title: Antenatal breast milk expression by women with diabetes for improving infant outcomes.
abstract: BACKGROUND
  Some women with diabetes in pregnancy are encouraged to express and store colostrum prior to birthing. Following birth, the breastfed infant may be given the stored colostrum to minimise the use of artificial formula or intravenous dextrose administration if correction of hypoglycaemia is required. However, findings from observational studies suggest that antenatal breast milk expression may stimulate labour earlier than expected and increase admissions to special care nurseries for correction of neonatal hypoglycaemia.
  
  
  OBJECTIVE
  To evaluate the benefits and harms of the expression and storage of breast milk during late pregnancy by women with diabetes.
  
  
  METHODS
  We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 June 2014).
  
  
  METHODS
  All published and unpublished randomised controlled trials comparing antenatal breast milk expressing with not expressing, by pregnant women with diabetes (pre-existing or gestational) and a singleton pregnancy.
  
  
  METHODS
  Two review authors independently evaluated reports identified by the search strategy.
  
  
  RESULTS
  There were no published or unpublished randomised controlled trials comparing antenatal expressing with not expressing. One randomised trial is currently underway.
  
  
  CONCLUSIONS
  There is no high level systematic evidence to inform the safety and efficacy of the practice of expressing and storing breast milk during pregnancy.
authors: School of Nursing and Midwifery/Maternity Services, Monash University/Monash Health, 246 Clayton Road, Clayton, Victoria, Australia, 3168.
authors: Christine E
authors: CE
authors: East
authors: Willie J
authors: WJ
authors: Dolan
authors: Della A
authors: DA
authors: Forster
mesh_terms: D061186:Breast Milk Expression / Q000009:adverse effects*; D003126:Colostrum; D003920:Diabetes Mellitus; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000628:therapy*; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000628:therapy*; D011247:Pregnancy; D011254:Pregnancy in Diabetics