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Gestational diabetes and breastfeeding-related pain as major contributors to early breastfeeding cessation
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Deulle Min, Eun Ju Kwak, Seung Mi Park
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Res Community Public Health Nurs. 2023;34(1):52-60. Published online March 31, 2023
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DOI: https://doi.org/10.12799/rcphn.2022.00332
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 Abstract
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- Purpose
This study aimed to determine the effects of gestational diabetes mellitus, breastfeeding-related pain, and infant growth on the cessation of breastfeeding. Methods: This is secondary data analysis. This study included 60 pregnant women from 3 prenatal breastfeeding clinics. Pregnant women aged 20–49 years, with or without a diagnosis of gestational diabetes mellitus were enrolled. The participants were administered four self-reported questionnaires, one at 5 days, 14 days, 3 months, and 6 months postpartum. A linear mixed model and Cox regression analysis were used. Data were collected between May 25, 2020 and June 14, 2021. Results: The rate of breastfeeding cessation was 55.0% (n=33). The average maternal ages were 32.30 (±4.61) and 31.33 (±7.05) years in the cessation and maintenance groups, respectively. The average duration of breastfeeding in the cessation group was 56.27 (±37.48) days. After adjusting for all covariates, the risk of breastfeeding cessation was 2.5 times greater among participants diagnosed with gestational diabetes mellitus (p=.042). Additionally, the risk of breastfeeding cessation was 1.3 times greater among those with severe breastfeeding-related pain (p=.015). Conclusion: The first two months postpartum is the most essential time for healthcare workers to provide support and address difficulties associated with breastfeeding for mothers with gestational diabetes mellitus.
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The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes
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Seung Mi Park, Deulle Min, Ji Yeon Park
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J Korean Acad Community Health Nurs. 2020;31(4):427-435. Published online December 31, 2020
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DOI: https://doi.org/10.12799/jkachn.2020.31.4.427
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719
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Abstract
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- Purpose
The purpose of this study was to assess the knowledge and health beliefs about gestational diabetes and to identify the influence on breastfeeding intention of women those who have been diagnosed with gestational diabetes.
Methods
A cross-sectional descriptive study was designed. A questionnaire survey was conducted on 270 women who were pregnant and currently diagnosed with gestational diabetes. Data collection was conducted at Internet cafes and breastfeeding clinics where pregnant women were able to participate actively. The data collection period was from November 5 to November 27, 2019 and analyzed using descriptive statistics, independent t-test, x 2 test and multiple logistic regression.
Results
The average age of the participants was 34.21±3.73 years. There were 221 women who had breastfeeding intention, and 49 women who did not intend to breastfeed. The higher the perceived susceptibility (OR=2.49, p=.032), benefits (OR=2.62 p=.009), and the self-efficacy, the higher the intention to perform breastfeeding (OR=2.97, p=.004). On the other hand, the higher the perceived severity, the lower the intention to perform breastfeeding (OR=0.35, p=.007). Conclusion: Health beliefs such as perceived susceptibility, perceived benefits, self-efficacy and perceived severity have been shown to affect the breastfeeding intention. Based on these results, we suggest developing a breastfeeding promotion intervention program that improves self-efficacy in gestational diabetics.
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Citations
Citations to this article as recorded by  - A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
Junglim Lee, Youngji Kim, Eunju Kwak, Seungmi Park
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 175. CrossRef - A comparative study of cumulative stress patterns within 14 days postpartum in healthy mothers and those with gestational diabetes
Seungmi Park, Soo-Young Yu, Eunju Kwak, Deulle Min
Medicine.2021; 100(41): e27472. CrossRef - Factors Associated with the Need for Breastfeeding Information Among Women with Gestational Diabetes Mellitus: A Cross-sectional Study
Seungmi Park, In Sun Jang, Deulle Min
Asian Nursing Research.2021; 15(3): 210. CrossRef
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Predictors of Quality of Life among Grandparents Raising Their Grandchildren: An Ecological Approach
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Deulle Min, Su Hee Kim
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J Korean Acad Community Health Nurs. 2017;28(1):1-12. Published online March 31, 2017
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DOI: https://doi.org/10.12799/jkachn.2017.28.1.1
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916
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3
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1
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Abstract
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- PURPOSE
The purpose of this study is to examine factors affecting quality of life among grandparents raising their grandchildren.
METHODS
This study carried out a secondary analysis of data from the 2014 Korean Longitudinal Study of Aging (KLoSA) and Statistics Korea. Data collected from 224 grandparents who reported raising their grandchildren were analyzed using descriptive statistics, independent t-test, ANOVA, pearson correlation coefficient, and multilevel regression analysis.
RESULTS
The mean score of the participants' quality of life was 62.63. Significant predictors of quality of life of the grandparents included subjective health status, last year's total house income, number of last year's travels, frequency of last year's movie seeing, and number of children's parks per 100,000 population.
CONCLUSION
These results suggest that public health nurses in improving quality of life of grandparents focus on children's parks and formal social supports as community factors as well as regular exercise as an individual factor in order to be more effective.
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Citations
Citations to this article as recorded by - Intensity of Grandparent Caregiving, Health, and Well-Being in Cultural Context: A Systematic Review
Athena C Y Chan, Sun-Kyung Lee, Jingchen Zhang, Jasmine Banegas, Scott Marsalis, Abigail H Gewirtz, Patricia C Heyn
The Gerontologist.2023; 63(5): 851. CrossRef
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