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Journal articles on the topic 'Breastfeeding Australia'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

Ogbo, Felix Akpojene, Osita Kingsley Ezeh, Sarah Khanlari, Sabrina Naz, Praween Senanayake, Kedir Y. Ahmed, Anne McKenzie, et al. "Determinants of Exclusive Breastfeeding Cessation in the Early Postnatal Period among Culturally and Linguistically Diverse (CALD) Australian Mothers." Nutrients 11, no. 7 (July 16, 2019): 1611. http://dx.doi.org/10.3390/nu11071611.

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There are limited epidemiological data on exclusive breastfeeding (EBF) among culturally and linguistically diverse (CALD) Australian mothers to advocate for targeted and/or culturally-appropriate interventions. This study investigated the determinants of EBF cessation in the early postnatal period among CALD Australian mothers in Sydney, Australia. The study used linked maternal and child health data from two local health districts in Australia (N = 25,407). Prevalence of maternal breastfeeding intention, skin-to-skin contact, EBF at birth, discharge, and the early postnatal period (1–4 weeks postnatal), were estimated. Multivariate logistic regression models were used to investigate determinants of EBF cessation in the early postnatal period. Most CALD Australian mothers had the intention to breastfeed (94.7%). Skin-to-skin contact (81.0%), EBF at delivery (91.0%), and at discharge (93.0%) were high. EBF remained high in the early postnatal period (91.4%). A lack of prenatal breastfeeding intention was the strongest determinant of EBF cessation (adjusted odds ratio [aOR] = 23.76, 95% CI: 18.63–30.30, for mothers with no prenatal breastfeeding intention and aOR = 6.15, 95% CI: 4.74–7.98, for those undecided). Other significant determinants of EBF cessation included a lack of partner support, antenatal and postnatal depression, intimate partner violence, low socioeconomic status, caesarean birth, and young maternal age (<20 years). Efforts to improve breastfeeding among women of CALD backgrounds in Australia should focus on women with vulnerabilities to maximise the benefits of EBF.

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2

Esbati, Anahita, Margaret Barnes, Amanda Henderson, and Jane Taylor. "Legislation, policies and guidelines related to breastfeeding and the Baby Friendly Health Initiative in Australia: a document analysis." Australian Health Review 42, no. 1 (2018): 72. http://dx.doi.org/10.1071/ah16067.

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Objectives The aim of the present study was to assess the extent to which publicly available legislation, policy and guidelines related to breastfeeding and the Baby Friendly Health Initiative (BFHI) underpin and support the uptake and implementation of the BFHI in Australia. Methods Altheide’s document analysis model (sample, data collection, data organisation, data analysis and report) was used to source and analyse publicly available legislation, policies and guidelines in Australia that were related to breastfeeding and the BFHI at national, state and professional organisational levels. Results Legislation documents contained no direct references to the BFHI or Code of Marketing of Breast-milk Substitutes, despite the documents being supportive of breastfeeding. There is little reference to the Code of Marketing of Breast-milk Substitutes or to monitoring of the Marketing in Australia of Infant Formulae (MAIF) Agreement at national and state levels. A gap exists in documents that provide up-to-date records regarding monitoring of breastfeeding rates at the national level. Conclusions National and state guidelines are supportive of breastfeeding and the BFHI. However, the BFHI and Code of Marketing of Breast-milk Substitutes are not legislated in Australia and information related to breastfeeding rates is not up to date. A legislative establishment supporting the Code and establishing plans to monitor the MAIF Agreement and breastfeeding outcomes may influence uptake and implementation of the BFHI. What is known about the topic? Extensive evidence supports the health and economic benefits of breastfeeding. Despite a high initiation rate of breastfeeding in Australia (96%) most recently reported in 2010, the rate of breastfed infants dropped considerably over time: approximately 15% of infants were breastfed for the recommended 6 months. Research supports the positive effect of the BFHI on increasing breastfeeding rates and improving breastfeeding outcomes. In 2016, there are 69 Baby-friendly-accredited maternity facilities across Australia, compared with 77 accredited facilities in 2011 (~23% of all maternity facilities). What does this paper add? This is the first document analysis of publicly available legislation, policy and guidelines related to breastfeeding and the BFHI at Australian national, state and professional organisational levels to assess the extent to which these documents support breastfeeding, as well as the uptake and implementation of the BFHI. This study identifies strengths and weaknesses at legislative, policy and guideline levels that could potentially influence the uptake and implementation of the BFHI. What are the implications for practitioners? The uptake and implementation of the BFHI is potentially influenced by legislation, policy and guidelines at national and state levels. Given the low uptake of the BFHI in Australia, this analysis outlines the extent to which these documents support breastfeeding and the BFHI, and indicates what these documents lack with regard to supporting the uptake and implementation of the BFHI.

