Document Detail


Effects of early breastfeeding on neonatal glucose levels of term infants born to women with gestational diabetes.
MedLine Citation:
PMID:  19226355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Infants born to diabetic women are at higher risk for hypoglycaemia related to hyperinsulinism in response to maternal hyperglycaemia during pregnancy. As such, recommendations to prevent neonatal hypoglycaemia include infant feeding in the early postpartum period. The present study aimed to examine the effect of early breastfeeding and type of nutrition used for the first feed (human milk or formula) on glucose levels in infants born to women with gestational diabetes. METHODS: The prospective pilot study of 84 infants born to gestational diabetic women examined the glycaemic levels of infants who were breastfed in the delivery room compared to glycaemic levels of those who were not. The study also compared the glycaemic levels of infants who breastfed with those who received formula for their first feed. RESULTS: Infants who were breastfed in the delivery room had a significantly lower rate of borderline hypoglycaemia than those who were not breastfed in the early postpartum period (10% versus 28%; Fisher's exact test., P = 0.05,). Likewise, infants breastfed in the delivery room had significantly higher mean blood glucose level compared to infants who were not breastfed in the delivery room (3.17 versus 2.86 mmol L(-1), P = 0.03). Additionally, breastfed infants had a significantly higher mean blood glucose level compared to those who were formula fed for their first feed (3.20 versus 2.68 mmol L(-1), P = 0.002). CONCLUSIONS: Early breastfeeding may facilitate glycaemic stability in infants born to women with gestational diabetes.
Authors:
I R A Chertok; I Raz; I Shoham; H Haddad; A Wiznitzer
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-02-13
Journal Detail:
Title:  Journal of human nutrition and dietetics : the official journal of the British Dietetic Association     Volume:  22     ISSN:  1365-277X     ISO Abbreviation:  J Hum Nutr Diet     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904840     Medline TA:  J Hum Nutr Diet     Country:  England    
Other Details:
Languages:  eng     Pagination:  166-9     Citation Subset:  IM    
Affiliation:
Department of Health Promotion, West Virginia University, School of Nursing, Morgantown, WV 26506, USA. ichertok@hsc.wvu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Glucose*
Breast Feeding*
Diabetes, Gestational*
Female
Humans
Hypoglycemia / prevention & control*
Infant, Newborn
Male
Middle Aged
Pilot Projects
Pregnancy
Prenatal Exposure Delayed Effects*
Prospective Studies
Time Factors
Young Adult
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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