Chapter-23 Benefits of Breastfeeding in Mothers with Gestational Diabetes

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

1. Saxena Pikee
2. Gaur Jyoti
Publishing Year
Author Affiliations
1. Lady Hardinge Medical College, New Delhi, India, Lady Hardinge Medical College and SSK Hospital New Delhi, India, Reproductive Biomedicine National Institute of Health and Family Welfare, New Delhi, Lady Hardinge Medical College and Suchitra Kripalani Hospital New Delhi, Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India
2. Delhi Institute of Pharmaceutical, Sciences and Research, New Delhi, India
Chapter keywords
Breastfeeding, gestational diabetes mellitus, GDM, lactogenesis, oral antidiabetic drug, obesity, oral glucose tolerance test, OGTT, T1DM, T2DM


This chapter describes the benefits of breastfeeding in mothers with gestational diabetes. The prevalence of gestational diabetes mellitus (GDM) has increased by more than 30% within last few decades and GDM has emerged as a worldwide epidemic. GDM is related to substantial short- and long-term adverse health outcomes. This chapter discusses the reasons for lower rate of breastfeeding in gestational diabetes mellitus, mechanism involved in lowering plasma glucose while breastfeeding, lactogenesis in women with gestational diabetes mellitus, effects of breastfeeding on maternal metabolic parameters, oral antidiabetic drugs and breastfeeding, and social impact of breastfeeding. Maternal diabetes and obesity can delay the onset of lactogenesis in women with GDM. Milk feeding supplementation may also interfere with maternal milk production. In obese mothers, lactogenesis is impaired by lower physiological level of prolactin in response to suckling. Women with GDM have more difficulty in expressing the colostrum from their breasts during the first 2 days of lactation.

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