title: Breastfeeding in women with type 1 diabetes: exploration of predictive factors.
abstract: OBJECTIVE
  To identify predictive factors for initiation and maintenance of breastfeeding with a focus on mothers with type 1 diabetes.
  
  
  METHODS
  This is a prospective observation survey, using a case-control design, comparing the outcomes of 108 mothers with type 1 diabetes with 104 mothers without diabetes that were matched for parity and gestational age. Mother and infant outcomes were collected from medical records and through telephone interviews 2 and 6 months after delivery. Predictive factors were calculated by logistic regression analyses.
  
  
  RESULTS
  Mothers with diabetes were less likely to partly or exclusively breastfeed their children at 2 months (OR 0.42 [95% CI 0.18-0.96], P = 0.041) and 6 months (0.50 [0.27-0.90], P = 0.022) than mothers without diabetes. On multivariable analysis, type 1 diabetes did not remain an independent predictive factor. Instead, higher education level and breastfeeding at discharge from hospital were predictive factors for breastfeeding at 2 months postpartum. These variables as well as delivery >37 weeks and early breastfeeding predicted breastfeeding 6 months postpartum.
  
  
  CONCLUSIONS
  Factors associated with maternal diabetes, such as problems with establishing breastfeeding in the early postpartum period, affects the likelihood of long-term breastfeeding.
authors.affiliation: Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden. carina.s-lundin@fhs.gu.se
authors.forename: Carina
authors.initials: C
authors.lastname: Sparud-Lundin
authors.forename: Margareta
authors.initials: M
authors.lastname: Wennergren
authors.forename: Anders
authors.initials: A
authors.lastname: Elfvin
authors.forename: Marie
authors.initials: M
authors.lastname: Berg
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000706:statistics & numerical data*; D016022:Case-Control Studies; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D016015:Logistic Models; D008875:Middle Aged; D011237:Predictive Value of Tests; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011446:Prospective Studies; D055815:Young Adult