{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:30:48Z","timestamp":1777890648547,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NPM"],"published-print":{"date-parts":[[2023,10,11]]},"abstract":"<jats:p>BACKGROUND: Information on exclusive breastfeeding (BF) and BF initiation following bariatric surgery (BS) among obese women with diabetes mellitus (DM) and without DM (non-DM) is limited. METHODS: Retrospective cohort study. Obesity was defined by BMI (kg\/m2) as grade 1 (30\u201334.9), grade 2 (35\u201339.9) or grade 3 (\u226540). The 65 women in the DM group (40 women with gestational, 19 with Type 2 and 6 with Type 1) was similar to 84 with non-DM in BS type: Roux-en-Y (51 vs 55%), sleeve gastrectomy (32 vs 35%), laparoscopic gastric banding (17 vs 7%) and gastro-duodenal anastomosis (0 vs 4%). RESULTS: Women with DM were older (35 vs 33y), of advanced age (54 vs 27%), with higher prevalence of grade 3 obesity (66 vs 46%), chronic hypertension (31 vs 10%), delivery of late-preterm infants (23 vs 10%) and neonatal hypoglycemia (25 vs 12%). Although infant feeding intention was similar: BF (66 vs 79%), partial BF (9 vs 7%) or formula (25 vs 14%), at discharge women with DM had lower exclusive BF (29 vs 41%) and BF initiation rates (68 vs 76%) than those with non-DM. Women with grade 3 obesity (52% were DM) differed from those with grades 1-2 (34% were DM) in exclusive BF (27 vs 52%), and BF initiation rates (66 vs 86%). CONCLUSION: After BS, women with DM, especially those with grade 3 obesity, had higher rates of chronic hypertension and preeclampsia and lower rates of exclusive BF and BF initiation than those who had DM but had less severe obesity.<\/jats:p>","DOI":"10.3233\/npm-221085","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T11:21:59Z","timestamp":1694776919000},"page":"475-483","source":"Crossref","is-referenced-by-count":1,"title":["Breastfeeding following bariatric surgery among obese women with and without diabetes mellitus"],"prefix":"10.1177","volume":"16","author":[{"given":"L.","family":"Cordero","sequence":"first","affiliation":[{"name":"Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.R.","family":"Stenger","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.B.","family":"Landon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.J.","family":"Needleman","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Noria","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.A.","family":"Nankervis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/NPM-221085_ref1","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1080\/14767058.2017.1362552","article-title":"A comparison of breastfeeding rates by obesity class","volume":"31","author":"Ramji","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.3233\/NPM-221085_ref2","doi-asserted-by":"crossref","first-page":"e128","DOI":"10.1097\/AOG.0000000000004395","article-title":"Obesity in pregnancy","volume":"137","author":"ACOG Practice Bulletin #230","year":"2021","journal-title":"Obstet Gynecol"},{"key":"10.3233\/NPM-221085_ref3","doi-asserted-by":"crossref","unstructured":"Admon LK . 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