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3

Binns, Colin W., Michelle L. Fraser, Andy H. Lee, and Jane Scott. "Defining exclusive breastfeeding in Australia." Journal of Paediatrics and Child Health 45, no. 4 (April 2009): 174–80. http://dx.doi.org/10.1111/j.1440-1754.2009.01478.x.

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4

de Ponti, Martine, Kay Stewart, Lisa H. Amir, and Safeera Y. Hussainy. "Medicine use and safety while breastfeeding: investigating the perspectives of community pharmacists in Australia." Australian Journal of Primary Health 21, no. 1 (2015): 46. http://dx.doi.org/10.1071/py13012.

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Consumers and health professionals rely on community pharmacists for accurate information about the safety of medicines. Many breastfeeding women require medications, yet we know little about the advice provided to them by pharmacists in Australia. The aim of this study therefore was to investigate the perspectives of community pharmacists in Australia on medication use and safety in breastfeeding using a postal survey of a national random sample of 1166 community pharmacies in 2011. One hundred and seventy-six pharmacists responded (51% female). Of the 52% of participants with children, many (70%) had a total breastfeeding duration (self or partner) of 27 weeks or more. The majority (92%) were confident about supplying or counselling on medication during breastfeeding. The most commonly used resources were drug company information, Australian Medicines Handbook and the Royal Women’s Pregnancy and Breastfeeding Medicine Guide. Most (80%) believed the available information to be adequate and 86% thought it accessible. Over one-third were unaware that ibuprofen and metronidazole are compatible with breastfeeding. Most (80%) were able to name at least one medicine that may decrease milk supply. We found that community pharmacists discuss medicine use in lactation and are confident of their ability to do so; however, their knowledge may be variable.

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5

Johnston, Joy. "Midwives, breastfeeding, and baby friendly Australia." Australian College of Midwives Incorporated Journal 9, no. 4 (December 1996): 21–24. http://dx.doi.org/10.1016/s1031-170x(96)80054-7.

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6

Hocking, Jen, Naomi Hull, and Julie Smith. "Creating change for breastfeeding: the world breastfeeding trends initiative in Australia." Women and Birth 32 (September 2019): S31. http://dx.doi.org/10.1016/j.wombi.2019.07.239.

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7

Cramer, Rhian L., Helen L. McLachlan, Touran Shafiei, Lisa H. Amir, Meabh Cullinane, Rhonda Small, and Della A. Forster. "Maternal and child health nurses’ experiences of implementing two community-based breastfeeding interventions in Victoria, Australia: A mixed methods process evaluation." Australian Journal of Child and Family Health Nursing 16, no. 1 (July 2019): 4–14. http://dx.doi.org/10.33235/ajcfhn.16.1.4-14.

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Despite high rates of breastfeeding initiation in Australia, there is a significant drop in breastfeeding rates in the early postpartum period, and Australian government breastfeeding targets are not being met. The Supporting breastfeeding In Local Communities (SILC) trial was a three-arm cluster randomised trial implemented in 10 Victorian local government areas (LGAs). It aimed to determine whether early home-based breastfeeding support by a maternal and child health nurse (MCH nurse) with or without access to a community-based breastfeeding drop-in centre increased the proportion of infants receiving ‘any’ breast milk at four months. Focus groups, a written questionnaire and semi-structured interviews were undertaken to explore the interventions from the perspective of the SILC-MCH nurses (n=13) and coordinators (n=6), who established and implemented the interventions. Inductive thematic analysis was used to identify themes, then findings further examined using Diffusion of Innovations Theory as a framework. SILC-MCH nurses and coordinators reported high levels of satisfaction, valuing the opportunity to improve breastfeeding in our community; and having focused breastfeeding time with women in their own homes. They felt the SILC interventions offered benefits to women, nurses and the MCH service. Implementing new interventions into existing, complex community health services presented unforeseen challenges, which were different in each LGA and were in part due to the complexity of the individual LGAs and not the interventions themselves. These findings will help inform the planning and development of future programs aimed at improving breastfeeding and other interventions in MCH.

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8

Scott, Jane Anne, Sharyn K. Burns, Yvonne L. Hauck, Roslyn C. Giglia, Anita M. Jorgensen, Becky Kate White, Annegret Martin, et al. "Impact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial." JMIR Pediatrics and Parenting 4, no. 2 (April 12, 2021): e24579. http://dx.doi.org/10.2196/24579.

