Routine Postpartum Colostrum Expression and Breastfeeding Outcomes in Women With Diabetes: A Feasibility Trial
Cínthia Daniela Perpétuo1, Emily Boaventura Bueno1, Lisa H Amir2,3
1Universidade Federal de São Paulo, Brazil.
Summary
Routine postpartum colostrum expression is feasible and acceptable for women with diabetes (DM), potentially increasing exclusive breastfeeding rates. This practice supports mothers and infants, warranting further investigation in larger trials.
Area of Science:
- Reproductive Health
- Neonatal Care
- Endocrinology
Background:
- Women with diabetes mellitus (DM) face higher risks of delayed Lactogenesis II.
- Infants of diabetic mothers are more prone to hypoglycemia and formula supplementation.
Purpose of the Study:
- To evaluate the feasibility and acceptability of routine postpartum colostrum expression for women with diabetes.
- To assess the impact of this intervention on exclusive breastfeeding rates.
Main Methods:
- A non-randomized feasibility study (N=30) involved women with DM, including gestational diabetes mellitus (GDM).
- Participants received education on colostrum expression and offered expressed milk to infants post-breastfeed.
- Feasibility assessed through participant acceptance, adherence, retention, and exclusive breastfeeding rates.
Main Results:
- Exclusive breastfeeding rates were significantly higher in the intervention group (92%) compared to the control group (47%) during hospital stay (p=0.017).
- Women in the intervention group reported enhanced confidence in breastfeeding.
- Despite challenges (expression technique, milk volume concerns, fatigue), the intervention was deemed acceptable.
Conclusions:
- Routine postpartum colostrum expression is a feasible and acceptable practice for women with diabetes.
- This intervention shows potential to improve exclusive breastfeeding rates in this population.
- Findings support further research via a larger randomized controlled trial.
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