乳喂养的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”