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Journal of Pregnancy
Volume 2017, Article ID 9581796, 6 pages
https://doi.org/10.1155/2017/9581796
Research Article

Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?

1Division of Epidemiology, Department of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USA
2Department of Biostatistics, School of Medicine, Virginia Commonwealth University, 830 East Main Street, P.O. Box 980032, Richmond, VA 23298-0032, USA

Correspondence should be addressed to Jordyn T. Wallenborn; ude.ucv@tjnrobnellaw

Received 1 February 2017; Accepted 16 March 2017; Published 22 March 2017

Academic Editor: Rosa Corcoy

Copyright © 2017 Jordyn T. Wallenborn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Breastfeeding is recognized as one of the best ways to decrease infant mortality and morbidity. However, women with gestational diabetes mellitus (GDM) may have breastfeeding barriers due to the increased risk of neonatal and pregnancy complications. While the prevalence of GDM is increasing worldwide, it is important to understand the full implications of GDM on breastfeeding outcomes. The current study aims to investigate the (1) direct effect of GDM on breastfeeding duration and (2) indirect effect of GDM on breastfeeding duration through perceived benefits of breastfeeding. Methods. Prospective cohort data from the Infant Feeding and Practices Study II was analyzed (). Structural equation modeling estimated direct and indirect effects. Results. Perceived benefits of breastfeeding directly influenced breastfeeding duration (, ). GDM was not directly associated with breastfeeding duration or perceived benefits of breastfeeding. Similarly, GDM did not have an indirect effect on breastfeeding duration through perceived benefits of breastfeeding. Conclusions. Perceived benefits of breastfeeding are an important factor associated with breastfeeding duration. Maternal and child health care professionals should enhance breastfeeding education efforts.