Journal article
"Feeding the baby breast milk shouldn't be a problem" breastfeeding confidence and intention in pregnant persons with type 2 diabetes mellitus from Thailand
PLOS global public health, Vol.5(2), e0004205
2025
DOI: 10.1371/journal.pgph.0004205
PMCID: PMC11828413
PMID: 39951457
Abstract
Breastfeeding initiation has been found to be lower in pregnant persons with type 2 diabetes mellitus (T2DM). However, no studies have explored the potential impact of T2DM during pregnancy on breastfeeding plans among Thai pregnant persons. This study aimed to describe breastfeeding confidence and intention during pregnancy among Thai pregnant persons with T2DM. This qualitative analysis utilized data from a parent study with a convergent parallel mixed-methods design. This study was guided by the National Institute on Minority Health and Health Disparities (NIMHD) Framework. Eligible participants were pregnant persons diagnosed with T2DM, aged 20-44 years, and proficient in speaking Thai. The pregnant persons participated in semi-structured interviews and completed three questionnaires: demographic, infant feeding intentions, and breastfeeding self-efficacy. Data analysis involved descriptive statistics for quantitative data and directed content analysis for qualitative data. Twelve interviews revealed four main themes: breastfeeding intentions during pregnancy, breastfeeding confidence throughout pregnancy, breastfeeding barriers (such as previous challenging experiences and physical distance between mother and baby), and breastfeeding facilitators (including benefits and cost-effectiveness, consumption of Thai foods and herbs, and the availability of breast milk shipping services). This study offers insights into the intentions and confidence of Thai pregnant persons with T2DM regarding breastfeeding their baby after childbirth. To improve breastfeeding outcomes, the pregnancy period could serve as an opportunity to assess breastfeeding confidence, barriers, and facilitators that influence breastfeeding intentions among pregnant persons with diabetes.
Details
- Title: Subtitle
- "Feeding the baby breast milk shouldn't be a problem" breastfeeding confidence and intention in pregnant persons with type 2 diabetes mellitus from Thailand
- Creators
- Ratchanok Phonyiam - Ramathibodi HospitalChiao-Hsin Teng - Chang Gung UniversityYamnia I Cortés - University of IowaCatherine S Sullivan - University of North Carolina at Chapel HillAunchalee E L Palmquist - Duke Institute for Health InnovationEric A Hodges - University of North Carolina at Chapel HillMarianne Baernholdt - University of Virginia
- Resource Type
- Journal article
- Publication Details
- PLOS global public health, Vol.5(2), e0004205
- DOI
- 10.1371/journal.pgph.0004205
- PMID
- 39951457
- PMCID
- PMC11828413
- NLM abbreviation
- PLOS Glob Public Health
- ISSN
- 2767-3375
- eISSN
- 2767-3375
- Publisher
- PUBLIC LIBRARY SCIENCE
- Grant note
- Alpha Alpha Chapter of Sigma Theta Tau International Research GrantOdum Institute for Research in Social Science at the University of North Carolina at Chapel Hill
The authors would like to acknowledge Ms. Pattaraporn Koonmee for her expertise and assistance in data collection in Thailand. We also thank Drs. Sangthong Terathongkum and Jiraporn Lininger for serving as the gatekeepers at the hospital. The authors would like to acknowledge Dr. Jittima Manonai Bartlett for her expertise in providing a consultant on the protocol of obstetrics and gynecology at the hospital level and health care system level. We are grateful to pregnant persons participating in our study and health care providers at antenatal clinics for support during our data collection. Finally, the authors thank Paul Mihas from the Odum Institute for Research in Social Science at the University of North Carolina at Chapel Hill for his invaluable expertise in providing consultation on the mixed methods approach.
- Language
- English
- Date published
- 2025
- Academic Unit
- Nursing
- Record Identifier
- 9984790974702771
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