Diabetes in pregnancy: are we providing the best care ... - HQIP

Infant formula given as fi rst feed
Infant formula was the most frequently recorded milk given at fi rst feed (for 63%, 67/106 of babies in the
enquiry) (table 12.4). Twenty nine percent of the 31 formula-fed babies admitted to a neonatal unit were
fed either by a cup or by tube, but a bottle was used to give the fi rst feed for all 36 formula-fed babies who
remained with their mothers. Breast milk was the fi rst feed for 40% of 106 babies (50%, 34/68 of babies
who remained with their mothers and 21%, 8/38 of babies admitted to a neonatal unit, p=0.001).
The most frequent reason documented for infant formula being given at any feed to babies remaining with
their mothers, was maternal choice, for 46% (32/70) of babies.
Table 12.4
Type of milk at fi rst feed for babies of women with type 1 and type 2 diabetes
Babies remaining with mother
n(%)
(N=70*)
Babies admitted to NNU
n(%)
(N=42*)
Total
n(%)
(N=112)
Maternal breast milk 34 (50) 8 (21) 42 (40)
Donor breast milk 2 (3) 0 (0) 2 (2)
Infant formula 36 (53) 31 (82) 67 (63)
Type of milk at fi rst feed
not recorded 2 4 6
* some babies had more than one option for fi rst feed ticked.
Intention to breastfeed
The fi rst feed given was not the mothers’ intended type of feed for 28% (27/96) of babies (16% of babies
who remained with their mothers and 50% of those admitted to a neonatal unit, p