Factors that positively influence in-hospital exclusive breastfeeding among women with gestational diabetes : An integrative review

Journal article


Cummins, Leanne, Meedya, Shahla and Wilson, Valerie. (2022). Factors that positively influence in-hospital exclusive breastfeeding among women with gestational diabetes : An integrative review. Women and Birth. 35(1), pp. 3-10. https://doi.org/10.1016/j.wombi.2021.03.005
AuthorsCummins, Leanne, Meedya, Shahla and Wilson, Valerie
Abstract

Problem
Women with gestational diabetes have higher rates of introducing infant formula before leaving hospital.

Background
Despite health professional support, less women with gestational diabetes exclusively breastfeed in hospital.

Aim
To find factors that positively influence in-hospital exclusive breastfeeding practices among women with gestational diabetes.

Methods
An online search was performed in Medline, Scopus, Pubmed, CINAHL and Cochrane databases. Studies containing the keywords gestational diabetes and breastfeeding were retrieved.

Findings
Authors identified 1935 papers from search criteria. Twenty-six papers with no restrictions on research design met inclusion criteria and were included in the review. Factors were divided into personal, antenatal, intrapartum and postnatal factors. The main modifiable factors that were associated with improved in-hospital exclusive breastfeeding rates were having a strong intention to breastfeed, being confident, feeling supported and having continuity of education and support. Women’s main reasons to introduce formula were related to baby’s hypoglycaemia, delayed lactogenesis II and perceived low milk supply. Skin-to-skin contact after birth combined with frequent breastfeeds were effective ways to improve in-hospital exclusive breastfeeding rates.

Conclusion
Influencing factors such as women’s breastfeeding intention, confidence and ongoing support are no different to the general population of women. However, promoting skin-to-skin contact after birth combined with frequent feeds are crucial for women with gestational diabetes who are more likely to introduce formula due to delayed lactogenesis II and fear of neonatal hypoglycaemia. There is a need for developing educational and supportive interventions that are tailored specifically for women who have gestational diabetes.

Keywordsexclusive breastfeeding; gestational diabetes mellitus (GDM); factors; woman-centred; pregnancy; hospital
Year2022
JournalWomen and Birth
Journal citation35 (1), pp. 3-10
PublisherElsevier Ltd
ISSN1871-5192
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2021.03.005
PubMed ID33745821
Scopus EID2-s2.0-85102871265
Page range3-10
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online19 Mar 2021
Publication process dates
Accepted08 Mar 2021
Deposited05 Nov 2023
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