Journal of human lactation : official journal of International Lactation Consultant Association · 2026
Routine Postpartum Colostrum Expression and Breastfeeding Outcomes in Women With Diabetes: A Feasibility Trial.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Perpétuo Cínthia Daniela, Bueno Emily Boaventura, Amir Lisa H, Mattar Rosiane, Draque Cecília, Coca Kelly P
Аннотация
BACKGROUND: Women with diabetes have an increased risk of delayed Lactogenesis II, and their infants are at higher risk of hypoglycemia and formula supplementation.
RESEARCH AIM: To assess the feasibility and acceptability of routine postpartum colostrum expression for women with diabetes, and its influence on exclusive breastfeeding.
METHOD: A non-randomized feasibility clinical study was conducted from birth to 30 days postpartum involving women with DM, including those with GDM, from a maternity in São Paulo, Brazil in 2021-2022.We aimed to identify challenges related to participant acceptance, adherence to the intervention, retention, and the rates of exclusive breastfeeding, in preparation for a full randomized controlled trial (N = 30). The intervention consisted of providing participants with education on the postpartum colostrum expression as a routine practice and offering the expressed milk to their infant after breastfeeds sessions.
RESULTS: We analyzed data from all 30 participants, with 13 in the intervention group and 17 in the control group. More women in the intervention group (12/13, 92%) exclusively breastfed at hospital stay compared with those in the control group (8/17, 47%; p = 0.017). Women in the intervention group reported increased confidence in breastfeeding. Despite barriers like challenges with expression techniques, concerns about milk volume, and labor fatigue, participants found the intervention acceptable.
CONCLUSIONS: Postpartum colostrum expression was feasible and acceptable, and may influence exclusive breastfeeding rates among women with diabetes, supporting further research in a larger trial.
RESEARCH AIM: To assess the feasibility and acceptability of routine postpartum colostrum expression for women with diabetes, and its influence on exclusive breastfeeding.
METHOD: A non-randomized feasibility clinical study was conducted from birth to 30 days postpartum involving women with DM, including those with GDM, from a maternity in São Paulo, Brazil in 2021-2022.We aimed to identify challenges related to participant acceptance, adherence to the intervention, retention, and the rates of exclusive breastfeeding, in preparation for a full randomized controlled trial (N = 30). The intervention consisted of providing participants with education on the postpartum colostrum expression as a routine practice and offering the expressed milk to their infant after breastfeeds sessions.
RESULTS: We analyzed data from all 30 participants, with 13 in the intervention group and 17 in the control group. More women in the intervention group (12/13, 92%) exclusively breastfed at hospital stay compared with those in the control group (8/17, 47%; p = 0.017). Women in the intervention group reported increased confidence in breastfeeding. Despite barriers like challenges with expression techniques, concerns about milk volume, and labor fatigue, participants found the intervention acceptable.
CONCLUSIONS: Postpartum colostrum expression was feasible and acceptable, and may influence exclusive breastfeeding rates among women with diabetes, supporting further research in a larger trial.