Immature sucking patterns in infants of mothers with diabetes

Bromiker, Ruben; Rachamim, Adi; Hammerman, Cathy; Schimmel, Michael S.; Kaplan, Michael; Medoff‐Cooper, Barbara

doi:10.1016/j.jpeds.2006.07.034

Cited by 39 publications

(23 citation statements)

References 16 publications

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“…A case–control study revealed that women diagnosed with low milk supply were significantly more likely to have had GDM compared with women with other lactation outcomes [21]. Poorer sucking patterns have been found among newborn infants of mothers with GDM [22]. A cross-sectional analysis including 2038 women found that the adjusted odds of EBF at hospital discharge were lower among women with GDM compared to women without GDM [23].…”

Section: Discussionmentioning

confidence: 99%

The Effects of Mild Gestational Hyperglycemia on Exclusive Breastfeeding Cessation

Verd

Sotto

Fernández³

et al. 2016

Nutrients

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Gestational diabetes increases the risk of a range of adverse perinatal outcomes, including breastfeeding failure, but the best cut-off point for gestational diabetes is unknown. The purpose of this study was to evaluate the association between mild gestational glucose tolerance impairment and the early cessation of exclusive breastfeeding (EBF). This is an observational study of 768 women with full term pregnancies that were screened for gestational diabetes at 24–28 weeks gestation. Subjects were divided into two groups: those with a normal 1-h glucose challenge test and those with an elevated 1-h glucose challenge test but still did not qualify for gestational diabetes. We constructed multivariable logistic regression models using data from 616 women with normal gestational glucose tolerance and 152 women with an isolated positive 1-h glucose challenge test. The risk of early exclusive breastfeeding cessation was found to increase in women with mildly impaired glucose tolerance during pregnancy (adjusted OR, 1.65; 95% CI: 1.11, 2.45). Risks of early EBF cessation were also independently associated with the amount of neonatal weight loss and admission to the neonatal ward. Instead, parity was associated with a decreased risk for shorter EBF duration. Insulin resistance—even in the absence of gestational diabetes mellitus—may be an impeding factor for EBF.

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Section: Discussionmentioning

confidence: 99%

The Effects of Mild Gestational Hyperglycemia on Exclusive Breastfeeding Cessation

Verd

Sotto

Fernández³

et al. 2016

Nutrients

View full text Add to dashboard Cite

show abstract

“…27 A recent study found that term infants born to mothers with gestational diabetes mellitus treated with insulin had poorer sucking patterns compared to infants of mothers without diabetes, suggesting a newborn's neurological behavior may be affected by maternal diabetes 28 and emphasizing the importance of evaluating maternal diabetes in any study that assesses the association between maternal obesity and BF success. Studies from experimental animal models suggest that maternal obesity is associated with different types of metabolic derangements, including a higher insulin response and slower glucose disposal rates, as well as higher fasting insulin concentrations.…”

Section: Discussionmentioning

confidence: 99%

Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Wojcicki

2011

Journal of Women's Health

173

122

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Background: Previous studies have found an association between maternal obesity and overweight and breastfeeding (BF) difficulties, including delayed lactogenesis and shorter duration of BF. Biological, psychological, and mechanical causes have been linked with poor BF outcomes. Other review articles on this topic have included studies that measured maternal body mass index (BMI) in the postpartum period instead of prenatally, presenting difficulties in teasing out the role of gestational weight gain and prepregnancy BMI on BF success. My objective was to evaluate the relationship between maternal prepregnancy BMI, including comorbidites associated with overweight and obesity such as diabetes mellitus, and BF initiation and duration. Methods: Four PubMed searches were conducted, retrieving 13 articles. Results: Of the 12 studies reviewed that assessed the association between prepregnancy maternal BMI category and BF initiation, 9 found an association between maternal overweight or obesity and delayed lactogenesis or failure to initiate BF. One study found increased risk for not initiating BF only in Hispanic women, and 1 found the association only among women with medical comorbidities in addition to obesity. Of the 13 studies retrieved that assessed the association between BMI category and BF duration, 10 found an association between higher BMI categories and shorter duration of BF. Ten of the 13 studies reviewed adjusted for multiple confounders, including maternal smoking status, parity, type of delivery, and infant birthweight. The studies that found an association between BMI category and reduced duration did so in some cases only for certain ethnic=racial groups or BMI categories or if other comorbidities were present in addition to overweight=obesity. Conclusions: Higher BMI levels can adversely impact BF initiation and duration. Further studies need to be conducted to better understand the role of race=ethnicity, gestational weight gain, and such comorbidities as diabetes in increasing risk for reduced BF initiation and duration in overweight and obese women.

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“…The immature sucking patterns seen in infants born to insulin-managed mothers with diabetes represent neurologic immaturity [89]. Neurologic state changes are common in compromised IDMs.…”

Section: Neurologic Impairmentsmentioning

confidence: 99%

Care of the Infant of the Diabetic Mother

Hay

2011

Curr Diab Rep

109

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Gestational diabetes mellitus (GDM) from all causes of diabetes is the most common medical complication of pregnancy and is increasing in incidence, particularly as type 2 diabetes continues to increase worldwide. Despite advances in perinatal care, infants of diabetic mothers (IDMs) remain at risk for a multitude of physiologic, metabolic, and congenital complications such as preterm birth, macrosomia, asphyxia, respiratory distress, hypoglycemia, hypocalcemia, hyperbilirubinemia, polycythemia and hyperviscosity, hypertrophic cardiomyopathy, and congenital anomalies, particularly of the central nervous system. Overt type 1 diabetes around conception produces marked risk of embryopathy (neural tube defects, cardiac defects, caudal regression syndrome), whereas later in gestation, severe and unstable type 1 maternal diabetes carries a higher risk of intrauterine growth restriction, asphyxia, and fetal death. IDMs born to mothers with type 2 diabetes are more commonly obese (macrosomic) with milder conditions of the common problems found in IDMs. IDMs from all causes of GDM also are predisposed to later-life risk of obesity, diabetes, and cardiovascular disease. Care of the IDM neonate needs to focus on ensuring adequate cardiorespiratory adaptation at birth, possible birth injuries, maintenance of normal glucose metabolism, and close observation for polycythemia, hyperbilirubinemia, and feeding intolerance.

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Immature sucking patterns in infants of mothers with diabetes

Cited by 39 publications

References 16 publications

The Effects of Mild Gestational Hyperglycemia on Exclusive Breastfeeding Cessation

The Effects of Mild Gestational Hyperglycemia on Exclusive Breastfeeding Cessation

Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Care of the Infant of the Diabetic Mother

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