Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study
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 obser...
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Online Access: | https://hdl.handle.net/10037/22813 https://doi.org/10.1186/s13006-021-00393-1 |
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ftunivtroemsoe:oai:munin.uit.no:10037/22813 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 2021-07-23 https://hdl.handle.net/10037/22813 https://doi.org/10.1186/s13006-021-00393-1 eng eng Springer Nature International Breastfeeding Journal Revhaug A, Klingenberg C, Andreassen G, Johnsen M, Brand MS. Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study. International Breastfeeding Journal. 2021 FRIDAID 1939521 doi:10.1186/s13006-021-00393-1 1746-4358 https://hdl.handle.net/10037/22813 openAccess Copyright 2021 The Author(s) VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2021 ftunivtroemsoe https://doi.org/10.1186/s13006-021-00393-1 2021-10-27T22:54:44Z 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 University of Tromsø: Munin Open Research Archive Norway Tromsø International Breastfeeding Journal 16 1 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
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ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 |
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VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 Johnsen, Maren Klingenberg, Claus Brand, Meta Revhaug, Arthur Andreassen, Gunnbjørg Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study |
topic_facet |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 |
description |
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 Nature |
publishDate |
2021 |
url |
https://hdl.handle.net/10037/22813 https://doi.org/10.1186/s13006-021-00393-1 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
North Norway Tromsø |
genre_facet |
North Norway Tromsø |
op_relation |
International Breastfeeding Journal Revhaug A, Klingenberg C, Andreassen G, Johnsen M, Brand MS. Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study. International Breastfeeding Journal. 2021 FRIDAID 1939521 doi:10.1186/s13006-021-00393-1 1746-4358 https://hdl.handle.net/10037/22813 |
op_rights |
openAccess Copyright 2021 The Author(s) |
op_doi |
https://doi.org/10.1186/s13006-021-00393-1 |
container_title |
International Breastfeeding Journal |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766140183294509056 |