Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial
Background: Data on breastfeeding rates and targeted interventions in women with pre-gestational diabetes mellitus are inconclusive. The aim of the study was to evaluate breastfeeding rates up to one year postpartum and whether targeted counseling towards the end of pregnancy can impact breastfeedin...
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| Format: | Article |
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MDPI AG
2024-02-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/12/3/406 |
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| author | Tal Schiller Tali Gassner Yael Winter Shafran Hilla Knobler Ofer Schiller Alena Kirzhner |
| author_facet | Tal Schiller Tali Gassner Yael Winter Shafran Hilla Knobler Ofer Schiller Alena Kirzhner |
| author_sort | Tal Schiller |
| collection | DOAJ |
| description | Background: Data on breastfeeding rates and targeted interventions in women with pre-gestational diabetes mellitus are inconclusive. The aim of the study was to evaluate breastfeeding rates up to one year postpartum and whether targeted counseling towards the end of pregnancy can impact breastfeeding rates and duration. An additional goal was to evaluate whether counseling affected women’s perceptions regarding breastfeeding. Methods: Women with pre-gestational diabetes mellitus were cluster-randomized between 32 and 36 weeks of gestation, either to face-to-face instruction with a certified lactation consultant or to receive written information on breastfeeding. Thirty-eight women without diabetes served as controls and were given written information on breastfeeding. All women filled out a questionnaire regarding intended breastfeeding duration, exclusivity, and perceptions, before intervention and at three, six, and twelve months post-partum. Results: Fifty-two women with pre-gestational diabetes mellitus consented to participate. All completed the questionnaires, 26 in each group. At three, six, and twelve months postpartum, rates of any breastfeeding were around 60%, 50%, and 30%, respectively. Approximately one-third breastfed exclusively in each group at three and six months. No significant difference in breastfeeding rates was noted between face-to-face instruction, written information, and controls. End-of-pregnancy counseling improved confidence in breastfeeding knowledge and confidence in being able to manage blood glucose. Conclusions: Breastfeeding rates in pre-gestational diabetes mellitus were comparable to those of women without diabetes and were unchanged by mode of instruction at the end of pregnancy. However, targeted diabetes-oriented breastfeeding instruction at the end of pregnancy improved knowledge and confidence among women with pre-gestational diabetes mellitus. |
| first_indexed | 2024-03-08T03:57:01Z |
| format | Article |
| id | doaj.art-c1e9df4ff0ae418a84811408d7f57ee3 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-08T03:57:01Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-c1e9df4ff0ae418a84811408d7f57ee32024-02-09T15:12:56ZengMDPI AGHealthcare2227-90322024-02-0112340610.3390/healthcare12030406Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled TrialTal Schiller0Tali Gassner1Yael Winter Shafran2Hilla Knobler3Ofer Schiller4Alena Kirzhner5Department of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, IsraelDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, IsraelFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9160401, IsraelDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, IsraelPediatric Cardiac Intensive Care Unit, Schneider Children’s Medical Center of Israel, Petah Tikva 4941492, IsraelDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, IsraelBackground: Data on breastfeeding rates and targeted interventions in women with pre-gestational diabetes mellitus are inconclusive. The aim of the study was to evaluate breastfeeding rates up to one year postpartum and whether targeted counseling towards the end of pregnancy can impact breastfeeding rates and duration. An additional goal was to evaluate whether counseling affected women’s perceptions regarding breastfeeding. Methods: Women with pre-gestational diabetes mellitus were cluster-randomized between 32 and 36 weeks of gestation, either to face-to-face instruction with a certified lactation consultant or to receive written information on breastfeeding. Thirty-eight women without diabetes served as controls and were given written information on breastfeeding. All women filled out a questionnaire regarding intended breastfeeding duration, exclusivity, and perceptions, before intervention and at three, six, and twelve months post-partum. Results: Fifty-two women with pre-gestational diabetes mellitus consented to participate. All completed the questionnaires, 26 in each group. At three, six, and twelve months postpartum, rates of any breastfeeding were around 60%, 50%, and 30%, respectively. Approximately one-third breastfed exclusively in each group at three and six months. No significant difference in breastfeeding rates was noted between face-to-face instruction, written information, and controls. End-of-pregnancy counseling improved confidence in breastfeeding knowledge and confidence in being able to manage blood glucose. Conclusions: Breastfeeding rates in pre-gestational diabetes mellitus were comparable to those of women without diabetes and were unchanged by mode of instruction at the end of pregnancy. However, targeted diabetes-oriented breastfeeding instruction at the end of pregnancy improved knowledge and confidence among women with pre-gestational diabetes mellitus.https://www.mdpi.com/2227-9032/12/3/406diabetesbreastfeedingpre-gestational diabetes mellituspregnancylactation counseling |
| spellingShingle | Tal Schiller Tali Gassner Yael Winter Shafran Hilla Knobler Ofer Schiller Alena Kirzhner Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial Healthcare diabetes breastfeeding pre-gestational diabetes mellitus pregnancy lactation counseling |
| title | Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial |
| title_full | Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial |
| title_fullStr | Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial |
| title_full_unstemmed | Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial |
| title_short | Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus—A Randomized Controlled Trial |
| title_sort | prenatal breastfeeding counseling intervention in women with pre gestational diabetes mellitus a randomized controlled trial |
| topic | diabetes breastfeeding pre-gestational diabetes mellitus pregnancy lactation counseling |
| url | https://www.mdpi.com/2227-9032/12/3/406 |
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