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Promoting Breastfeeding to Decrease Type Two Diabetes After Gestational Diabetes
University of New England (2014)
  • Sophia N Olsen, University of New England
  • Dominique Lima, University of New England
Pregnant women diagnosed with Gestational Diabetes Mellitus (GDM) have an increased risk of developing postpartum Type Two Diabetes Mellitus (T2DM). Up to 60% of women with GDM subsequently develop T2DM (Kim et al., 2002). T2DM can lead to other serious comorbidities, which can decrease quality of life and life expectancy. There are interventions that can be used to decrease or prolong the development of T2DM. On average, mothers who breastfed their children developed T2DM ten years after mothers who did not breastfeed (Zieglar et al., 2012). Zieglar et al. (2012) also found a 40% long-term risk reduction of T2DM with at least three months of breastfeeding. The purpose of this project is to increase breastfeeding initiation and adherence among expectant mothers diagnosed with GDM in order to prevent T2DM development. Motivational interviewing will be used as an intervention to increase breastfeeding initiation and rates. This intervention will be implemented at a 28 weeks gestation antenatal visit, when women are tested for GDM (Donath, Amir & The ALSPAC Study Team, 2003). Implementation and adherence to breastfeeding is more reliable at the 32-week antenatal care visit than in the postnatal time (Donath, Amir & The ALSPAC Study Team, 2003). Motivational interviewing (MI) can be used to address ambivalence and encourage positive behavior change, especially in extrinsically motivated expectant mothers (Racine et al., 2012). MI consists of open-ended questions, reflective listening, and a planning technique to explore the patient’s motivation, strengths, and resources (Miller & Rollnick, 2012). Nurses will use MI at antenatal care visits after 28 weeks in order to adequately educate expectant mothers about the benefits of breastfeeding. This education can help decrease the T2DM development rate by 10 years and increase quality of life (Zieglar et al., 2012). References Donath, S., Amir, L., The ALSPAC Study Team (2003). Relationship between prenatal infant feeding intention and initiation and during of breastfeeding; a cohort study. Aca Peadiactrica, 92 (3): 352-356. doi:10.1111/j.1651-2227.2003.tb00558.x Kim, C., McEwen, L., Kerr, K., Peitte, J., Chames, M., Ferrara, A., & Herman, W. (2007). Preventative counseling among women with histories of gestational diabetes mellitus. Diabetes Care, 30 (10): 2491-2495. doi: 10.2337/dc07-0435 Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change (3rd ed.). New York, NY: Guilford Press. Racine, E., Frick, K., Strobino, D., Carpenter, L., Milligan, R., Pugh, L (2009). How motivation influences breastfeeding duration among low-income women. Journal of Human Lactation, 25 (173): 173-181. doi: 10.1177/0890334408328129. Ziegler, A., Wallner, M., Kaiser, I., Rossbauer, M., Harsunen, M., Lachmann, L., & ... Hummel, S. (2012). Long-term protective effect of lactation on the development of type 2 diabetes in women with recent gestational diabetes mellitus. Diabetes, 61 (12), 3167-3171. doi:10.2337/db12-0393
Publication Date
Fall October, 2014
Citation Information
Sophia N Olsen and Dominique Lima. "Promoting Breastfeeding to Decrease Type Two Diabetes After Gestational Diabetes" University of New England (2014)
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