Associations of gestational diabetes and T2D during pregnanc
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Women with gestational diabetes mellitus (GDM) and obesity experience lower rates of breastfeeding. Little is known about breastfeeding among mothers with type 2 diabetes. Australian Indigenous women have a high prevalence of type 2 diabetes in pregnancy. Researchers aimed to evaluate the association of hyperglycaemia, including type 2 diabetes, with breastfeeding outcomes.

Indigenous (n=495) and non-Indigenous (n=555) participants of the Pregnancy And Neonatal Diabetes Outcomes in Remote Australia (PANDORA) cohort included women without hyperglycaemia in pregnancy (n = 222), with GDM (n = 684) and with type 2 diabetes (n = 144). The associations of hyperglycaemia in pregnancy and breastfeeding at hospital discharge, 6 weeks and 6 months post-partum were evaluated with logistic regression, after adjustment for maternal obesity, ethnicity, maternal and neonatal characteristics.

Results:
-- Indigenous women were more likely to predominantly breastfeed at 6 weeks across all levels of hyperglycaemia.

-- Compared with women with no hyperglycaemia in pregnancy, women with type 2 diabetes had lower odds for exclusive breastfeeding at discharge.

-- At 6 weeks and 6 months, the relationship between type 2 diabetes and predominant breastfeeding was not statistically significant.

-- Women with gestational diabetes were as likely to achieve predominant breastfeeding at 6 weeks and 6 months as women without hyperglycaemia in pregnancy.

Conclusively, indigenous women had high rates of breastfeeding. Women with type 2 diabetes had difficulty establishing exclusive breastfeeding at hospital discharge. Further research is needed to assess the impact on long-term breastfeeding outcomes.

Source: https://link.springer.com/article/10.1007/s00125-020-05271-9
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