患有妊娠糖尿病的妇女尽管打算完全母乳喂养,但在医院和家中仍需补充更多配方奶粉。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-07 DOI:10.1089/bfm.2024.0192
Kimberly N Doughty, Lliana Joe, Sarah N Taylor
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引用次数: 0

摘要

背景:与没有糖尿病的妇女相比,患有妊娠糖尿病(GDM)的妇女纯母乳喂养率较低。目的: 评估 GDM 与母乳喂养意愿和态度、配方奶粉之间的关系:评估美国母亲中 GDM 与母乳喂养意愿和态度、补充配方奶粉、补充配方奶粉的原因以及与母乳喂养相关的降低 2 型糖尿病(T2DM)风险知识之间的关联。设计/方法:参与者完成一项在线调查,评估婴儿喂养知识、态度和做法、人口统计学特征以及与妊娠相关的病史。采用多变量逻辑回归法估算在医院和家中补充配方奶粉的调整几率比例。结果显示在 871 名受访者中,与没有糖尿病的妇女相比,患有 GDM 的妇女打算纯母乳喂养的比例较低。在对公共场合母乳喂养的态度、对婴儿期以后母乳喂养的态度以及母乳喂养的实际持续时间等方面,各组之间没有差异。大约四分之一的参与者认为,无论 GDM 状况如何,母乳喂养的母亲患 T2DM 的可能性较低。在打算纯母乳喂养的母亲中,GDM 与在医院(调整后的几率比 [OR] 1.75,95% 置信区间 [CI]0.97-3.18)和家中(调整后的几率比 2.02,95% 置信区间 [CI]1.05-3.89)补充配方奶粉的几率较高有关。据报告,"医疗原因 "是补充配方奶粉的一个重要原因,而患有糖尿病的妇女更经常报告这一原因。结论打算纯母乳喂养的 GDM 妇女在院内和家中补充配方奶粉的几率更高,将医疗原因作为补充配方奶粉的主要原因的频率更高,而且她们大多不知道母乳喂养可降低 T2DM 风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Women with Gestational Diabetes Mellitus Have Greater Formula Supplementation in the Hospital and at Home Despite Intention to Exclusively Breastfeed.

Background: Women with gestational diabetes mellitus (GDM) have lower rates of exclusive breastfeeding compared with women without diabetes. Objectives: To assess associations between GDM and breastfeeding intentions and attitudes, formula supplementation, reasons for formula supplementation, and knowledge of type 2 diabetes mellitus (T2DM) risk reduction associated with breastfeeding among U.S. mothers. Design/Methods: Participants completed an online survey assessing infant feeding knowledge, attitudes, and practices; demographics; and pregnancy-related medical history. Multivariable logistic regression was used to estimate adjusted odds ratios for formula supplementation in the hospital and at home. Results: Of 871 respondents, a smaller proportion of women with GDM compared with women without diabetes intended to exclusively breastfeed. There were no differences between groups in attitudes toward public breastfeeding, attitudes toward breastfeeding beyond infancy, or actual duration of any breastfeeding. Approximately one in four participants believed that breastfeeding mothers may be less likely to develop T2DM, regardless of GDM status. Among those who intended to exclusively breastfeed, GDM was associated with higher odds of formula supplementation in the hospital (adjusted odds ratio [OR] 1.75, 95% confidence interval [CI] 0.97-3.18) and at home (adjusted OR 2.02, 95% CI 1.05-3.89). "Medical reasons," which was reported as an important reason for formula supplementation, was reported more frequently by women with GDM. Conclusions: Women with GDM who intended to exclusively breastfeed had higher odds of in-hospital and at-home formula supplementation, cited medical reasons as a main reason for formula supplementation more often, and were largely unaware of T2DM risk reduction associated with breastfeeding.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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