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Titre : | What are the experiences of antenatal women with diabetes harvesting colostrum? (2022) |
Auteurs : | Denise McGuinness ; Usha Daniel ; Denise O'Brien ; Elizabeth Greene |
Type de document : | Article |
Dans : | Midwifery Digest (Midirs) (Vol. 32, n° 1, March 2022) |
Article en page(s) : | p. 86-91 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Allaitement naturel ; Colostrum ; Diabète ; Diabète gestationnel ; Extraction du lait maternel ; Prise en charge prénatale |
Résumé : |
Background: The world Health Organization (WHO) recommends exclusive breastfeeding to six months of age with the continuation of breastfeeding, in addition to complementary foods, until the infant reaches the age of two years and beyond (WHO 2013). Women diabetes in pregnancy face unique challenges to establish exclusive breastfeeding. Colostrum is an effective measure to stabilise infant blood glucose level and a supportive strategy towards exclusive breastfeeding as opposed to supplementation with formula milk.
Aims and objectives: To describe the experiences of colostrum collection toward the end of pregnancy and identify the facilitators and barriers to establishing breastfeeding amongst women with diabetes in pregnancy. Methods: A qualitative study using face-to-face interviews with 1 3 women who experienced gestational diabetes mellitus (GDM) or who commenced pregnancy with type 1 or type 2 diabetes, conducted at 12-18 months postpartum in 2019. The study undertaken in a single large tertiary referral maternity hospital in Ireland. An inductive data-driven content analysis approach was adopted and themes identified. Ethics approval was granted by the research ethics committee of the research site and the affiliated university. Findings: Six distinct themes emerged: breastfeeding was considered the ideal; diabetes influenced the decision to harvest colostrum; antenatal colostrum harvesting getting started; antenatal collection of colostrum a breast shell or a syringe technique; expressing colostrum and feeling empowered; experiences in the early postnatal period. Conclusion: Antenatal colostrum harvesting from 36-40 weeks' gestation is a low-cost intervention which empowers and supports women with diabetes in pregnancy to initiate and continue breastfeeding. A greater understanding of the process of breastfeeding supports the continuation of breastfeeding, which in turn provides longer term benefits for mother and infant: reduced incidence of type 2 diabetes in women with GDM and reduced risk of an infant developing type 1 diabetes. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
Midwifery Digest (Midirs). Vol. 32, n° 1 (March 2022) | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |