Prior breastfeeding experience and infant feeding at discharge among women with pregestational diabetes mellitus.
OBJECTIVE
To compare multiparous women with pregestational diabetes mellitus (PGDM) with and without prior breastfeeding (BF) experience and to ascertain their infants' feeding type during hospitalization and at discharge.


METHODS
A retrospective cohort study of 304 women with PGDM who delivered at ≥34 weeks gestational age (GA). Prior BF experience and infant feeding preference was declared prenatally. At discharge, BF was defined as exclusive or partial.


RESULTS
BF experience and no experience groups were similar in diabetes type 1 and 2, race and number of pregnancies. Women with no experience had more spontaneous abortions (35 vs 27%), fewer term deliveries (51 vs 61%) and living children (median 1 vs 2). In the current pregnancy, mode of delivery: vaginal (36 & 37%), cesarean (64 & 63%), birthweight (3592 & 3515 g), GA (38 & 37 w), NICU admission (14 & 11%) and hypoglycemia (44 & 43%) were similar. Women with experience intended to BF (79 vs 46%), their infants' first feeding was BF (64 vs 36%) and had lactation consults (96 vs 63%) more often than those without experience. At discharge, women with BF experience were different in rate of exclusive BF (33 vs 11%), partial BF (48 vs 25%) and formula feeding (19 vs 64%).


CONCLUSION
Prior BF experience leads to better BF initiation rates while the absence of BF experience adds a risk for BF initiation failure. A detailed BF history could provide insight into obstacles that lead to unsuccessful BF experiences and may help define appropriate preventive or corrective strategies.
['Cordero|L|L|', 'Stenger|M R|MR|', 'Blaney|S D|SD|', 'Finneran|M M|MM|', 'Nankervis|C A|CA|']
D000328:Adult D001942:Breast Feeding D005260:Female D006801:Humans D007224:Infant Care D041943:Infant Formula D007231:Infant, Newborn D033182:Intention D008297:Male D008425:Maternal Behavior D008487:Medical History Taking D010298:Parity D010351:Patient Discharge D011247:Pregnancy D011254:Pregnancy in Diabetics D011295:Prenatal Care D012189:Retrospective Studies
prior breastfeeding experience Pregestational diabetes mellitus breastfeeding at discharge