Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Fertility Treatment and Breastfeeding Outcomes

Am J Obstet Gynecol; ePub 2018 Dec 1; Barrera, et al

Mothers who conceive using assisted reproductive technology may breastfeed for shorter durations than mothers who conceive spontaneously, a new study found. Breastfeeding outcomes (initiation and duration at 8 weeks) were reported among 15,615 women who conceived using fertility treatments (assisted reproductive technology, intrauterine insemination, or fertility-enhancing drugs). Researchers found:

  • Mode of conception was not associated with breastfeeding outcomes when comparing women who conceived spontaneously vs those who conceived using any fertility treatment.
  • The odds of breastfeeding at 8 weeks were lower among women who conceived using assisted reproductive technology, after adjusting for basic demographic covariates and additionally adjusting for maternal health conditions.
  • Mothers who conceive using assisted reproductive technology may breastfeed for shorter durations, partially mediated by an increased likelihood of multiples and infants born preterm.

Citation:

Barrera CM, Kawwass JF, Boulet SL, Nelson JM, Perrine CG. Fertility treatment use and breastfeeding outcomes. [Published online ahead of print December 1, 2018]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2018.11.1100.

This Week's Must Reads

One postdelivery antibiotic dose nearly halves infection in operative delivery, Knight M. et al. Am J Obstet Gynecol 2019 Jan;220;1:S685. Abstract LB 3.

Umbilical cord milking tied to severe IVH in very premature neonates, Katheria AC et al. The Pregnancy Meeting, late breaking abstract 1.

Ehlers-Danlos syndrome: Increased IUGR risk reported, Nicholls-Dempsey L et al. Am J Obstet Gynecol. 2019 Jan;220(1):S381-382. Abstract 574

Universal HCV Testing in Prenatal Care, Obstet Gynecol; ePub 2019 Jan 8; Tasillo, et al

Is GDM Associated with Neonatal Respiratory Morbidity?, Obstet Gynecol; ePub 2019 Jan 8; Werner, et al

Must Reads in Reproductive Endocrinology

Fertility Treatment and Breastfeeding Outcomes , Am J Obstet Gynecol; ePub 2018 Dec 1; Barrera, et al

Infertility, Metabolic Dysfunction & CV Events, Fertil Steril; ePub 2018 Nov 17; Gleason, et al

Severe Maternal Morbidity by Maternal Fertility Status, Am J Obstet Gynecol; ePub 2018 Oct 12; Luke, et al

Vitamin D Levels and Ovarian Reserve, Fertil Steril; 2018 Sep; Shapiro, Darmon, et al

Leukemia risk after maternal contraception use, Hargreave M et al. Lancet Oncol. 2018 Sep 6. doi: 10.1016/S1470-2045(18)30479-0