KMID : 1104420230340010052
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Research in Community and Public Health Nursing 2023 Volume.34 No. 1 p.52 ~ p.60
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Gestational diabetes and breastfeeding-related pain as major contributors to early breastfeeding cessation
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Min Deul-Le
Kwak Eun-Ju Park Seung-Mi
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Abstract
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Purpose: This study aimed to determine the effects of gestational diabetes mellitus, breastfeeding-related pain, and infant growth on the cessation of breastfeeding.
Methods: This is secondary data analysis. This study included 60 pregnant women from 3 prenatal breastfeeding clinics. Pregnant women aged 20?49 years, with or without a diagnosis of gestational diabetes mellitus were enrolled. The participants were administered four self-reported questionnaires, one at 5 days, 14 days, 3 months, and 6 months postpartum. A linear mixed model and Cox regression analysis were used. Data were collected between May 25, 2020 and June 14, 2021.
Results: The rate of breastfeeding cessation was 55.0% (n=33). The average maternal ages were 32.30 (¡¾4.61) and 31.33 (¡¾7.05) years in the cessation and maintenance groups, respectively. The average duration of breastfeeding in the cessation group was 56.27 (¡¾37.48) days. After adjusting for all covariates, the risk of breastfeeding cessation was 2.5 times greater among participants diagnosed with gestational diabetes mellitus (p=.042). Additionally, the risk of breastfeeding cessation was 1.3 times greater among those with severe breastfeeding-related pain (p=.015).
Conclusion: The first two months postpartum is the most essential time for healthcare workers to provide support and address difficulties associated with breastfeeding for mothers with gestational diabetes mellitus.
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KEYWORD
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breast feeding, diabetes, gestational, pain, pregnancy
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