Observational studyInternational breastfeeding journal2021
Antenatal breastmilk expression for women with diabetes in pregnancy - a feasibility study.
Observational study in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Interventions That Support Breastfeeding for Women With Gestational Diabetes: A Systematic Review and Meta-Analysis.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026Pooled it
- Effect of antenatal milk expression on prenatal breastfeeding self-efficacy, lactogenesis onset, and early exclusive breastfeeding in pregnant women with gestational diabetes mellitus: a randomized controlled trial.International breastfeeding journal · 2026Trial
- Does Antenatal Expressing Affect Onset of Lactogenesis for Women With Diabetes? Results From a Randomised Controlled Trial and Cohort Study.The Australian & New Zealand journal of obstetrics & gynaecology · 2025Trial
- Information and practices of antenatal colostrum expression: a cross-sectional study of pregnant women in Norway.BMC pregnancy and childbirth · 2026Article
- Effect of antenatal breast milk expression or postnatal dietary intervention on breastfeeding outcomes and human milk composition in women with excess weight: protocol for the Ready, Set, Nourish study, a randomized controlled trial.Frontiers in nutrition · 2026Article
- Facilitators and barriers to establishing lactation among women with diabetes?Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- A Longitudinal Observation of Antenatal Milk Expression in Mothers of Infants with Congenital Anomalies.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024Observational
- High-risk pregnancy and risk of breastfeeding failure.The Journal of the Egyptian Public Health Association · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMothers with diabetes are less likely to achieve successful breastfeeding. Antenatal breastmilk expression (ABE) may facilitate earlier breastfeeding, but feasibility of introducing ABE and its acceptance among Scandinavian women have previously not been investigated.
methodsThis observational trial was conducted between the 1 January 2019 and the 12 March 2020 in Tromsø, Norway. We aimed to determine the feasibility of ABE in terms of practicality and acceptability among women with medically (metformin or insulin) treated diabetes. Women were invited to participate during antenatal visits from 32 weeks gestation. Participants received instruction and started ABE from gestation week 37 + 0. Participants, and their infants, were followed until 6-8 weeks after birth. We collected data on breastfeeding rates, infant hypoglycemia, transfer to the neonatal unit, and the women's overall experience and satisfaction with antenatal breastmilk expression.
resultsTwenty-eight of 34 (82%) invited women consented to participate. All started ABE from week 37 + 0, and continued until hospital admission. No women reported any discomfort or side effects. Labor was induced at 38 weeks gestation. Twenty-four women brought harvested colostrum to the maternity ward, which was given to their infants during the first 24 h of life. Breastfeeding rates at discharge were 24/28 (86%) and 21/27 (78%) at 6-8 weeks after delivery. Seven (25%) infants were transferred to the neonatal unit; four because of hypoglycemia. Maternal satisfaction assessed 6-8 weeks after delivery revealed that all participants felt positive about the ABE, but one woman would not recommend it to other pregnant women.
conclusionsImplementing a structured ABE guideline for women with medically treated diabetes was feasible. The intervention was associated with high level of satisfaction among study participants. No obvious side effects were observed, and breastfeeding rates at discharge and 6-8 weeks after delivery were higher than in comparable studies.
trial registrationThe study was registered at the research study registry at the University Hospital of North Norway ( Nr 2018/7181 ).
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