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Background Despite the recognized health and economic benefits of exclusive breastfeeding, few Australian infants are exclusively breastfed beyond 5 months of age. Social support for breastfeeding, in particular the support of an infant’s father, has been identified as a crucial element for successful breastfeeding. Objective The objective of this study was to determine the effectiveness of various father-focused breastfeeding interventions in terms of key infant feeding outcomes. Methods The study was a 4-arm, factorial, randomized controlled trial conducted in Perth, Australia. The trial arms included a control group and 3 interventions, consisting of a face-to-face father-focused antenatal breastfeeding class facilitated by a male peer facilitator; Milk Man, a breastfeeding smartphone app designed specifically for fathers; and a combination of both interventions. Expecting couples were recruited from hospital-based antenatal classes and block randomized to 1 of the 4 arms. Each partner completed surveys at recruitment and at 6 weeks and 26 weeks postpartum. Primary outcomes were duration of exclusive and any breastfeeding. Secondary outcomes included age of introduction of formula and complementary foods, maternal breastfeeding self-efficacy, and partner postpartum support. Results A total of 1426 couples were recruited from public (443/1426, 31.1%) and private (983/1426, 68.9%) hospitals. Of these, 76.6% (1092/1426) of fathers completed the baseline questionnaire, 58.6% (836/1426) completed the 6-week follow-up questionnaire, and 49.2% (702/1426) completed the 26-week follow-up questionnaire. The average age of fathers who completed the baseline questionnaire was 33.6 (SD 5.2) years; the majority were born in Australia (76.4%) and had attended university (61.8%). There were no significant differences between the control and any of the intervention groups in any of the infant feeding outcomes or level of breastfeeding self-efficacy and postpartum partner support reported by mothers. Conclusions This study did not demonstrate that any intervention was superior to another or that any intervention was inferior to the standard care delivered in routine antenatal classes. Further studies are needed to test the effectiveness of these interventions in more socioeconomically diverse populations that are likely to benefit most from additional partner supports. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12614000605695; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000605695 International Registered Report Identifier (IRRID) RR2-10.1186/s12884-015-0601-5

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McBride, Grace M., Robyn Stevenson, Gabriella Zizzo, Alice R. Rumbold, Lisa H. Amir, Amy K. Keir, and Luke E. Grzeskowiak. "Use and experiences of galactagogues while breastfeeding among Australian women." PLOS ONE 16, no. 7 (July 1, 2021): e0254049. http://dx.doi.org/10.1371/journal.pone.0254049.

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Background Galactagogues are substances thought to increase breast milk production, however evidence to support their efficacy and safety remain limited. We undertook a survey among Australian women to examine patterns of use of galactagogues and perceptions regarding their safety and effectiveness. Methods An online, cross-sectional survey was distributed between September and December 2019 via national breastfeeding and preterm birth support organisations, and networks of several research institutions in Australia. Women were eligible to participate if they lived in Australia and were currently/previously breastfeeding. The survey included questions about galactagogue use (including duration and timing), side effects and perceived effectiveness (on a scale of 1 [Not at all effective] to 5 [Extremely effective]). Results Among 1876 respondents, 1120 (60%) reported using one or more galactagogues. Women were 31.5 ± 4.8 years (mean ± standard deviation) at their most recent birth. Sixty-five percent of women were currently breastfeeding at the time of the survey. The most commonly reported galactagogues included lactation cookies (47%), brewer’s yeast (32%), fenugreek (22%) and domperidone (19%). The mean duration of use for each galactagogue ranged from 2 to 20 weeks. Approximately 1 in 6 women reported commencing galactagogues within the first week postpartum. Most women reported receiving recommendations to use herbal/dietary galactagogues from the internet (38%) or friends (25%), whereas pharmaceutical galactagogues were most commonly prescribed by General Practitioners (72%). The perceived effectiveness varied greatly across galactagogues. Perceived effectiveness was highest for domperidone (mean rating of 3.3 compared with 2.0 to 3.0 among other galactagogues). Over 23% of domperidone users reported experiencing multiple side effects, compared to an average of 3% of women taking herbal galactagogues. Conclusions This survey demonstrates that galactagogues use is common in Australia. Further research is needed to generate robust evidence about galactagogues’ efficacy and safety to support evidence-based strategies and improve breastfeeding outcomes.

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Nugroho Njoto, E., E. Maria Djaputra, and J. Franciscus Pardosi. "A Brief Economic Evaluation of Breastfeeding in Australia." KnE Life Sciences 4, no. 4 (May 17, 2018): 532. http://dx.doi.org/10.18502/kls.v4i4.2315.

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11

Scott, Jane A., Colin W. Binns, and Ruth V. Arnold. "Attitudes toward Breastfeeding in Perth, Australia: Qualitative Analysis." Journal of Nutrition Education 29, no. 5 (September 1997): 244–49. http://dx.doi.org/10.1016/s0022-3182(97)70213-9.

