{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T13:51:09Z","timestamp":1781790669100,"version":"3.54.5"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Women with diabetes have an increased risk of delayed Lactogenesis II, and their infants are at higher risk of hypoglycemia and formula supplementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To assess the feasibility and acceptability of routine postpartum colostrum expression for women with diabetes, and its influence on exclusive breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      A non-randomized feasibility clinical study was conducted from birth to 30\u2009days postpartum involving women with DM, including those with GDM, from a maternity in S\u00e3o 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                      <jats:italic toggle=\"yes\">N<\/jats:italic>\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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Postpartum colostrum expression was feasible and acceptable, and may influence exclusive breastfeeding rates among women with diabetes, supporting further research in a larger trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261419353","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T12:01:45Z","timestamp":1773230505000},"page":"282-292","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Routine Postpartum Colostrum Expression and Breastfeeding Outcomes in Women With Diabetes: A Feasibility Trial"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-8172","authenticated-orcid":false,"given":"C\u00ednthia Daniela","family":"Perp\u00e9tuo","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6306-0454","authenticated-orcid":false,"given":"Emily Boaventura","family":"Bueno","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-1399","authenticated-orcid":false,"given":"Lisa H.","family":"Amir","sequence":"additional","affiliation":[{"name":"La Trobe University, Melbourne, VIC, Australia"},{"name":"Breastfeeding Service, Royal Women\u2019s Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1405-5371","authenticated-orcid":false,"given":"Rosiane","family":"Mattar","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1583-2753","authenticated-orcid":false,"given":"Cec\u00edlia","family":"Draque","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3604-852X","authenticated-orcid":false,"given":"Kelly P.","family":"Coca","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"},{"name":"Ana Abrao Breastfeeding Center, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Content analysis","author":"Bardin L.","year":"2009","unstructured":"Bardin L. 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