Evidence map›Paper›PMID 32910247›Full record

ArticleDiabetologia2020

Associations of gestational diabetes and type 2 diabetes during pregnancy with breastfeeding at hospital discharge and up to 6 months: the PANDORA study.

Danielle K Longmore, Elizabeth L M Barr, Alyce N Wilson, Federica Barzi, Marie Kirkwood, Alison Simmonds, I-Lynn Lee, Eyvette Hawthorne, Paula Van Dokkum, Christine Connors and 8 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Diabetologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. High-risk pregnancy and risk of breastfeeding failure.The Journal of the Egyptian Public Health Association · 2024
    Article
  5. Article
  6. Review
  7. Neonatal hypoglycaemia.BMJ medicine · 2024
    Review
  8. Article
  9. Review
  10. Observational
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 10 institutions in 1 country.

Danielle K LongmoreMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.ORCID 0000-0002-6232-8947
Elizabeth L M BarrMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.ORCID 0000-0003-4284-1716
Alyce N WilsonMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Federica BarziMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Marie KirkwoodMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Alison SimmondsMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
I-Lynn LeeMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Eyvette HawthorneMidwifery Group Practice, Top End Health Service, Darwin, NT, Australia.
Paula Van DokkumAboriginal Health Domain, Baker Heart and Diabetes Institute, Central Australia, NT, Australia.
Christine ConnorsDarwin Region and Strategic Primary Health Care, Top End Health Service, Northern Territory Department of Health, Darwin, NT, Australia.
Jacqueline A BoyleMonash Centre for Health Research and Implementation, School of Preventative Medicine, Monash University, Melbourne, VIC, Australia.
Paul ZimmetDepartment of Diabetes, Monash University, Melbourne, VIC, Australia.
Kerin O'DeaSchool of Health Sciences, University of South Australia, Adelaide, SA, Australia.
Jeremy OatsMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Harold D McIntyreMater Research, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Alex D H BrownAboriginal Health Equity Unit, South Australian Health and Medical Research Institute, Adelaide, SA, Australia.
Jonathan E ShawClinical Diabetes and Epidemiology, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia.
Louise J Maple-BrownMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. louise.maple-brown@menzies.edu.au.ORCID 0000-0002-9067-2737
Charles Darwin University · AUBaker Heart and Diabetes Institute · AUMonash University · AUThe University of Melbourne · AUEastern Health · AUNorthern Territory Health Services · AURoyal Children's Hospital · AUSouth Australian Health and Medical Research Institute · AUThe University of Queensland · AUUniversity of South Australia · AU

Funding

National Health and Medical Research Council 605837National Heart Foundation of Australia 101291
6 · The paper itself

Abstract

aims/hypothesisWomen with gestational diabetes mellitus (GDM) and obesity experience lower rates of breastfeeding. Little is known about breastfeeding among mothers with type 2 diabetes. Australian Indigenous women have a high prevalence of type 2 diabetes in pregnancy. We aimed to evaluate the association of hyperglycaemia, including type 2 diabetes, with breastfeeding outcomes.

methodsIndigenous (n = 495) and non-Indigenous (n = 555) participants of the Pregnancy And Neonatal Diabetes Outcomes in Remote Australia (PANDORA) cohort included women without hyperglycaemia in pregnancy (n = 222), with GDM (n = 684) and with type 2 diabetes (n = 144). The associations of hyperglycaemia in pregnancy and breastfeeding at hospital discharge, 6 weeks and 6 months post-partum were evaluated with logistic regression, after adjustment for maternal obesity, ethnicity, maternal and neonatal characteristics.

resultsIndigenous women were more likely to predominantly breastfeed at 6 weeks across all levels of hyperglycaemia. Compared with women with no hyperglycaemia in pregnancy, women with type 2 diabetes had lower odds for exclusive breastfeeding at discharge (adjusted OR for exclusive breastfeeding 0.4 [95% CI 0.2, 0.8] p = 0.006). At 6 weeks and 6 months, the relationship between type 2 diabetes and predominant breastfeeding was not statistically significant (6 weeks 0.7 [0.3, 1.6] p = 0.40, 6 months 0.8 [0.4, 1.6] p = 0.60). Women with gestational diabetes were as likely to achieve predominant breastfeeding at 6 weeks and 6 months as women without hyperglycaemia in pregnancy. CONCLUSIONS/

interpretationIndigenous women had high rates of breastfeeding. Women with type 2 diabetes had difficulty establishing exclusive breastfeeding at hospital discharge. Further research is needed to assess the impact on long-term breastfeeding outcomes. Graphical abstract.

Indexed as

Breast FeedingAustralian Aboriginal and Torres Strait Islander PeoplesDiabetes, GestationalDiabetes Mellitus, Type 2FemaleHospitalsHumansHyperglycemiaPregnancyBreastfeedingDiabetesDiabetes associated with pregnancyGestational diabetes mellitusIndigenousIntergenerational

Identifiers

PMID32910247
OpenAlexW3085567745

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.