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Pregnant women with diabetes are at excess risk for complications such as delayed lactogenesis and difficulties with breast-feeding. Accordingly, some clinicians encourage women with diabetes to begin expressing colostrum during late pregnancy (despite limited supporting data and potential concerns that nipple stimulation might trigger contractions and preterm birth). To assess the safety of antenatal milk expression, Australian researchers conducted a randomized trial involving 635 diabetic women carrying “low-risk” singleton pregnancies. Beginning at 36 weeks' gestation, women in the intervention group were advised to hand-express breast milk twice daily for ≤10 minutes, freeze their milk, and bring it with them to the hospital. Women in …