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Recent gestational diabetes was associated with mothers stopping predominant breastfeeding earlier in a multi‐ethnic population
Author(s) -
Bærug Anne,
Sletner Line,
Laake Petter,
Fretheim Atle,
Løland Beate Fossum,
Waage Christin W.,
Birkeland Kåre I.,
Jenum Anne Karen
Publication year - 2018
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14274
Subject(s) - breastfeeding , medicine , gestational diabetes , obstetrics , hazard ratio , population , confidence interval , ethnic group , pregnancy , gestation , demography , pediatrics , environmental health , sociology , biology , anthropology , genetics
Aim It has previously been shown that breastfeeding may reduce the risk of type 2 diabetes in mothers with recent gestational diabetes mellitus (GDM). This study compared the cessation of predominant breastfeeding in mothers with and without recent GDM in a multi‐ethnic population. Methods From May 2008 to May 2010, healthy pregnant women attending antenatal care provided by community health services in Eastern Oslo, Norway were recruited. We included 616 women–58% non‐Western–and interviewed and examined them at a mean of 15 and 28 weeks of gestation and 14 weeks’ postpartum. Cox regression models examined the association between GDM, as assessed by the 2013 World Health Organization criteria, and breastfeeding cessation. Results Overall, 190 of the 616 (31%) mothers had GDM and they ended predominant breastfeeding earlier than mothers without GDM, with an adjusted hazard ratio (aHR) of 1.33 and 95% confidence interval (95% CI) of 1.01–1.77. Mothers of South Asian origin ended predominant breastfeeding earlier than Western European mothers in the adjusted analysis (aHR 1.53, 95% CI: 1.04–2.25), but Middle Eastern mothers did not. Conclusion Recent gestational diabetes was associated with earlier cessation of predominant breastfeeding in Western European and non‐Western women.