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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Milner, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year

IMPACT FACTOR increased in 2015: 1.798
Rank 46 out of 120 in category Pediatrics in the 2015 Thomson Reuters Journal Citation Report/Science Edition

SCImago Journal Rank (SJR) 2014: 0.731
Source Normalized Impact per Paper (SNIP) 2014: 0.687
Impact per Publication (IPP) 2014: 1.483

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Impact of breast-feeding on psychomotor and neuropsychological development in children of diabetic mothers: role of the late neonatal period

Elke Rodekamp
  • Clinic of Obstetrics, Research Groups “Experimental Obstetrics”, Charité– University Medicine Berlin, Germany
/ Thomas Harder
  • Clinic of Obstetrics, Research Groups “Experimental Obstetrics”, Charité– University Medicine Berlin, Germany
/ Rainer Kohlhoff
  • Clinic of Obstetrics and Gynecology, Berlin–Kaulsdorf, Germany
/ Joachim W. Dudenhausen
  • Clinic of Obstetrics, Research Groups “Experimental Obstetrics”, Charité– University Medicine Berlin, Germany
/ Andreas Plagemann
  • Clinic of Obstetrics, Research Groups “Experimental Obstetrics”, Charité– University Medicine Berlin, Germany
Published Online: 2006-12-01 | DOI: https://doi.org/10.1515/JPM.2006.095


Aim: Previous data from our Kaulsdorf Cohort Study (KCS) suggest that early neonatal ingestion (1st week) of breast milk from diabetic mothers (diabetic breast milk, DBM) may increase the risk of being overweight and delay speech development in offspring of diabetic mothers (ODM). Late neonatal DBM ingestion (2nd–4th week), however, not independently influenced the risk of overweight. We investigated whether late neonatal DBM ingestion might independently influence neuro-development.

Methods: Achievement of developmental milestones according to late neonatal DBM intake was analyzed in 242 ODM.

Results: No impact of DBM ingestion on psychomotor parameters was observed. In contrast, it negatively influenced onset of speaking (no DBM: median 44.0 weeks, range 31.0–72.0; some DBM: 48.0, 24.0–100.0; DBM only: 52.0, 28.0–84.0; P=0.037) and halved the probability of reaching this milestone at any time point (hazard ratio: 0.53, 95% confidence interval: 0.31–0.91). However, adjustment for DBM volume ingested during the early neonatal period weakened the hazard ratio towards non-significance. In the fully adjusted model, the hazard ratio was halved, but insignificant.

Conclusions: Our results underscore that neonatal DBM ingestion, particularly during the first week of life, may delay speech development, an important indicator of cognitive development. Further studies are urgently recommended on consequences of breast-feeding for neurodevelopment in ODM.

Corresponding author: Prof. Dr. med. Andreas Plagemann Head of “Experimental Obstetrics” Clinic of Obstetrics Charité– University Medicine Berlin, Augustenburger Platz 1 13353 Berlin Germany Tel.: +49-30-450 52 40 41 Fax: +49-30-450 52 49 28

Received: May 9, 2006

Revised: July 18, 2006

Accepted: September 7, 2006

Published Online: 2006-12-01

Published in Print: 2006-12-01

Citation Information: Journal of Perinatal Medicine. Volume 34, Issue 6, Pages 490–496, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2006.095, December 2006

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