{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T19:24:35Z","timestamp":1762543475486,"version":"3.41.2"},"reference-count":46,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,7,17]],"date-time":"2021-07-17T00:00:00Z","timestamp":1626480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007582","name":"Alberta Health Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007582","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009192","name":"Alberta Innovates","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009192","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>(1) To determine the likelihood of full breastfeeding at 3\u00a0months postpartum in women with and without diabetes in pregnancy (DiP); (2) to explore the associations between diabetes management practices and infant feeding practices in those who had DiP and (3) to examine women's experiences of feeding their infants after having DiP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The quantitative study used data from Alberta Pregnancy Outcomes and Nutrition (APrON) cohort study. Participants who had DiP (n\u00a0=\u00a062) were matched 1:3 to participants without DiP for pre\u2010pregnancy BMI, parity, mode of delivery and pre\u2010term birth. Infant feeding questionnaires, prospective breastfeeding diaries and medical chart data were analysed to determine likelihood of fully breastfeeding at 3\u00a0months postpartum. For the qualitative study, interviews were conducted with postpartum women who had DiP to explore the experiences of infant feeding. Interviews were thematically analysed, and the results were compared between women who were categorized as \u2018full breast feeders\u2019 or \u2018mixed feeders\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The odds of fully breastfeeding were 50% lower in women with DiP than women without DiP (OR: 0.50, 95% CI 0.25\u20130.99, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). Qualitative interviews identified that although all women showed resilience in the face of infant feeding challenges, those who were fully breastfeeding reported seeking out external infant feeding supports, for example, classes or Doula's. Mixed Feeders perceived there was a lack of infant feeding information and support given to them prior to giving birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women with DiP may require additional prenatal and postnatal infant feeding support to be better prepared to overcome feeding challenges they may face.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14635","type":"journal-article","created":{"date-parts":[[2021,7,15]],"date-time":"2021-07-15T19:44:10Z","timestamp":1626378250000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["An exploration of differences in infant feeding practices among women with and without diabetes in pregnancy: A mixed\u2010methods study"],"prefix":"10.1111","volume":"38","author":[{"given":"Dragana","family":"Misita","sequence":"first","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences Division of Human Nutrition University of Alberta Edmonton AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3556-0820","authenticated-orcid":false,"given":"Jennifer M.","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of Endocrinology and Metabolism Faculty of Medicine University of Manitoba Winnipeg MB Canada"},{"name":"Department of Medicine Division of Endocrinology and Metabolism Cummings School of Medicine University of Calgary Calgary AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Yuan","sequence":"additional","affiliation":[{"name":"School of Public Health University of Alberta Edmonton AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lois E.","family":"Donovan","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Endocrinology and Metabolism Department of Obstetrics and Gynecology Cummings School of Medicine University of Calgary Calgary AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda C.","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences Division of Human Nutrition University of Alberta Edmonton AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4477-9314","authenticated-orcid":false,"given":"Megan","family":"Jarman","sequence":"additional","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences Division of Human Nutrition University of Alberta Edmonton AB 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