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Gestational diabetes and breastfeeding-related pain as major contributors to early breastfeeding cessation
Deulle Min, Eun Ju Kwak, Seung Mi Park
Res Community Public Health Nurs. 2023;34(1):52-60.   Published online March 31, 2023
DOI: https://doi.org/10.12799/rcphn.2022.00332
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  • 46 Download
AbstractAbstract PDF
Purpose
This study aimed to determine the effects of gestational diabetes mellitus, breastfeeding-related pain, and infant growth on the cessation of breastfeeding. Methods: This is secondary data analysis. This study included 60 pregnant women from 3 prenatal breastfeeding clinics. Pregnant women aged 20–49 years, with or without a diagnosis of gestational diabetes mellitus were enrolled. The participants were administered four self-reported questionnaires, one at 5 days, 14 days, 3 months, and 6 months postpartum. A linear mixed model and Cox regression analysis were used. Data were collected between May 25, 2020 and June 14, 2021. Results: The rate of breastfeeding cessation was 55.0% (n=33). The average maternal ages were 32.30 (±4.61) and 31.33 (±7.05) years in the cessation and maintenance groups, respectively. The average duration of breastfeeding in the cessation group was 56.27 (±37.48) days. After adjusting for all covariates, the risk of breastfeeding cessation was 2.5 times greater among participants diagnosed with gestational diabetes mellitus (p=.042). Additionally, the risk of breastfeeding cessation was 1.3 times greater among those with severe breastfeeding-related pain (p=.015). Conclusion: The first two months postpartum is the most essential time for healthcare workers to provide support and address difficulties associated with breastfeeding for mothers with gestational diabetes mellitus.
The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes
Seung Mi Park, Deulle Min, Ji Yeon Park
J Korean Acad Community Health Nurs. 2020;31(4):427-435.   Published online December 31, 2020
DOI: https://doi.org/10.12799/jkachn.2020.31.4.427
  • 678 View
  • 25 Download
  • 3 Citations
AbstractAbstract PDF
Purpose
The purpose of this study was to assess the knowledge and health beliefs about gestational diabetes and to identify the influence on breastfeeding intention of women those who have been diagnosed with gestational diabetes.
Methods
A cross-sectional descriptive study was designed. A questionnaire survey was conducted on 270 women who were pregnant and currently diagnosed with gestational diabetes. Data collection was conducted at Internet cafes and breastfeeding clinics where pregnant women were able to participate actively. The data collection period was from November 5 to November 27, 2019 and analyzed using descriptive statistics, independent t-test, x 2 test and multiple logistic regression.
Results
The average age of the participants was 34.21±3.73 years. There were 221 women who had breastfeeding intention, and 49 women who did not intend to breastfeed. The higher the perceived susceptibility (OR=2.49, p=.032), benefits (OR=2.62 p=.009), and the self-efficacy, the higher the intention to perform breastfeeding (OR=2.97, p=.004). On the other hand, the higher the perceived severity, the lower the intention to perform breastfeeding (OR=0.35, p=.007). Conclusion: Health beliefs such as perceived susceptibility, perceived benefits, self-efficacy and perceived severity have been shown to affect the breastfeeding intention. Based on these results, we suggest developing a breastfeeding promotion intervention program that improves self-efficacy in gestational diabetics.

Citations

Citations to this article as recorded by  
  • A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
    Junglim Lee, Youngji Kim, Eunju Kwak, Seungmi Park
    The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 175.     CrossRef
  • A comparative study of cumulative stress patterns within 14 days postpartum in healthy mothers and those with gestational diabetes
    Seungmi Park, Soo-Young Yu, Eunju Kwak, Deulle Min
    Medicine.2021; 100(41): e27472.     CrossRef
  • Factors Associated with the Need for Breastfeeding Information Among Women with Gestational Diabetes Mellitus: A Cross-sectional Study
    Seungmi Park, In Sun Jang, Deulle Min
    Asian Nursing Research.2021; 15(3): 210.     CrossRef
Association between Maternal Feeding Practices and Excessive Weight Gain in Infants
Jin Suk Ra
J Korean Acad Community Health Nurs. 2019;30(1):90-98.   Published online March 31, 2019
DOI: https://doi.org/10.12799/jkachn.2019.30.1.90
  • 758 View
  • 5 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to identify the association between maternal feeding practices and excessive weight gain in infants.
METHODS
This study adopted a cross-sectional design and included 240 pairs of mothers and their infants (129 boys and 111 girls) in public healthcare centers in the Daejeon area in South Korea. Via multivariate analyses, the association between maternal feeding practices and excessive weight gain in infants was identified.
RESULTS
Among 240 infants in this study, 39 (16.3%) infants gained excessive weight during 12 months after birth. Using multivariate logistic regression with adjustment for covariates, more than 7 months of exclusive breastfeeding was associated with a reduced likelihood of excessive weight gain in infants during the 12 months after birth (adjusted odds ratio: 0.39, 95% confidence interval: 0.02~0.81, p=.029).
CONCLUSION
Based on these results, nurses in communities and clinics should educate mothers on the importance of longer durations of exclusive breast feeding and develop strategies for encouraging such behavior. Furthermore, support for exclusive breast feeding should be provided in various settings.

Citations

Citations to this article as recorded by  
  • Anthropometric Kit Development for Stunted Early Detection among Children Under-two Years Old: Providing a Portable Body Length Measurer
    Maria Wigati, Aphrodite N. Nurlita, I Made A. Gunawan, Narendra Y. Hendarta, Mubasysyir Hasanbasri, Siti Helmyati
    Open Access Macedonian Journal of Medical Sciences.2022; 10(E): 852.     CrossRef

RCPHN : Research in Community and Public Health Nursing