Attitudes and perceptions of mothers with pregestational diabetes toward breastfeeding

Abstract Background Current data on breastfeeding perceptions and attitudes in women with pregestational diabetes mellitus (PGDM) is limited. The aim of the current study was to evaluate perceptions and attitudes towards breastfeeding before birth in women with PGDM versus women without diabetes and to evaluate whether targeted counseling at the end of pregnancy in the diabetic population affected women’s perceptions regarding breastfeeding. Methods Fifty-two women with PGDM and 38 women without diabetes answered a structured questionnaire designed to evaluate attitudes and perceptions toward breastfeeding. We also explored whether structured instruction, given to diabetic women towards the end of pregnancy, by an experienced breastfeeding counselor changed these perceptions. The purpose of the instruction was twofold; to elucidate practical aspects and strategies to overcome challenges of breastfeeding alongside diabetes, and to review realistic breastfeeding expectations for the early postpartum period. Results Diabetic and non-diabetic women had shared concerns regarding the complexity of breastfeeding, and insufficient knowledge. However, diabetic women expressed more concerns overall. The main motivation to breastfeed among diabetic women was the health benefits for their newborn. End-of-pregnancy targeted instruction improved confidence in breastfeeding knowledge and confidence in being able to manage blood glucose. It also improved confidence in approaching healthcare professional when seeking help. Conclusion A targeted diabetes-oriented breastfeeding instruction session at the end of pregnancy improved knowledge and confidence among diabetic women. It also improved their confidence in medical staff. Further investigation to find the optimal combination of education and support is still needed.