Breastfeeding a small for gestational age infant, complicated by maternal gestational diabetes: a case report

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Abstract

BackgroundSmall for gestational age (SGA) infants are those born small for their gestational age, with weight below the 10th percentile. Not only do SGA infants suffer growth issues after birth, they have elevated risk for the development of metabolic and cardiovascular diseases later in life. Current research has suggested that in cases of SGA infants, maternal milk and breastfeeding are not affected.Case summaryThe mother of an SGA infant was diagnosed with placental insufficiency and Gestational Diabetes Mellitus (GDM) during her pregnancy. The infant was born term, at 38weeks 3days, and SGA. The mother had a low milk supply and her milk composition differed from reference values such that the daily infant intake provided less than 50% of the required energy intake at 3months.ConclusionIn cases of SGA and/or GDM, maternal milk quality and quantity may be compromised. This requires follow-up in order to reduce the disease risk for SGA infants and the corresponding public health implications.

Original languageEnglish
Article number210
Number of pages6
JournalBMC Pregnancy and Childbirth
Volume19
DOIs
Publication statusPublished - 21 Jun 2019

Cite this

@article{c0c890d25bd44af5be78a8fc8e5c1c72,
title = "Breastfeeding a small for gestational age infant, complicated by maternal gestational diabetes: a case report",
abstract = "BackgroundSmall for gestational age (SGA) infants are those born small for their gestational age, with weight below the 10th percentile. Not only do SGA infants suffer growth issues after birth, they have elevated risk for the development of metabolic and cardiovascular diseases later in life. Current research has suggested that in cases of SGA infants, maternal milk and breastfeeding are not affected.Case summaryThe mother of an SGA infant was diagnosed with placental insufficiency and Gestational Diabetes Mellitus (GDM) during her pregnancy. The infant was born term, at 38weeks 3days, and SGA. The mother had a low milk supply and her milk composition differed from reference values such that the daily infant intake provided less than 50{\%} of the required energy intake at 3months.ConclusionIn cases of SGA and/or GDM, maternal milk quality and quantity may be compromised. This requires follow-up in order to reduce the disease risk for SGA infants and the corresponding public health implications.",
keywords = "Breastfeeding, Lactation, Human milk, Small for gestational age, Placental insufficiency, Gestational diabetes mellitus, Case report, HUMAN-MILK, GROWTH RESTRICTION, FAT-CONTENT, OBESITY, ADAPTATIONS, CHILDHOOD, LACTATION, OUTCOMES, MOTHERS, VOLUME",
author = "George, {Alexandra D.} and Gay, {Melvin C. L.} and Wlodek, {Mary E.} and Geddes, {Donna T.}",
year = "2019",
month = "6",
day = "21",
doi = "10.1186/s12884-019-2366-8",
language = "English",
volume = "19",
journal = "BioMed Central Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Breastfeeding a small for gestational age infant, complicated by maternal gestational diabetes

T2 - a case report

AU - George, Alexandra D.

AU - Gay, Melvin C. L.

AU - Wlodek, Mary E.

AU - Geddes, Donna T.

PY - 2019/6/21

Y1 - 2019/6/21

N2 - BackgroundSmall for gestational age (SGA) infants are those born small for their gestational age, with weight below the 10th percentile. Not only do SGA infants suffer growth issues after birth, they have elevated risk for the development of metabolic and cardiovascular diseases later in life. Current research has suggested that in cases of SGA infants, maternal milk and breastfeeding are not affected.Case summaryThe mother of an SGA infant was diagnosed with placental insufficiency and Gestational Diabetes Mellitus (GDM) during her pregnancy. The infant was born term, at 38weeks 3days, and SGA. The mother had a low milk supply and her milk composition differed from reference values such that the daily infant intake provided less than 50% of the required energy intake at 3months.ConclusionIn cases of SGA and/or GDM, maternal milk quality and quantity may be compromised. This requires follow-up in order to reduce the disease risk for SGA infants and the corresponding public health implications.

AB - BackgroundSmall for gestational age (SGA) infants are those born small for their gestational age, with weight below the 10th percentile. Not only do SGA infants suffer growth issues after birth, they have elevated risk for the development of metabolic and cardiovascular diseases later in life. Current research has suggested that in cases of SGA infants, maternal milk and breastfeeding are not affected.Case summaryThe mother of an SGA infant was diagnosed with placental insufficiency and Gestational Diabetes Mellitus (GDM) during her pregnancy. The infant was born term, at 38weeks 3days, and SGA. The mother had a low milk supply and her milk composition differed from reference values such that the daily infant intake provided less than 50% of the required energy intake at 3months.ConclusionIn cases of SGA and/or GDM, maternal milk quality and quantity may be compromised. This requires follow-up in order to reduce the disease risk for SGA infants and the corresponding public health implications.

KW - Breastfeeding

KW - Lactation

KW - Human milk

KW - Small for gestational age

KW - Placental insufficiency

KW - Gestational diabetes mellitus

KW - Case report

KW - HUMAN-MILK

KW - GROWTH RESTRICTION

KW - FAT-CONTENT

KW - OBESITY

KW - ADAPTATIONS

KW - CHILDHOOD

KW - LACTATION

KW - OUTCOMES

KW - MOTHERS

KW - VOLUME

U2 - 10.1186/s12884-019-2366-8

DO - 10.1186/s12884-019-2366-8

M3 - Article

VL - 19

JO - BioMed Central Pregnancy and Childbirth

JF - BioMed Central Pregnancy and Childbirth

SN - 1471-2393

M1 - 210

ER -