THE EFFECT OF BREASTFEEDING AND DIETARY INTERVENTION ON BREASTFEEDING PRACTICES AND POSTPARTUM GLUCOSE PROFILE IN WOMEN WITH GESTATIONAL DIABETES MELLITUS

Phase 3

Completed

• Conditions: Women with gestational diabetes mellitusPostnatal glycemic control; gestational diabetes mellitus; glycemic control; postnatal; breastfeeding

• Registration Number: TCTR20230203007
• Lead Sponsor: niversiti Teknologi MARA

Brief Summary

These findings have proven that IBDI has improved breastfeeding knowledge, attitude, self-efficacy, and intention among pregnant women with GDM. The BFDEP has effectively improved the length of EBF, and breastfeeding intensity of women with GDM in the IBDI group. It has been shown that the length of EBF is significantly negatively related to FBG, 2HPP, fasting insulin, HOMA-IR, HBA1c, and body measurements 6 months after giving birth in the IBDI group.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-02-03
• Study Completion: 2023-12-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 60

Inclusion Criteria

1.Pregnant women aged 18-45 years with 20 weeks of gestation or later
2. Primiparous women with singleton pregnancy
3. Pre-pregnancy BMI >22.9 kg/m2
4. Women who were diagnosed with GDM with 1 75g oral glucose tolerance test (OGTT) values exceeding established thresholds
5. On a diet-controlled alone
6. Women who receive antenatal care at Meru Health Clinic, Sungai Buloh Health Clinic, and Kuala Selangor Health Clinic
7.Have the intention to breastfeed
8. Have telephone access
9.Malaysian women

Exclusion Criteria

1. Women whose illness or medication prevented her from breastfeeding the infants
2. Infant admitted to the Neonatal Intensive Care Unit (NICU)
3. Women who have already diagnosed with T1DM or T2DM
4.Women who were diagnosed with overt diabetes (at least presence with one of the following; FBG 7.0 mmol/L or random plasma glucose (RPG) 11.1mmol/L)
5. Women who have a severe infection such as HIV, human T- cell lymphotropic virus type I or II infection, or active tuberculosis
6. Carrying fetus with confirmed congenital anomalies which is unable to receive breastmilk naturally
7. Women who are unable to communicate in English or Malay.
8. Multiple pregnancies

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
breastfeeding frequency 6 months postnatal time ,breastfeeding KAP antenatal Scoring system

Secondary Outcome Measures

Name	Time	Method
blood glucose parameters Antenatal and postnatal MGTT, OGTT, HbA1C, HOMA-IR,anthropometry postnatal BMI, body fat percentage, waist circumference, mid upper arm circumference,Dietary intake antenatal and postnatal 3 days dietary record and Food Frequency Questionnaire