{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:36:59Z","timestamp":1788280619084,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1005345"],"award-info":[{"award-number":["1005345"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Women with diabetes in pregnancy have decreased exclusivity and duration of breastfeeding compared with women without diabetes, and their infants are at increased risk of hypoglycemia. Clinicians often suggest pregnant women with diabetes to express breastmilk, and studies have reported increased breastfeeding exclusivity in the early postnatal period for patients who have expressed. Little is known about longer term outcomes. We investigated whether advising low\u2010risk women with diabetes in pregnancy to express beginning at 36\u2009weeks of pregnancy increased exclusivity and maintenance of breastfeeding at 3\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a multicenter, two\u2010group, randomized controlled trial at six hospitals in Melbourne, Australia, between 2011 and 2015. Women were randomized to either standard maternity care or advised to hand express for 10\u2009min twice daily, in addition to standard care. Women were telephoned at 12\u201313\u2009weeks postpartum and asked a series of questions about feeding their baby, perceptions of their milk supply, and other health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 631 women in the study, data for 570 (90%) were analyzed at 12\u201313\u2009weeks. After adjustment, we found no evidence that women allocated to antenatal expressing were more likely to be giving <jats:italic>only<\/jats:italic> breastmilk (aRR 1.07 [95% CI 0.92\u20131.22]) or <jats:italic>any<\/jats:italic> breastmilk (aRR 0.99 [95% CI 0.92\u20131.06]) at 12\u201313\u2009weeks postpartum compared with women in the standard care group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While the practice of antenatal expression for low\u2010risk women with diabetes during pregnancy is promising for increasing exclusivity of breastmilk feeding in hospital, at 12\u201313\u2009weeks, there was no association with breastfeeding outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12807","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T09:19:51Z","timestamp":1704791991000},"page":"508-520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Breastfeeding outcomes at 3\u2009months for women with diabetes in pregnancy: Findings from the Diabetes and Antenatal Milk Expressing randomized controlled trial"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1944-0036","authenticated-orcid":false,"given":"Anita M.","family":"Moorhead","sequence":"first","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery La Trobe University  Bundoora Victoria Australia"},{"name":"Royal Women's Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa H.","family":"Amir","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery La Trobe University  Bundoora Victoria Australia"},{"name":"Royal Women's Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharinne B.","family":"Crawford","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Della A.","family":"Forster","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery La Trobe University  Bundoora Victoria Australia"},{"name":"Royal Women's Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Institute of Health and Welfare.Incidence of gestational diabetes in Australia. 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