Abstract
This study aimed to assess the effectiveness of expressing breast milk during pregnancy in diabetic mothers, reducing neonatal hypoglycemia and establishing EBF. An integrative literature review was conducted in July/August 2022 by searching for articles using the descriptors: "Milk Extraction," "Breastfeeding," "Gestational Diabetes," "Hypoglycemia," and "Prenatal Care." The databases used were PubMed, LILACS, SciELO, Ministry of Health manuals, and FEBRASGO. Fourteen studies were found, divided into the following themes: breastfeeding; humanized care; low- and high-risk pregnancy; gestational diabetes; neonatal hypoglycemia; and expressing breast milk during pregnancy. This study demonstrated the benefits of the pre-expressing method during pregnancy, requiring further scientific studies to strengthen and facilitate the implementation of this practice. This will outline protocols that will assist healthcare professionals in defining the timing of expressing, manual extraction, storage, and the best gestational age for the start of milk expression, reducing the risk of severe hypoglycemic crises in babies of diabetic mothers, avoiding the use of formulas, and strengthening EBF.
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