Effects of breastfeeding education based on the self-efficacy theory on women with gestational diabetes mellitus

You, Hua; Lei, Anjiang; Xiang, Jie; Wang, Yan; Luo, Benyan; Hu, Juan

doi:10.1097/md.0000000000019643

Cited by 36 publications

(31 citation statements)

References 37 publications

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“…The results of our study appear to be consistent with findings from other studies where authors demonstrated the effectiveness of breastfeeding interventions in women with endocrine disorders of pregnancy. A study by You et al revealed that individualized intervention has a positive effect on breastfeeding rates as well as on exclusive breastfeeding in women with GDM [72]. In line with our results, a study by Tawfik et al illustrated that more women with GDM after receiving intervention compared with similar standard care controls reported exclusive breastfeeding for six weeks postpartum, concluding that individualized prenatal and postnatal counselling in women with GDM is definitely effective in increasing the duration and exclusivity of breastfeeding [73][74][75].…”

Section: Breastfeeding In Endocrine Disorders In Pregnancysupporting

confidence: 90%

The Effect of a Structured Individualized Educational Intervention on Breastfeeding Rates in Greek Women

Truva¹,

Valasoulis

Pouliakis

et al. 2021

IJERPH

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Breastfeeding rates remain extremely low in Greece and women with gestational diabetes mellitus and hypothyroidism may experience additional difficulties. The aim of the study was to investigate the effect of a structured individualized lactation educational intervention by a midwife on increasing breastfeeding rates in women with endocrine disorders and low-risk women compared to women receiving standard care, 24 months after delivery. Two-hundred women made up the study population. Half of them were experiencing endocrine pregnancy disorders and 100 women constituted the low-risk pregnancy standard care control group. Women who were breastfeeding exclusively were significantly higher in the midwifery intervention group with endocrine disorders, namely breastfeeding continued at four months (breastfeeding: 20% vs. 12%, exclusive breastfeeding: 50% vs. 26%, p = 0.0228), and at six months after childbirth (breastfeeding: 54% vs. 28%, exclusive breastfeeding: 32% vs. 12%, p = 0.0011), compared to the standard care control group with endocrine disorder. The low-risk midwifery intervention group breastfed at four months (22% vs. 14%, p = 0.0428) and at six months (52% vs. 26%, p = 0.0018) at higher rates compared to the standard care control group. In addition, exclusive breastfeeding was significantly higher in the low-risk midwifery intervention group at four months (46% vs. 20%, p = 0.0102) and six months (38% vs. 4%, p < 0.0001) compared to the standard care control group. This study was the first attempt of a structured midwifery breastfeeding education in Greece and its major contribution reflects a significant positive impact on breastfeeding rates in terms of duration and exclusivity in women with gestational endocrine disorders as well as in low-risk women, and could possibly be applied and instituted in everyday clinical practice to increase the low breastfeeding rates in Greece.

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Section: Breastfeeding In Endocrine Disorders In Pregnancysupporting

confidence: 90%

The Effect of a Structured Individualized Educational Intervention on Breastfeeding Rates in Greek Women

Truva¹,

Valasoulis

Pouliakis

et al. 2021

IJERPH

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show abstract

“…Second, given that there are specific barriers to successful lactation faced by women with GDM, strengthening specific and tailored assistance is required to maximize their chances of initiating and sustaining breastfeeding. Studies have found that education and tailored support were effective for women with GDM [ 29 , 30 ]. For example, Stuebe et al [ 29 ] suggested the efficacy of tailored breastfeeding support, which included face-to-face antenatal sessions regarding breastfeeding and health outcomes and proactive weekly support through text messages.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding support and barriers to women with gestational diabetes mellitus: a nationwide cross-sectional survey of hospitals in Japan

