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Diabetes in Pregnancy and Breastfeeding

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Comprehensive Clinical Approach to Diabetes During Pregnancy

Abstract

The process of secretion of milk by the mammary glands, followed by breastfeeding the offspring, is defined as lactation. The World Health Organization recommends a minimum of 6 months of breastfeeding, so that the optimal development of the newborn is achieved. The process of lactogenesis is classified into two stages: the secretory initiation, occurring during the second half of pregnancy, and the secretory activation, which starts with copious milk production after delivery. Women with gestational or pre-existing diabetes experience delay in initiating the second phase of lactogenesis and have altered biochemical features of the synthesized milk compared to women with normal glucose tolerance during pregnancy. Longitudinal studies indicate a protective effect of lactation against the development of future diabetes in women with gestational diabetes. Finally, a large amount of data suggests that breastfeeding of at least 6 months is beneficial for the optimal growth of infants born to mothers with diabetes in pregnancy.

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Correspondence to Irene Lambrinoudaki .

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Armeni, E., Lambrinoudaki, I. (2022). Diabetes in Pregnancy and Breastfeeding. In: Goulis, D.G. (eds) Comprehensive Clinical Approach to Diabetes During Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-030-89243-2_22

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  • DOI: https://doi.org/10.1007/978-3-030-89243-2_22

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