Gestasyonel Diyabet Emzirme Sonuçları İçin Ne Kadar Önemli?

Objective: To evaluate the research that investigates the breastfeeding status of postpartum women with Gestational diabetes (GDM). Methods: This literature review was of created by scanning studies between 1990-2011 "gestational diabetes and breastfeeding" in Medline, Cochran and Pub-Med databases. It was not found any Turkish study. Results: Research were examining the relationship between gestational diabetes, breastfeeding and they were published between 2004-2011. Five studies were examined. The 40% of the studies were prospective, 40% retrospective cohort study and 20% had intervention - control design. The effect of gestational diabetes on breastfeeding status, breastfeeding duration and first formula feeding time was examined in 20% of studies and it was found that these periods are shorter in gestational diabetes women than than healthy pregnant women and formula feeding time began earlier in this mothers. Type 1, Type 2 diabetes breastfeeding results were compared with gestational diabetes mothers results in 40% of the studies although the results were better for gestational diabetes mothers, the level of breastfeeding was not desired. In addition, 20% of studies compared effect of bottle-feeding and breastfeeding of the gestational diabetes mothers newborns blood glucose level and this level was determined to be higher in breastfeeding newborns compared with bottle-feed. Conclusion: The limited studies reported the effect of gestational diabetes to breastfeeding but there is need of larger studies with comprehensive samples. The nurses should give special support and training to these special groups. [ABSTRACT FROM AUTHOR]