Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?

Introduction. Breastfeeding is recognized as one of the best ways to decrease infant mortality and morbidity. However, women with gestational diabetes mellitus (GDM) may have breastfeeding barriers due to the increased risk of neonatal and pregnancy complications. While the prevalence of GDM is incr...

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Main Authors: Jordyn T. Wallenborn, Robert A. Perera, Saba W. Masho
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2017/9581796
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author Jordyn T. Wallenborn
Robert A. Perera
Saba W. Masho
author_facet Jordyn T. Wallenborn
Robert A. Perera
Saba W. Masho
author_sort Jordyn T. Wallenborn
collection DOAJ
description Introduction. Breastfeeding is recognized as one of the best ways to decrease infant mortality and morbidity. However, women with gestational diabetes mellitus (GDM) may have breastfeeding barriers due to the increased risk of neonatal and pregnancy complications. While the prevalence of GDM is increasing worldwide, it is important to understand the full implications of GDM on breastfeeding outcomes. The current study aims to investigate the (1) direct effect of GDM on breastfeeding duration and (2) indirect effect of GDM on breastfeeding duration through perceived benefits of breastfeeding. Methods. Prospective cohort data from the Infant Feeding and Practices Study II was analyzed (N=4,902). Structural equation modeling estimated direct and indirect effects. Results. Perceived benefits of breastfeeding directly influenced breastfeeding duration (β=0.392, p≤0.001). GDM was not directly associated with breastfeeding duration or perceived benefits of breastfeeding. Similarly, GDM did not have an indirect effect on breastfeeding duration through perceived benefits of breastfeeding. Conclusions. Perceived benefits of breastfeeding are an important factor associated with breastfeeding duration. Maternal and child health care professionals should enhance breastfeeding education efforts.
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spelling doaj-art-8fd9d2eb402546abb0a62ce503a8b41b2025-08-20T02:09:29ZengWileyJournal of Pregnancy2090-27272090-27352017-01-01201710.1155/2017/95817969581796Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?Jordyn T. Wallenborn0Robert A. Perera1Saba W. Masho2Division of Epidemiology, Department of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USADepartment of Biostatistics, School of Medicine, Virginia Commonwealth University, 830 East Main Street, P.O. Box 980032, Richmond, VA 23298-0032, USADivision of Epidemiology, Department of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USAIntroduction. Breastfeeding is recognized as one of the best ways to decrease infant mortality and morbidity. However, women with gestational diabetes mellitus (GDM) may have breastfeeding barriers due to the increased risk of neonatal and pregnancy complications. While the prevalence of GDM is increasing worldwide, it is important to understand the full implications of GDM on breastfeeding outcomes. The current study aims to investigate the (1) direct effect of GDM on breastfeeding duration and (2) indirect effect of GDM on breastfeeding duration through perceived benefits of breastfeeding. Methods. Prospective cohort data from the Infant Feeding and Practices Study II was analyzed (N=4,902). Structural equation modeling estimated direct and indirect effects. Results. Perceived benefits of breastfeeding directly influenced breastfeeding duration (β=0.392, p≤0.001). GDM was not directly associated with breastfeeding duration or perceived benefits of breastfeeding. Similarly, GDM did not have an indirect effect on breastfeeding duration through perceived benefits of breastfeeding. Conclusions. Perceived benefits of breastfeeding are an important factor associated with breastfeeding duration. Maternal and child health care professionals should enhance breastfeeding education efforts.http://dx.doi.org/10.1155/2017/9581796
spellingShingle Jordyn T. Wallenborn
Robert A. Perera
Saba W. Masho
Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?
Journal of Pregnancy
title Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?
title_full Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?
title_fullStr Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?
title_full_unstemmed Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?
title_short Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?
title_sort breastfeeding after gestational diabetes does perceived benefits mediate the relationship
url http://dx.doi.org/10.1155/2017/9581796
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