Soltani Hora, Dickinson Fiona M, Kalk John, Payne Karen
Derby City General Hospital, Uttoxeter Road, Derby, UK.
Midwifery. 2008 Dec;24(4):471-9. doi: 10.1016/j.midw.2007.04.005. Epub 2007 Sep 17.
to explore the pattern and experiences of breast-feeding practices among diabetic women.
retrospective cohort study using maternal records and postal questionnaires in a Baby-Friendly hospital.
diabetic mothers including women with gestational diabetes, and type 1 and 2 diabetes mellitus.
from the total group of respondents, 81.9% intended to breast feed. The actual breast feeding rates were 81.9% at birth, 68.1% at 2 weeks and 28.7% at 6 months postpartum. Major themes that were identified from women's experiences included information and advice, support vs. pressure, classification and labelling, and expectations.
more than two-thirds of the diabetic women intended to breast feed and actually did breast feed in this study. For both the total study population and the type 1 and 2 diabetics alone, more than half were still breast feeding at 2 weeks postpartum, and approximately one-third were still breast feeding at 6 months postpartum.
structured support, provided for women through Baby-Friendly initiatives, was appreciated by the diabetic women in this study. The extent to which this support influenced the highly successful breast feeding practices in this group of women needs focused investigation. The need for a delicate balancing act between pressure and advice in order to prevent coercion was noted.
探讨糖尿病女性的母乳喂养模式及经历。
在一家爱婴医院采用产妇记录和邮政问卷进行回顾性队列研究。
糖尿病母亲，包括妊娠期糖尿病女性以及1型和2型糖尿病患者。
在所有受访者中，81.9%的人打算母乳喂养。实际母乳喂养率在出生时为81.9%，产后2周时为68.1%，产后6个月时为28.7%。从女性经历中确定的主要主题包括信息与建议、支持与压力、分类与标签以及期望。
在本研究中，超过三分之二的糖尿病女性打算母乳喂养且实际进行了母乳喂养。对于整个研究人群以及仅1型和2型糖尿病患者而言，超过一半的人在产后2周时仍在母乳喂养，约三分之一的人在产后6个月时仍在母乳喂养。
本研究中的糖尿病女性赞赏通过爱婴倡议为她们提供的结构化支持。这种支持在多大程度上影响了该组女性非常成功的母乳喂养实践需要重点研究。注意到需要在压力和建议之间进行微妙的平衡以防止强制行为。