Matsunaga

Kataoka

Igarashi

et al. 2021

BMC Pregnancy Childbirth

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Background Despite the benefits of breastfeeding for women with Gestational Diabetes Mellitus (GDM) and their infants, breastfeeding is less likely to be performed by this group. This study aimed to examine the current levels of implementation of breastfeeding support to women with GDM in Japan and to clarify barriers to promoting breastfeeding among this population. Methods A 25-item questionnaire was developed by the authors to investigate the current levels of implementation of breastfeeding support for women with GDM provided in hospitals, and to explore barriers for promoting breastfeeding among these women. The questionnaire was sent to all 1046 hospitals facilitating childbirth in Japan. Descriptive statistics were used to analyze the quantitative data, and content analysis was used to analyze qualitative data from the open-ended questions. Results All 296 respondents were included in this study. Regarding breastfeeding support, 95.2% of the respondents provided general information on breastfeeding to GDM women during antenatal midwife consultations. However, the benefits of breastfeeding for preventing type 2 diabetes were addressed by only 48.0%. Likewise, although follow-up services (e.g., telephone support or breastfeeding consultations) were conducted in 88.9% of hospitals, only 50.7% of hospitals informed women that breastfeeding decreases the risk of developing type 2 diabetes after GDM. Regarding barriers, seven categories and 20 subcategories about promoting breastfeeding for women with GDM were extracted and abstracted into the following three themes: Barriers associated with mother and infant, Barriers associated with health professionals, and Organizational barriers. Conclusions In Japan, most hospitals that responded provided general breastfeeding support from the antenatal to postpartum periods. However, the benefits of breastfeeding in terms of preventing the incidence of type 2 diabetes following GDM were insufficiently communicated to women with GDM. Furthermore, there were numerous barriers to promoting breastfeeding among women with GDM.

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“…Hypercoagulability, also known as the prethrombotic state, is a complication of gestational diabetes, a maternal and infant health risk, and one of the primary causes of perinatal death [1]. Therefore, detection of changes in blood coagulation degrees in pregnant women with gestational diabetes, as well as the identification of key biomarkers and the development of effective therapeutic drugs, is of great importance in diagnosing and treating gestational diabetes related complications [4]. In this study, blood coagulation was found to be enhanced in patients with GDM, while expression of miR-451a was decreased.…”

Section: Discussionmentioning

confidence: 99%

“…Hypercoagulability of blood is harmful for human bodies which can induce venous thrombosis in pregnant and parturient women [1]. In severe cases, repeated abortion and premature delivery may occur, which may result in maternal deaths [4]. Pregnant women may experience blood coagulation enhancement.…”

Section: Introductionmentioning

confidence: 99%

Downregulation of miR-451a in plasma may promote prothrombin expression and contribute to high blood coagulation state in gestational diabetes mellitus

Qiu¹,

Shangguan²,

Zhang³

2020

Trop. J. Pharm Res

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Purpose: To investigate F2 and miR-451a levels in gestational diabetes mellitus (GDM) patients, evaluate the potential role of miR-451a in GDM, and to explore its possible downstream targets. Methods: Thromboelastography (TEG) analysis was conducted to analyze coagulation differences between the GDM and control groups. Quantitative polymerase chain reaction (qPCR) and immunoblot were performed to analyze miR-451a and F2 levels after exposure to high glucose and miR-451a mimics or an miR-451a inhibitor. Luciferase assay was used to explore the potential regulatory mechanism. Results: Enhancement of the patients' blood coagulation ability and down-regulated miR-451a expression levels occurred in the plasma of GDM patients. The data further show that hepatocytes exposed to high glucose reduced miR-451a levels and enhanced F2 expression. The overexpression of miR-451a inhibited the expression of F2. Conclusion: MiR-451a may serve as a promising marker for hypercoagulable state GDM patients Keywords: Gestational diabetes mellitus (GDM), MiR-451a, F2, Hypercoagulable state, Prothrombin, Thromboelastography (TEG)

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Effects of breastfeeding education based on the self-efficacy theory on women with gestational diabetes mellitus

Cited by 36 publications

References 37 publications

The Effect of a Structured Individualized Educational Intervention on Breastfeeding Rates in Greek Women

The Effect of a Structured Individualized Educational Intervention on Breastfeeding Rates in Greek Women

Breastfeeding support and barriers to women with gestational diabetes mellitus: a nationwide cross-sectional survey of hospitals in Japan

Downregulation of miR-451a in plasma may promote prothrombin expression and contribute to high blood coagulation state in gestational diabetes mellitus

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