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Nutrients 2016, 8(11), 742; doi:10.3390/nu8110742

The Effects of Mild Gestational Hyperglycemia on Exclusive Breastfeeding Cessation

1
Department of Primary Care, Balearic Health Authority, Health Sciences Research Institute IUNICS, 10 Alexandre Rosselló Ave, 07002 Palma de Mallorca, Spain
2
Department of Primary Care, Balearic Health Authority, 07003 Palma de Mallorca, Spain
3
Endocrinology Unit, Department of Paediatrics, Hospital Son Espases, Valldemossa Road, 79, 07010 Palma de Mallorca, Spain
4
Molecular Biology Unit, Division of Hematology, Son Espases University Hospital, Valldemossa Road, 79, 07010 Palma de Mallorca, Spain
5
Palma de Mallorca Institute of Health Research (IdISPa), Valldemossa Road, 79, 07010 Palma de Mallorca, Spain
*
Author to whom correspondence should be addressed.
Received: 29 September 2016 / Revised: 13 November 2016 / Accepted: 15 November 2016 / Published: 19 November 2016
(This article belongs to the Special Issue Nutrients in Infancy)
View Full-Text   |   Download PDF [222 KB, uploaded 19 November 2016]   |  

Abstract

Gestational diabetes increases the risk of a range of adverse perinatal outcomes, including breastfeeding failure, but the best cut-off point for gestational diabetes is unknown. The purpose of this study was to evaluate the association between mild gestational glucose tolerance impairment and the early cessation of exclusive breastfeeding (EBF). This is an observational study of 768 women with full term pregnancies that were screened for gestational diabetes at 24–28 weeks gestation. Subjects were divided into two groups: those with a normal 1-h glucose challenge test and those with an elevated 1-h glucose challenge test but still did not qualify for gestational diabetes. We constructed multivariable logistic regression models using data from 616 women with normal gestational glucose tolerance and 152 women with an isolated positive 1-h glucose challenge test. The risk of early exclusive breastfeeding cessation was found to increase in women with mildly impaired glucose tolerance during pregnancy (adjusted OR, 1.65; 95% CI: 1.11, 2.45). Risks of early EBF cessation were also independently associated with the amount of neonatal weight loss and admission to the neonatal ward. Instead, parity was associated with a decreased risk for shorter EBF duration. Insulin resistance—even in the absence of gestational diabetes mellitus—may be an impeding factor for EBF. View Full-Text
Keywords: breastfeeding; gestational diabetes; neonate; glucose tolerance test; prediabetes; insulin resistance; pregnancy outcomes breastfeeding; gestational diabetes; neonate; glucose tolerance test; prediabetes; insulin resistance; pregnancy outcomes
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Verd, S.; de Sotto, D.; Fernández, C.; Gutiérrez, A. The Effects of Mild Gestational Hyperglycemia on Exclusive Breastfeeding Cessation. Nutrients 2016, 8, 742.

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