Factors associated with breastfeeding up to 6 months postpartum in mothers with diabetes

Objectives: To identify breastfeeding behavior in a group of women with diabetes and to determine factors that may influence breastfeeding rates in this population.

Design: A 2-year retrospective study.

Setting: Derby City General Hospital, Derby, UK.

Participants: Ninety-four women with diabetes.

Methods: Data were collected using questionnaire and maternal clinical records.

Results: Women with gestational diabetes mellitus intended to and breastfed more than women with type 1 and type 2 diabetes at 2 weeks postpartum (p<.05). Logistic regression showed that the type of diabetes was the most significant predictor of breastfeeding at birth (p<.05). At 1, 2, and 6 weeks and 4 months postpartum, maternal body mass index was negatively associated with breastfeeding (p<.05). At 6 months, socioeconomic status predicted breastfeeding (p<.05).

Conclusion: Type of diabetes is a significant predictor of breastfeeding initiation. At later stages of postpartum, maternal body mass index and socioeconomic status were significant predictors of infant feeding method. Identification of these factors can help in developing appropriate and timely interventions to more effectively promote breastfeeding.