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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Gestational Diabetes | Case report

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

Authors: Alexandra D. George, Melvin C. L. Gay, Mary E. Wlodek, Donna T. Geddes

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

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Abstract

Background

Small 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 summary

The mother of an SGA infant was diagnosed with placental insufficiency and Gestational Diabetes Mellitus (GDM) during her pregnancy. The infant was born term, at 38 weeks 3 days, 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 3 months.

Conclusion

In 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.
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Metadata
Title
Breastfeeding a small for gestational age infant, complicated by maternal gestational diabetes: a case report
Authors
Alexandra D. George
Melvin C. L. Gay
Mary E. Wlodek
Donna T. Geddes
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2366-8

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