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Clinical Case Reports, Research & Trials
Gestational Diabetes And Breastfeeding
  • Jovandaric MZ

    Jovandaric MZ, Clinic for Gynecology and Obstetrics Clinical Center of Serbia, Department of Neonatology, Visegradska 26, 11000 Belgrade, Serbia. E-mail: rrebecca080@gmail.com

Received: 19-12-2016

Accepted: 28-12-2016

Published: 29-12-2016

Citation: Jovandaric MZ (2016) Gestational Diabetes And Breastfeeding Clin Cas Repo Rese & Trials 1: 41-42

Copyrights: © 2016 Jovandaric MZ

Abstract

Diet and lifestyle of mother during pregnancy as well as lactation have long-term effect on child’s health and development. Detection of early risk markers of adult age chronic diseases which begin during prenatal life and appliance of complex nutritional interventions at the right time may reduce the risk of these diseases

 

Key words: gestational diabetes; health; breast-feeding

Introduction

Priority of current studies is to discover mechanisms by which epigenetic modification prolongs effects of environmental influences in early childhood and provides a long lasting response to transient stimulus-modifies gene expression and phenotype in adult age [1].Thus, nutrition in pre-and postnatal period programs health in adulthood [2].

 

Adverse intrauterine environment in pregnancy complicated with diabetes has long-term consequences to the offspring of diabetes mothers because of epigenetic mechanism effects. [3] Optimal control of pregnant women`s glycaemia can reduce the adverse conseguences of pregnancy complicated with diabetes because the glucose level and perinatal outcome are a continuum [4]. Children of diabetic mothers are at greater risk of obesity, diabetes type 1 and 2, hypertension, lipid changes, albuminuria in preadolescent age and adulthood [5].Mental and motor deficit and attention and behavioral disorders are much more common in offspring of diabetes mothers[6,7].

 

Many conseguences of diabetes during pregnancy can be prevented. Early Brest – feeding can prevent metabolic complications in the neonatal age because the colostrum is rich in glucose, and hypoglycemia may be asymptomatic [8].

 

Conclusion

Breastfeeding also has possible protective effect on obesity in childhood and adulthood. Length of breastfeeding period has influence on the prevalence of metabolic syndrome in adolescents.

References

  1. Dias RB, Boery RN, Vilela AB (2016) Knowledge of nurses and incentive strategies for family participation in breastfeeding. Cien Saude Colet. 21: 2527-2536.

  2. Maslin K (2016) Commentary on a Cochrane Review of Early Additional Food and Fluids for Healthy Breastfed Full-Term Infants. Nurs Womens Health. 20: 347-349.

  3. Martis R, Brown J, Alsweiler J, Crawford TJ, Crowther CA (2016) Different intensities of glycaemic control for women with gestational diabetes mellitus. Cochrane Database Syst Rev. 7: 4-8

  4. Zilberlicht A, Feferkorn I, Younes G, Damti A, Auslender R, et al., (2016) The mutual effect of pregestational body mass index, maternal hyperglycemia and gestational weight gain on adverse pregnancy outcomes Gynecol Endocrinol. 32: 416-420.

  5. Kautzky-Willer A, Harreiter J, Bancher-Todesca D, Berger A, Repa A, et al., (2016) Gestational diabetes mellitus]. Wien Klin Wochenschr. 128: S103-112

  6. Nielsen K, Damm P, Kapur A, Balaji V, Balaji MS, et al., (2016) Risk Factors for Hyperglycaemia in Pregnancy in Tamil Nadu, India. PLoS One. 11: e0151-311

  7. Abell SK, Nankervis A, Khan KS, Teede HJ (2016) Type 1 and Type 2 Diabetes Preconception and in Pregnancy: Health Impacts, Influence of Obesity and Lifestyle, and Principles of Management. Semin Reprod Med. 34: 110-120

  8. Camprubi Robles M, Campoy C, Garcia Fernandez L, Lopez-Pedrosa JM, Rueda R, et al., (2015) Maternal Diabetes and Cognitive Performance in the Offspring: A Systematic Review and Meta-Analysis. PLoS One. 10: e0142-583See comment in PubMed Commons below

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