Lactation duration and lifetime progression to metabolic syndrome in women according to their history of gestational diabetes: a prospective longitudinal community-based cohort study

BACKGROUND

Despite the many signs of progress in pharmacotherapies, metabolic syndrome (MetS) is one of the main public-health burdens worldwide. Our study aimed to compare the effect of breastfeeding (BF) in women with and without gestational diabetes mellitus (GDM) on MetS incidence.

METHODS

Of females who participated in the Tehran Lipid and glucose study, women who met our inclusion criteria were selected. The Cox proportional hazards regression model, with adjustment of potential confounders, was done to evaluate the relationship between duration of BF and incident of MetS in women with a GDM history compared to non-GDM.

RESULTS

Out of 1176 women, there were 1001 non-GDM and 175 GDM. The median follow-up was 16.3 (11.9, 19.3) years. Results of the adjusted model illustrated that the total BF duration was negatively associated with MetS incidence risk (hazard ratio (HR) 0.98, 95% CI 0.98-0.99) in total participants indicating that per one-month increase of BF duration, the hazard of MetS reduced by 2%. The HR of MetS in Comparison between GDM and non-GDM women demonstrated significantly more reduced MetS incidence with a longer duration of exclusive BF (HR 0.93, 95% CI 0.88-0.98).

CONCLUSIONS

Our findings illustrated the protective effect of BF, especially exclusive BF, on MetS incidence risk. BF is more effective in reducing the risk of MetS among women with a history of GDM than among women without such a history.

Kusrin Z, Abdul Majid L, Saidon R, Illias MZ. A quantitative study on Muslim milk mother’s understanding of the Islamic concept of wet nursing

Background

The practice of wet nursing or breastfeeding another woman’s child in Malaysia, especially among Muslim mothers, is on the rise. This is due to the emergence of public awareness of the benefits of breast milk to children. However, it is claimed that some mothers do not have a clear understanding of the Islamic rulings concerning wet nursing, especially those related to mahram (prohibition to marry), nasab (lineage) and inheritance. Hence, the purpose of this study is to examine the level of understanding of the legal implications of wet nursing and the factors influencing the practice among Muslim mothers who have practiced breastfeeding.

Methods

This was a cross-sectional descriptive study that was conducted between January and July 2019. This study was conducted with 100 Muslim mothers who had breastfed others’ child(ren) in Selangor. Data were obtained using a validated questionnaire (Cronbach’s alpha = 0.8) and processed using the Statistical Package for the Social Sciences (SPSS) software.

Results

The results show that the majority of the respondents understand the basic Islamic rulings on wet nursing, especially on the persons prohibited to marry, conditions and feeding method. However, the respondents need to further understand the rulings related to nasab (lineage), guardianship and inheritance involving the milk child. Various factors that have influenced wet nursing in society were also found.

Conclusions

This study has significant implications for the need to have more activities to create awareness and enhance the understanding related to wet nursing among Muslim women in society. Therefore, more research studies related to wet nursing and the impact of the practice should be conducted to offer better solutions to society.

Outcomes improved with human milk intake in preterm and full-term infants

This review highlights clinical outcomes of human milk from infancy through adulthood. Human milk outcomes of both preterm and term infants, including critically ill term infants (such as infants with congenital heart disease and those requiring therapeutic hypothermia) are summarized. Several human milk diets are identified to reduce the risk of specific diseases. Emerging research of newly discovered components of human milk are also reviewed. Human milk has significant effects on the gut microbiome, somatic growth, and neurocognitive outcomes. Continued research promises to improve donor human milk and donor milk derived products to achieve better outcomes for infants who do not receive their own mother's milk. The promotion of human milk is well-founded on evidence from the previous half century.

Breastfeeding and the Benefits of Lactation for Women's Health

The offer of the maternal breast to the baby is an unquestionable right of mothers and their children, and all efforts should be made to promote, follow and maintain exclusive breastfeeding for up to 6 months and supplement it until the child completes 2 years of age. Many publications are available in the literature about the qualities of breast milk, its benefits and health repercussions, stimulating the practice of breastfeeding and supporting campaigns for its implementation. However, although it is widely known that breastfeeding is an important step in the reproductive process of women and its practice offers benefits to both mother and child, most of the available information highlights the benefits of breast milk for children, while mention of the effects of breastfeeding on the health of the mother is usually neglected. Thus, the objective of the present study is to highlight the multiple benefits of breastfeeding for the physical and emotional health of the nursing mother. The authors consulted articles published in the databases PubMed, Virtual Health Library and Web of Science using the keywords breastfeeding, breast milk, lactation and maternal health.