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• W2646948250 abstract "Background: In-hospital experiences among women with gestational diabetes mellitus (GDM) could impact breastfeeding success. We sought (1) to determine changes in the prevalence of hospital breastfeeding experiences between 2004–2008 and 2009–2011 among women with GDM and women without diabetes; (2) to determine whether GDM is associated with higher occurrence of experiencing Baby-Friendly hospital practices because of their known higher rates of breastfeeding difficulties. Materials and Methods: Data from the 2004 to 2011 Pregnancy Risk Assessment Monitoring System, a survey of women with a recent live birth from 16 states and New York City, were used based on inclusion of an optional survey question about hospital breastfeeding experiences. We examined the association of in-hospital experiences with GDM within each survey phase using chi-square tests. Weighted multivariable logistic regression was used to determine the association between GDM and hospital breastfeeding experiences. Results: Among 157,187 (8.8% GDM), there were crude differences by GDM status for at least 60% of hospital experiences despite increases in positive hospital experiences between time periods. Women with GDM were less likely to report breastfeeding in the first hour (adjusted odds ratio: 0.83, confidence interval [95% CI] 0.73–0.94), feeding only breast milk in the hospital (0.73, 0.65–0.82), and feeding on demand (0.86, 0.74–0.99) compared with women without diabetes. Women with GDM were significantly more likely to report receiving a pump (1.28, 1.07–1.53) and a formula gift pack (1.17, 1.03–1.34) compared with women without diabetes. Conclusions: Although women with GDM experienced improvements in-hospital breastfeeding experiences over time, disparities in breastfeeding practices remained for five in-patient (hospital) practices that included four negative practices (breastfeeding in the first hour, feeding only breast milk in the hospital, told to feed per mother's preference, receiving a formula gift pack) and one positive practice (receiving a pump)." @default.
• W2646948250 created "2017-06-30" @default.
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• W2646948250 date "2017-06-01" @default.
• W2646948250 modified "2023-10-14" @default.
• W2646948250 title "In-Hospital Breastfeeding Experiences Among Women with Gestational Diabetes" @default.
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• W2646948250 doi "https://doi.org/10.1089/bfm.2016.0197" @default.
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