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Breastfeeding practices in women with type 1 diabetes: A discussion of the psychosocial factors and policies in Sweden and Australia

Artikel i vetenskaplig tidskrift
Författare Bodil Rasmussen
Helen Skouteris
Marie Berg
Cate Nagle
Heather Morris
Alison Nankervis
Carina Sparud Lundin
Publicerad i Women and Birth
Volym 28
Nummer/häfte 1
Sidor 71-75
ISSN 1871-5192
Publiceringsår 2015
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Sidor 71-75
Språk en
Länkar dx.doi.org/10.1016/j.wombi.2014.11....
Ämnesord Type 1 diabetes mellitus; Breastfeeding; Psychosocial; Australia; Sweden
Ämneskategorier Diabetologi, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Prenatal- och perinatalforskning

Sammanfattning

Background: Women with type 1 diabetes (T1DM) face many challenges during their pregnancy, birth and in the postnatal period, including breastfeeding initiation and continuation while maintaining stable glycaemic control. In both Sweden and Australia the rates of breastfeeding initiation are high. However, overall there is limited information about the breastfeeding practices of women with T1DM and the factors affecting them. Similarities in demographics, birth rates and health systems create bases for discussion. Aim: The aim of this paper is to discuss psychosocial factors, policies and practices that impact on the breastfeeding practices of women with T1DM. Findings: Swedish research indicates that the overall breastfeeding rate in women with T1DM remains significantly lower than in women without diabetes in the first 2 and 6 months after childbirth with no differences in exclusive breastfeeding. Breastfeeding initiation and continuation among women with T1DM in Sweden has been shown to be influenced by health services delivery, supportive breastfeeding polices and socio-economic factors, particular perceived support from social networks and health professionals. Conclusion: There is limited research on the impact of attitudes towards breastfeeding, emotional and social well-being and diabetes-related stress on the decision of women with T1DM to initiate and continue to breastfeed for at least 6 months. A more comprehensive understanding of the breastfeeding practices and psychosocial factors operating during the first 6 months after birth for women with T1DM will be instrumental in the future design of interventions promoting initiation and continuation of breastfeeding in Sweden, Australia and elsewhere.

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http://www.gu.se/forskning/publikation/?publicationId=215144
Utskriftsdatum: 2019-10-18