Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Comparison of Breast Milk Minerals' Concentration between Gestational Diabetes Mothers and Healthy Mothers

임신성 당뇨 산모와 건강한 산모 간 모유 무기질 농도 비교

  • Min, Deulle (Department of Nursing, Wonkwang University) ;
  • Park, Seungmi (Department of Nursing Science, Chungbuk National University)
  • Received : 2021.06.25
  • Accepted : 2021.08.13
  • Published : 2021.08.31
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Abstract

Purpose: This study aimed to compare breast milk minerals between mothers with gestational diabetes mellitus (GDM) and healthy mothers. Methods: This study was a short-term prospective study to determine the difference in milk minerals of 30 GDM mothers and 30 healthy mothers. Mineral concentrations in breast milk were measured for Na, K, Ca, Mg, and P. The first breast milk was collected on the 5th day after childbirth, while the second one was collected on the 14th day. For the variation of mineral content of breast milk over time between groups, generalized estimation equations were used. Results: The mean age of the GDM group and healthy mother group was 32.56 and 31.17 years old, respectively. Na was significantly higher in GDM mother group (Wild 𝛘2=4.35, p=.037) over time (Wild 𝛘2=21.59, p<.001), and Ca was significantly higher in healthy mother group (Wild 𝛘2=1.77, p=.018) over time (Wild 𝛘2=19.09, p<.001). Mg, P, and K showed a significant difference in time (Wild 𝛘2=18.12, p<.001; Wild 𝛘2=7.73, p=.005; Wild 𝛘2=7.10, p=.008). P was significantly higher in GDM mother group on 5th day of delivery (t=2.08, p=.042). Conclusion: There was a difference in the mineral composition of breast milk between GDM mothers and healthy mothers. Therefore, it is necessary to develop and apply intervention programs such as effective prenatal blood sugar management and postpartum breast massage considering the characteristics of GDM mothers.

Keywords

Acknowledgement

We are deeply grateful to the mothers who provided breast milk and breast management lactation consultants in MOYUSARANG for this study.

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