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2. Breastfeeding and infant growth in offspring of mothers with hyperglycaemia in pregnancy: The pregnancy and neonatal diabetes outcomes in remote Australia study

Author

Longmore, Danielle K., primary, Titmuss, Angela, additional, Barr, Elizabeth, additional, Barzi, Federica, additional, Simmonds, Alison, additional, Lee, I‐Lynn, additional, Hawthorne, Eyvette, additional, Derkenne, Ruth, additional, Connors, Christine, additional, Boyle, Jacqueline, additional, Zimmet, Paul, additional, O'Dea, Kerin, additional, Oats, Jeremy, additional, McIntyre, Harold D., additional, Brown, Alex, additional, Shaw, Jonathan, additional, and Maple‐Brown, Louise J., additional

Published
2022
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4. Breastfeeding and infant growth in offspring of mothers with hyperglycaemia in pregnancy: The pregnancy and neonatal diabetes outcomes in remote Australia study

Author

Danielle K. Longmore, Angela Titmuss, Elizabeth Barr, Federica Barzi, Alison Simmonds, I‐Lynn Lee, Eyvette Hawthorne, Ruth Derkenne, Christine Connors, Jacqueline Boyle, Paul Zimmet, Kerin O'Dea, Jeremy Oats, Harold D. McIntyre, Alex Brown, Jonathan Shaw, Louise J. Maple‐Brown, Longmore, Danielle K, Titmuss, Angela, Barr, Elizabeth, Barzi, Federica, Simmonds, Alison, Lee, I-Lynn, Hawthorne, Eyvette, Derkenne, Ruth, Connors, Christine, Boyle, Jacqueline, Zimmet, Paul, O'Dea, Kerin, Oats, Jeremy, McIntyre, Harold D, Brown, Alex, Shaw, Jonathan, and Maple-Brown, Louise J

Subjects
infant growth, Nutrition and Dietetics, breastfeeding, Health Policy, Infant, Newborn, Public Health, Environmental and Occupational Health, Infant, Mothers, gestational diabetes mellitus, Body Mass Index, Obesity, Maternal, Prediabetic State, Diabetes, Gestational, Breast Feeding, Diabetes Mellitus, Type 2, Pregnancy, Hyperglycemia, Pediatrics, Perinatology and Child Health, Birth Weight, Humans, Female, neonatal diabetes, Child
Abstract

Refereed/Peer-reviewed Background: Benefits of breastfeeding on infant growth in children born to mothers with gestational diabetes mellitus (GDM) are uncertain. Objectives: To describe growth trajectories between birth and 14 months according to breastfeeding and maternal hyperglycaemia in pregnancy, and assess associations between breastfeeding and 14 month growth outcomes among children born to mothers with GDM. Subjects/methods: Data on 258 Aboriginal and Torres Strait Islander infants from the PANDORA study born to mothers with normoglycaemia (n = 73), GDM (n = 122), or with pre-existing type 2 diabetes (n = 63) in pregnancy were assessed. Infant weight and BMI growth trajectories according to predominant breastfeeding at 6 months and hyperglycaemia in pregnancy were developed using mixed-effect models and cubic splines. Associations between breastfeeding and 14-month growth outcomes (z-scores: weight-for-age, weight-for-length and BMI) were evaluated using linear regression in a subgroup of infants born to mothers with GDM. Results: Predominantly breastfed infants had lower BMI trajectories compared to those not predominantly breastfed, irrespective of maternal hyperglycaemia in pregnancy status (p

Published
2022
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5. Gestational diabetes is associated with postpartum hemorrhage in Indigenous Australian women in the PANDORA study: A prospective cohort.

Author

Lucas IM, Barr ELM, Barzi F, Longmore DK, Lee IL, Kirkwood M, Whitbread C, Connors C, Boyle JA, Simon D, Goodrem A, Brown ADH, Oats J, McIntyre HD, Shaw JE, and Maple-Brown L

Subjects
Australia epidemiology, Female, Humans, Infant, Newborn, Pregnancy, Prospective Studies, Diabetes Mellitus, Type 2 epidemiology, Diabetes, Gestational epidemiology, Postpartum Hemorrhage epidemiology
Abstract

Objective: To assess associations of hyperglycemia in pregnancy with the risk of postpartum hemorrhage (PPH) in a prospective cohort of Indigenous and non-Indigenous women, compared with normoglycemia., Methods: Data were from 1102 (48% Indigenous) women of the Pregnancy And Neonatal Diabetes Outcomes in Remote Australia (PANDORA) Study. Age-adjusted associations of gestational diabetes mellitus (GDM) or pre-existing type 2 diabetes mellitus (T2DM), obstetric and demographic covariables with PPH (blood loss ≥500 ml) were assessed using logistic regression. Multivariable-adjusted models included Indigenous ethnicity, diabetes type and their interaction., Results: A higher proportion of Indigenous women developed PPH than non-Indigenous women (32% versus 22%; P < 0.001). Compared with non-Indigenous women with normoglycemia, risks of PPH for Indigenous women with GDM or T2DM were higher (odds ratio [OR] 1.83, 95% confidence intervals [CI] 1.11-3.02, and OR 1.72, 95% CI 0.99-3.00 after age adjustment, OR 1.84, 95% CI 1.06-3.19, and OR 1.33, 95% CI 0.70-2.54 after adjustment for school education and delivery mode, and OR 1.62, 95% CI 0.95-2.77, and OR 0.99, 95% CI 0.53-1.86 after adjustment for birth weight). Importantly, Indigenous women without hyperglycemia in pregnancy were not at increased risk of PPH., Conclusion: The significantly higher rates of PPH experienced by Indigenous women compared with non-Indigenous women may be explained by a greater effect of GDM among Indigenous women that was only partly accounted for by birth weight., (© 2021 International Federation of Gynecology and Obstetrics.)

Published
2021
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