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Facilitators and barriers to establishing lactation among women with diabetes?
Denise McGuinness1, Usha Daniel2, Denise O Brien1
1School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Dublin 4, Ireland.
Aim:
To identify the facilitators and barriers to establishing lactation among women with diabetes in pregnancy.
Methods:
A qualitative descriptive study involving face-to-face semi-structured interviews with 13 postpartum women. An inductive, data-driven content analysis approach was utilised. This study followed the consolidated criteria for reporting qualitative research (COREQ) guidelines.
Results:
Facilitators to breastfeeding and establishing lactation among women with diabetes included antenatal colostrum harvesting during the antenatal period and support from health care professionals. Barriers included emotional self-efficacy challenges and a lack of support from healthcare professionals in the hospital setting.
Conclusion:
Women with diabetes report further challenges establishing breastfeeding due to delayed lactogenesis ll (secretory activation), hypoglycaemia and self-efficacy challenges. Given the adverse health risks for mother and infant associated with not breastfeeding, women with diabetes require individualised person-centred lactation care plans to maximise their opportunity to experience a successful breastfeeding journey.
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