Women with diabetes breast-feed despite obstacles
Dr. Elisabeth Mathiesen and colleagues from Copenhagen University Hospital interviewed 102 women with type 1 diabetes at 5 days after delivery and again at 4 months to investigate the frequency of long-term breast-feeding and possible factors linked to successful breast-feeding.
More than half of the children had a medical complication when they were born, such as jaundice, infection or breathing difficulties.
Nonetheless, most of the women (86 percent) initiated breast-feeding, the team reports in the medical journal Diabetes Care.
By 4 months after delivery, 54 percent were exclusively breast-feeding, 14 percent were partly breast-feeding, and 32 percent were not breast-feeding. These rates were similar to those for women in the general population
Many infants experienced episodes of too-low blood sugar levels, and some required intravenous glucose treatment to correct the condition.
However, this was necessary in only 22 percent of the children whose mothers breast-fed exclusively, compared with 40 percent of the others.
Previous experience with breast-feeding and higher educational level were the only independent predictors of exclusive breast-feeding.
Summing up, the researchers conclude, "The majority of the women with type 1 diabetes initiated breast-feeding and the prevalence of breast-feeding at 4 months was comparable to that in the background population" despite high rates of medical complications among the infants.