Safety of colostrum collection in the third trimester and evaluation of postpartum breastfeeding in pregnant women with hyperglycemia during pregnancy
10.3969/j.issn.1672-8467.2025.02.008
- VernacularTitle:妊娠期高血糖孕妇孕晚期初乳收集的安全性及产后母乳喂养评价
- Author:
Guang-yun GAO
1
;
Jing WANG
;
Jun-ping ZHANG
;
Jia SHENG
;
Jie-jing SHENG
;
Li-ping MAO
;
Fei-fei ZHOU
Author Information
1. 复旦大学附属妇产科医院产科 上海 200090
- Publication Type:Journal Article
- Keywords:
hyperglycemia during pregnancy;
delivery outcome;
breastfeeding;
colostrum collection
- From:
Fudan University Journal of Medical Sciences
2025;52(2):225-231
- CountryChina
- Language:Chinese
-
Abstract:
Objective To preliminarily explore the safety of collecting colostrum in the third trimester,and to evaluate postpartum breastfeeding in pregnant women with hyperglycemia during pregnancy.Methods Pregnant women with hyperglycemia during pregnancy who had prenatal examinations in Obstetrics and Gynecology Hospital,Fudan University from Jul to Nov 2022 were prospectively divided into the colostrum collection group(n=52)in the third trimester and the control group(n=55)by randomized controlled grouping method.The t-test,χ2 test,Fisher's exact probability method and rank sum test were used for statistical analysis of the data to compare the delivery outcomes,neonatal outcomes and postpartum breastfeeding status between the two groups.Results There were no significant differences in the gestational weeks at delivery,delivery methods,breastfeeding rates at 42 days postpartum and 4 months postpartum between the two groups of pregnant women with hyperglycemia during pregnancy.There were also no significant differences in the Apgar scores at 1 minute and 5 minutes after birth and the neonatal hospitalization rate.The proportion of formula milk as the first supplementary feeding after delivery and the delayed lactation rate at 3 days postpartum in the colostrum collection group were significantly lower than those in the control group(P<0.05).The exclusive breastfeeding rates at 24 hours postpartum and 3 days postpartum in the colostrum collection group were significantly higher than those in the control group(P<0.05).Conclusion Collecting colostrum in the third trimester among pregnant women with hyperglycemia during pregnancy is safe,and it can reduce the rate of supplementary feeding with formula milk after delivery,and increase the exclusive breastfeeding rates at 24 hours postpartum and 3 days postpartum.
