1 University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
2 Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
Asia Pac J Public Health. 2019 Apr;31(3):183-198. doi: 10.1177/1010539519833497. Epub 2019 Mar 4.
Studies of gestational diabetes mellitus in relation to breastfeeding are limited, while their findings are inconsistent. This systematic review was conducted to assess the associations between gestational diabetes and breastfeeding outcomes. An initial search of PubMed, Web of Science, and ProQuest identified 518 studies, and after applying the inclusion criteria, 16 studies were finally included in the review. Four studies reported that "exclusive/predominant/full breastfeeding" rates at discharge were lower in mothers with gestational diabetes than in those without gestational diabetes, and 2 studies showed a shorter duration of "exclusive/predominant breastfeeding" in the former than in the latter. However, most studies found no apparent difference in the rate of "breastfeeding initiation", "any breastfeeding" duration, or "any breastfeeding" in hospital and at discharge between mothers with and without gestational diabetes. In summary, mothers with gestational diabetes were less likely to exclusively breastfeed their infants and may have a shorter breastfeeding duration than other mothers.
关于妊娠期糖尿病与母乳喂养关系的研究有限，而且其研究结果也不一致。本系统评价旨在评估妊娠期糖尿病与母乳喂养结局之间的关联。最初在 PubMed、Web of Science 和 ProQuest 上进行了搜索，共确定了 518 项研究，在应用纳入标准后，最终有 16 项研究纳入了本综述。四项研究报告称，与无妊娠期糖尿病的母亲相比，患有妊娠期糖尿病的母亲在出院时的“纯母乳喂养/主要母乳喂养/完全母乳喂养”率较低，两项研究表明前者的“纯母乳喂养/主要母乳喂养”持续时间短于后者。然而，大多数研究发现，患有和不患有妊娠期糖尿病的母亲在“母乳喂养开始”、“任何母乳喂养时长”或“住院和出院时任何母乳喂养”方面的比率没有明显差异。总之，患有妊娠期糖尿病的母亲不太可能对婴儿进行纯母乳喂养，而且母乳喂养的持续时间可能比其他母亲短。
