{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:38:45Z","timestamp":1792690725905,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001077","name":"Royal Brisbane and Women's Hospital Foundation","doi-asserted-by":"publisher","award":["\"Breastfeeding in mothers with Type 2 Diabetes: Br"],"award-info":[{"award-number":["\"Breastfeeding in mothers with Type 2 Diabetes: Br"]}],"id":[{"id":"10.13039\/501100001077","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Diabetologia"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims\/hypothesis<\/jats:title>\n                    <jats:p>Breastfeeding is associated with metabolic benefits for women with type 2 diabetes and their infants, yet breastfeeding rates in these women are poorly described. Obesity is associated with type 2 diabetes and lower breastfeeding rates, making it difficult to disentangle the effects of type 2 diabetes vs obesity on breastfeeding. The primary objective was to examine breastfeeding rates in women with type 2 diabetes compared with normoglycaemic women with either (1) matched BMI or (2) normal BMI. The secondary objective was to examine variables associated with breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Pregnant women with type 2 diabetes (cases) or normoglycaemia (controls) were prospectively recruited. Each case was matched with two controls by age and parity and either (1) matched or (2) normal (18\u201325 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) BMI. Data were collected from in-person surveys antenatally, medical records and a 4 month postpartum telephone survey. Analysis included descriptive and inferential statistics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four months of breastfeeding data were available for 29 women with type 2 diabetes, 29 BMI-matched controls and 28 normal-BMI controls. Breastfeeding rates were similar in women with type 2 diabetes and BMI-matched controls, but both rates were significantly lower than those in normal-BMI controls. \u2018Full\u2019 breastfeeding rates were 24%, 38% and 64% in women with type 2 diabetes, BMI-matched controls and normal-BMI controls, respectively, and were not different between women with type 2 diabetes vs BMI-matched controls (\n                      <jats:italic>p<\/jats:italic>\n                      =0.26) but were lower in women with type 2 diabetes vs normal-BMI controls (\n                      <jats:italic>p<\/jats:italic>\n                      =0.002). \u2018Any\u2019 breastfeeding rates were 55%, 54% and 82% in women with type 2 diabetes, BMI-matched controls and normal-BMI controls, respectively, again showing no difference between women with type 2 diabetes vs BMI-matched controls (\n                      <jats:italic>p<\/jats:italic>\n                      =0.79) but were lower in women with type 2 diabetes vs normal-BMI controls (\n                      <jats:italic>p<\/jats:italic>\n                      =0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions\/interpretation<\/jats:title>\n                    <jats:p>Maternal obesity, rather than type 2 diabetes, may be the major determinant of reduced breastfeeding rates 4 months postpartum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00125-026-06879-z","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:41:30Z","timestamp":1792687290000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A prospective controlled study assessing postpartum breastfeeding in women with type 2 diabetes: lower rates associated with elevated BMI rather than diabetes"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0148-7442","authenticated-orcid":false,"given":"Fiona L.","family":"Britten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8143-4403","authenticated-orcid":false,"given":"Emma L.","family":"Duncan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0137-9935","authenticated-orcid":false,"given":"Leonie K.","family":"Callaway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"issue":"4","key":"6879_CR1","doi-asserted-by":"publisher","first-page":"720","DOI":"10.2337\/dc23-1494","volume":"47","author":"A Birukov","year":"2024","unstructured":"Birukov A, Guasch-Ferre M, Ley SH et al (2024) Lifetime duration of breastfeeding and cardiovascular risk in women with type 2 diabetes or a history of gestational diabetes: findings from two large prospective cohorts. 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Brodribb (University of Queensland), K. Lust (Royal Brisbane and Women\u2019s Hospital) and D. Geddes (University of Western Australia) for their assistance with initial study planning as well as all the study participants.","order":1,"name":"Ethics","label":"Acknowledgements","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"Tabulated and anonymised data will be provided by the corresponding author via secure file transfer on request for a period of 36 months from study publication for academic research use only including planning of future studies and meta-analysis. The data are not available publicly as this may compromise study participant consent.","order":2,"name":"Ethics","label":"Data availability","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"This work was supported by a grant from the Royal Brisbane and Women\u2019s Hospital Foundation. The first author was also supported by income support scholarships from Diabetes Queensland and the Royal Brisbane and Women\u2019s Hospital Foundation. The sponsors had no role in study design or analysis.","order":3,"name":"Ethics","label":"Funding","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"The authors declare that there are no relationships or activities that might bias, or be perceived to bias, their work.","order":4,"name":"Ethics","label":"Authors\u2019 relationships and activities","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"The study was conceptualised by FLB, ELD and LKC. Statistical analysis was performed by FLB. The original draft was written by FLB, ELD and LKC with review and editing and re-writing performed by FLB, ELD and LKC. All authors have approved the final version for publication. FLB is the guarantor of this work.","order":5,"name":"Ethics","label":"Contribution statement","group":{"name":"EthicsHeading","label":"Ethics"}}]}}