Gestational Diabetes and Breastfeeding Among Women of Different Races/Ethnicities: Evidence from the Pregnancy Risk Assessment Monitoring Surveys

Hebert, Luciana E.; Nikolaus, Cassandra J.; Zamora-Kapoor, Anna; Sinclair, Ka’imi

doi:10.1007/s40615-022-01356-w

Cited by 4 publications

(1 citation statement)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These barriers are more common among marginalized communities, who are less likely to qualify for unpaid FMLA, have less comprehensive coverage for lactation consultation, and have less access to peer, family, or community lactation support due to generations of formula use. Additionally, women from these communities are more likely to experience bias and discrimination from their healthcare team around their infant feeding goals [27,63], as well as suffer from perinatal cardiometabolic complications that could disrupt lactation, including pre-eclampsia [57,64,65], infant prematurity [66,67], and diabetes [68][69][70].…”

Section: Breast Pumps: a Critical Lactation Support Tool For Dyads Fa...mentioning

confidence: 99%

Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes

Nardella

2024

Yale J Biol Med

View full text Add to dashboard Cite

Pregnant individuals and infants in the US are experiencing rising morbidity and mortality rates. Breastfeeding is a cost-effective intervention associated with a lower risk of health conditions driving dyadic morbidity and mortality, including cardiometabolic disease and sudden infant death. Pregnant individuals and infants from racial/ethnic subgroups facing the highest risk of mortality also have the lowest breastfeeding rates, likely reflective of generational socioeconomic marginalization and its impact on health outcomes. Promoting breastfeeding among groups with the lowest rates could improve the health of dyads with the greatest health risk and facilitate more equitable, person-centered lactation outcomes. Multiple barriers to lactation initiation and duration exist for families who have been socioeconomically marginalized by health and public systems. These include the lack of paid parental leave, increased access to subsidized human milk substitutes, and reduced access to professional and lay breastfeeding expertise. Breast pumps have the potential to mitigate these barriers, making breastfeeding more accessible to all interested dyads. In 2012, The Patient Protection and Affordable Care Act (ACA) greatly expanded access to pumps through the preventative services mandate, with a single pump now available to most US families. Despite their near ubiquitous use among lactating individuals, little research has been conducted on how and when to use pumps appropriately to optimize breastfeeding outcomes. There is a timely and critical need for policy, scholarship, and education around pump use given their widespread provision and potential to promote equity for those families facing the greatest barriers to achieving their personal breastfeeding goals.

show abstract

Section: Breast Pumps: a Critical Lactation Support Tool For Dyads Fa...mentioning

confidence: 99%

Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes

Nardella

2024

Yale J Biol Med

View full text Add to dashboard Cite

show abstract

Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

Ross,

MacPherson,

Baker

et al. 2024

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

Objective Exclusive breastfeeding is recommended for the first 6 months of life, but there are racial/ethnic disparities in meeting this recommendation. Methods 2017–2020 North Dakota Pregnancy Risk Assessment Monitoring System (weighted N = 11,754) data were used to examine racial/ethnic differences in the association between self-reported breastfeeding barriers and breastfeeding duration. Breastfeeding duration was self-reported breastfeeding at 2 and 4 months, and number of weeks until breastfeeding cessation. Self-reported breastfeeding barriers were yes/no responses to 13 barriers (e.g., “difficulty latching,” “household duties”). Logistic regression estimated odds ratios and 95% confidence intervals to determine if barriers accounted for breastfeeding disparities by race/ethnicity. Cox proportional hazard models estimated hazard ratios for stopping breastfeeding for American Indian and other race/ethnicity individuals, compared to White individuals. Models were adjusted for birthing parents’ demographic and medical factors. Results Logistic regression results suggest American Indian birthing parents had similar odds for breastfeeding duration (2-month duration: OR 0.94 (95%CI 0.50, 1.77); 4-month duration: OR 1.24 (95%CI 0.43, 3.62)) compared to White birthing parents, after accounting for breastfeeding barriers. Cox proportional hazard models suggest American Indian birthing parents had a lower hazard of stopping breastfeeding (HR 0.76 (95%CI 0.57, 0.99)) than White parents, after accounting for breastfeeding barriers. Conclusions Accounting for breastfeeding barriers eliminated observed disparities in breastfeeding outcomes between American Indian and White birthing parents. Targeted and culturally safe efforts to reduce barriers to breastfeeding are warranted to reduce racial/ethnic disparities in breastfeeding.

show abstract

Risk of Gestational Diabetes in Women With PCOS Based on Body Mass Index: The Japan Environment and Children's Study

Okoshi,

Kyozuka,

Fukuda

et al. 2024

The Journal of Clinical Endocrinology &Amp; Metabolism

View full text Add to dashboard Cite

Context Women with polycystic ovary syndrome (PCOS), which is the most common endocrine disorder in women of reproductive age, have a potentially increased risk of gestational diabetes mellitus (GDM). Objective To examine the impact of PCOS on GDM based on maternal body mass index (BMI) using data from a large birth cohort study in Japan. Design Prospective observational study using data from the Japan Environment and Children’s Study (JECS). Participants Singleton pregnancies in the JECS during 2011–2014 were included. Mothers with HbA1c levels of ≥6.5% in the first trimester and history of DM or steroid use during pregnancy were excluded. Main Outcome Measures Participants were categorized according to their pre-pregnancy BMIs: G1 (<18.5 kg/m2), G2 (18.5–19.99 kg/m2), G3 (20.0–22.99 kg/m2), G4 (23.0–24.99 kg/m2), and G5 (≥25.0 kg/m2). The impact of PCOS on early (Ed) and late-onset (Ld) GDM for each group was estimated using a multiple logistic regression model. Results We included 92774 participants, comprising 2012 PCOS(+) cases. GDM occurrence was higher in women with PCOS (p<0.001). PCOS had no effect on GDM in G1, G2, and G3. In G4, PCOS increased the risk of Ed GDM (adjusted odds ratio [aOR]: 3.27, 95% confidence interval [CI]: 1.29–8.29). In G5, PCOS increased the risk of both Ed (aOR: 2.48, 95% CI: 1.53–4.02) and Ld GDM (aOR: 1.94, 95% CI: 1.23–3.07). Conclusions The impact of PCOS on GDM occurrence depended on the pre-pregnancy BMIs, which may facilitate personalized preconception counseling among women with PCOS.

show abstract

Gestational Diabetes and Breastfeeding Among Women of Different Races/Ethnicities: Evidence from the Pregnancy Risk Assessment Monitoring Surveys

Cited by 4 publications

References 35 publications

Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes

Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes

Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

Risk of Gestational Diabetes in Women With PCOS Based on Body Mass Index: The Japan Environment and Children's Study

Contact Info

Product

Resources

About