Impact of gestational diabetes mellitus on the duration of breastfeeding in primiparous women : an observational cohort study

Show simple item record

dc.contributor.author Laine, Merja K.
dc.contributor.author Kautiainen, Hannu
dc.contributor.author Gissler, Mika
dc.contributor.author Pennanen, Pirjo
dc.contributor.author Eriksson, Johan G.
dc.date.accessioned 2021-04-13T09:31:01Z
dc.date.available 2021-04-13T09:31:01Z
dc.date.issued 2021-02-16
dc.identifier.citation Laine , M K , Kautiainen , H , Gissler , M , Pennanen , P & Eriksson , J G 2021 , ' Impact of gestational diabetes mellitus on the duration of breastfeeding in primiparous women : an observational cohort study ' , International Breastfeeding Journal , vol. 16 , no. 1 , 19 . https://doi.org/10.1186/s13006-021-00369-1
dc.identifier.other PURE: 162059598
dc.identifier.other PURE UUID: 5aaf5f43-e650-4f98-9e2e-ba026f736515
dc.identifier.other WOS: 000620925700001
dc.identifier.other ORCID: /0000-0002-1848-1514/work/92171476
dc.identifier.uri http://hdl.handle.net/10138/328982
dc.description.abstract Background The impact of gestational diabetes mellitus (GDM) on the duration of breastfeeding varies between shortening and no impact. Breastfeeding seems to reduce both maternal and offspring risk for type 2 diabetes and offspring risk for overweight or obesity later in life. The aim of our study was to evaluate in primiparous women whether GDM had an influence on the duration of breastfeeding, and further, to evaluate the factors that influenced on the duration of breastfeeding. Methods The study cohort (N = 1089) consisted of all primiparous women with a Finnish background excluding women with pre-existing diabetes mellitus who lived in the city of Vantaa, Finland, gave birth to a singleton living child between 2009 and 2015, and with valid data on breastfeeding available. The diagnosis of GDM was based on a standard 75 g 2-h oral glucose tolerance test. Data were obtained from Finnish national registers and from the medical records of the city of Vantaa. Results No differences were observed in the duration of breastfeeding between women diagnosed with GDM and without GDM, 7.5 (Standard Deviation [SD] 3.7) months versus 7.9 (SD 3.5) months (p = 0.17). Women diagnosed with GDM breastfed boys for a longer duration than girls (maternal age, pre-pregnancy body mass index, marital status, educational attainment, duration of pregnancy, and smoking habits adjusted p = 0.042). Women who breastfed <6 months were younger, were more likely smokers, had shorter education, and higher pre-pregnancy body mass index than women who breastfed over 6 months (p <0.001 for linearity). Conclusions In primiparous women GDM did not influence breastfeeding duration. The positive health effects of breastfeeding should be emphasized especially in young, overweight and less educated women in order to minimize the risk of obesity and type 2 diabetes for themselves and their offspring. en
dc.format.extent 8
dc.language.iso eng
dc.relation.ispartof International Breastfeeding Journal
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Breastfeeding
dc.subject Educational attainment
dc.subject Gestational diabetes mellitus
dc.subject Obesity
dc.subject Offspring
dc.subject Overweight
dc.subject Primiparous
dc.subject Sex
dc.subject Smoking
dc.subject Young
dc.subject 3123 Gynaecology and paediatrics
dc.title Impact of gestational diabetes mellitus on the duration of breastfeeding in primiparous women : an observational cohort study en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization Department of General Practice and Primary Health Care
dc.contributor.organization University of Helsinki
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization Research Programs Unit
dc.contributor.organization Johan Eriksson / Principal Investigator
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1186/s13006-021-00369-1
dc.relation.issn 1746-4358
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

Files in this item

Total number of downloads: Loading...

Files Size Format View
Impact_of_gestational_diabetes_mellitus...pdf 4.461Mb PDF View/Open

This item appears in the following Collection(s)

Show simple item record