Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study
Abstract Background Mothers with diabetes are less likely to achieve successful breastfeeding. Antenatal breastmilk expression (ABE) may facilitate earlier breastfeeding, but feasibility of introducing ABE and its acceptance among Scandinavian women have previously not been investigated. Methods Thi...
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crspringernat:10.1186/s13006-021-00393-1 2023-05-15T17:39:25+02:00 Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study Johnsen, Maren Klingenberg, Claus Brand, Meta Revhaug, Arthur Andreassen, Gunnbjørg 2021 http://dx.doi.org/10.1186/s13006-021-00393-1 https://link.springer.com/content/pdf/10.1186/s13006-021-00393-1.pdf https://link.springer.com/article/10.1186/s13006-021-00393-1/fulltext.html en eng Springer Science and Business Media LLC https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 CC-BY International Breastfeeding Journal volume 16, issue 1 ISSN 1746-4358 Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health journal-article 2021 crspringernat https://doi.org/10.1186/s13006-021-00393-1 2022-01-04T10:11:07Z Abstract Background Mothers with diabetes are less likely to achieve successful breastfeeding. Antenatal breastmilk expression (ABE) may facilitate earlier breastfeeding, but feasibility of introducing ABE and its acceptance among Scandinavian women have previously not been investigated. Methods This observational trial was conducted between the 1 January 2019 and the 12 March 2020 in Tromsø, Norway. We aimed to determine the feasibility of ABE in terms of practicality and acceptability among women with medically (metformin or insulin) treated diabetes. Women were invited to participate during antenatal visits from 32 weeks gestation. Participants received instruction and started ABE from gestation week 37 + 0. Participants, and their infants, were followed until 6–8 weeks after birth. We collected data on breastfeeding rates, infant hypoglycemia, transfer to the neonatal unit, and the women’s overall experience and satisfaction with antenatal breastmilk expression. Results Twenty-eight of 34 (82%) invited women consented to participate. All started ABE from week 37 + 0, and continued until hospital admission. No women reported any discomfort or side effects. Labor was induced at 38 weeks gestation. Twenty-four women brought harvested colostrum to the maternity ward, which was given to their infants during the first 24 h of life. Breastfeeding rates at discharge were 24/28 (86%) and 21/27 (78%) at 6–8 weeks after delivery. Seven (25%) infants were transferred to the neonatal unit; four because of hypoglycemia. Maternal satisfaction assessed 6–8 weeks after delivery revealed that all participants felt positive about the ABE, but one woman would not recommend it to other pregnant women. Conclusions Implementing a structured ABE guideline for women with medically treated diabetes was feasible. The intervention was associated with high level of satisfaction among study participants. No obvious side effects were observed, and breastfeeding rates at discharge and 6–8 weeks after delivery were higher than in comparable studies. Trial registration The study was registered at the research study registry at the University Hospital of North Norway ( Nr 2018/7181 ). Article in Journal/Newspaper North Norway Tromsø Springer Nature (via Crossref) Norway Tromsø International Breastfeeding Journal 16 1 |
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Open Polar |
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Springer Nature (via Crossref) |
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crspringernat |
language |
English |
topic |
Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health |
spellingShingle |
Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health Johnsen, Maren Klingenberg, Claus Brand, Meta Revhaug, Arthur Andreassen, Gunnbjørg Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
topic_facet |
Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health |
description |
Abstract Background Mothers with diabetes are less likely to achieve successful breastfeeding. Antenatal breastmilk expression (ABE) may facilitate earlier breastfeeding, but feasibility of introducing ABE and its acceptance among Scandinavian women have previously not been investigated. Methods This observational trial was conducted between the 1 January 2019 and the 12 March 2020 in Tromsø, Norway. We aimed to determine the feasibility of ABE in terms of practicality and acceptability among women with medically (metformin or insulin) treated diabetes. Women were invited to participate during antenatal visits from 32 weeks gestation. Participants received instruction and started ABE from gestation week 37 + 0. Participants, and their infants, were followed until 6–8 weeks after birth. We collected data on breastfeeding rates, infant hypoglycemia, transfer to the neonatal unit, and the women’s overall experience and satisfaction with antenatal breastmilk expression. Results Twenty-eight of 34 (82%) invited women consented to participate. All started ABE from week 37 + 0, and continued until hospital admission. No women reported any discomfort or side effects. Labor was induced at 38 weeks gestation. Twenty-four women brought harvested colostrum to the maternity ward, which was given to their infants during the first 24 h of life. Breastfeeding rates at discharge were 24/28 (86%) and 21/27 (78%) at 6–8 weeks after delivery. Seven (25%) infants were transferred to the neonatal unit; four because of hypoglycemia. Maternal satisfaction assessed 6–8 weeks after delivery revealed that all participants felt positive about the ABE, but one woman would not recommend it to other pregnant women. Conclusions Implementing a structured ABE guideline for women with medically treated diabetes was feasible. The intervention was associated with high level of satisfaction among study participants. No obvious side effects were observed, and breastfeeding rates at discharge and 6–8 weeks after delivery were higher than in comparable studies. Trial registration The study was registered at the research study registry at the University Hospital of North Norway ( Nr 2018/7181 ). |
format |
Article in Journal/Newspaper |
author |
Johnsen, Maren Klingenberg, Claus Brand, Meta Revhaug, Arthur Andreassen, Gunnbjørg |
author_facet |
Johnsen, Maren Klingenberg, Claus Brand, Meta Revhaug, Arthur Andreassen, Gunnbjørg |
author_sort |
Johnsen, Maren |
title |
Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
title_short |
Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
title_full |
Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
title_fullStr |
Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
title_full_unstemmed |
Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
title_sort |
antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
publisher |
Springer Science and Business Media LLC |
publishDate |
2021 |
url |
http://dx.doi.org/10.1186/s13006-021-00393-1 https://link.springer.com/content/pdf/10.1186/s13006-021-00393-1.pdf https://link.springer.com/article/10.1186/s13006-021-00393-1/fulltext.html |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
North Norway Tromsø |
genre_facet |
North Norway Tromsø |
op_source |
International Breastfeeding Journal volume 16, issue 1 ISSN 1746-4358 |
op_rights |
https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1186/s13006-021-00393-1 |
container_title |
International Breastfeeding Journal |
container_volume |
16 |
container_issue |
1 |
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1766140190143807488 |