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12

Chen, Shu, Colin W. Binns, Yun Zhao, Bruce Maycock, and Yi Liu. "Breastfeeding by Chinese Mothers in Australia and China." Journal of Human Lactation 29, no. 2 (March 6, 2013): 246–52. http://dx.doi.org/10.1177/0890334413475838.

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13

Bridges, Nicole. "Breastfeeding in the Australian Media." Public Communication Review 1, no. 1 (February 9, 2010): 57. http://dx.doi.org/10.5130/pcr.v1i1.1409.

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Breastfeeding is a topic that frequently evokes extreme and passionate arguments – both for and against. The way a mother decides to nourish her baby can be one of the most antagonistic and emotive decisions she will ever make. A woman’s decision to breastfeed is influenced by a number of factors: demographic, psychological, cultural and social, and it is often difficult to isolate which factors are most influential (Hector, King, & Webb, 2005). One factor to be explored is the way the media represents and reports on breastfeeding issues, and the role the media can play in this decision-making process. This paper employs meta-analysis of existing literature and a limited content analysis of recent media coverage of high profile breastfeeding issues in Australia, to explore this issue.

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14

Devenish, Gemma, Aqif Mukhtar, Andrea Begley, A. John Spencer, W. Murray Thomson, Diep Ha, Loc Do, and Jane A. Scott. "Early childhood feeding practices and dental caries among Australian preschoolers." American Journal of Clinical Nutrition 111, no. 4 (February 11, 2020): 821–28. http://dx.doi.org/10.1093/ajcn/nqaa012.

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ABSTRACT Background Recent reviews have proposed a causal relationship between prolonged breastfeeding and early childhood caries (ECC), but the evidence to date is inconsistent, with few cohort studies and limited investigation of key confounders. Objective This study aimed to investigate the relationship between dietary practices and early childhood caries in a birth cohort of Australian preschoolers. Methods Participants underwent a standardized dental examination at 2–3 y of age to determine the prevalence of ECC (based on the presence of decayed, missing, or filled tooth surfaces). Breastfeeding practices were reported at 3, 6, 12, and 24 mo of age. Intakes of free sugars were assessed at 1 and 2 y of age. Multivariable regression models generated prevalence ratios (PR) for the association between ECC and breastfeeding duration, and between ECC and sleep feeding practices at 1 y, controlling for sociodemographic factors and free sugars intake. Results There was no independent association between breastfeeding beyond 1 y of age and ECC (PR 1.42, 95% CI: 0.85, 2.38), or between breastfeeding to sleep and ECC (PR 1.12, 95% CI: 0.67, 1.88), although the direction of effect was suggestive of an association. The only factors independently associated with ECC were high free sugars intakes (PR 1.97, 95% CI: 1.13, 3.44), and greater socioeconomic disadvantage (PR 2.15, 95% CI: 1.08, 4.28). Most participants who were breastfed at 1 y of age had ceased by 18 mo or 2 y. Conclusions Breastfeeding practices were not associated with ECC. Given the wide-ranging benefits of breastfeeding, and the low prevalence of sustained breastfeeding in this study and Australia in general, recommendations to limit breastfeeding are unwarranted, and breastfeeding should be promoted in line with global and national recommendations. To reduce the prevalence of early childhood caries, improved efforts are needed to limit foods high in free sugars.

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Xiang, N., M. Zadoroznyj, W. Tomaszewski, and B. Martin. "Timing of Return to Work and Breastfeeding in Australia." PEDIATRICS 137, no. 6 (May 16, 2016): e20153883-e20153883. http://dx.doi.org/10.1542/peds.2015-3883.

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Sakalidis, Vanessa S., Alethea Rea, Sharon L. Perrella, Jacki McEachran, Grace Collis, Jennifer Miraudo, Stuart A. Prosser, Lisa Y. Gibson, Desiree Silva, and Donna T. Geddes. "Wellbeing of Breastfeeding Women in Australia and New Zealand during the COVID-19 Pandemic: A Cross-Sectional Study." Nutrients 13, no. 6 (May 27, 2021): 1831. http://dx.doi.org/10.3390/nu13061831.

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During the COVID-19 pandemic, breastfeeding women have experienced restricted access to support, placing them at increased risk of mental health concerns and limited breastfeeding assistance. This study investigated the effect of the pandemic on feeding choices and maternal wellbeing amongst breastfeeding mothers living in Australian and New Zealand. We conducted a cross-sectional online survey that examined feeding methods, maternal mental wellbeing, worries, challenges, and positive experiences during the pandemic. Most women were exclusively breastfeeding (82%). Partial breastfeeding was associated with perceived low milk supply and longer pregnancy duration during the pandemic. Reduced mental health and wellbeing was associated with lower levels of family functioning, increased perceived stress, and perinatal anxiety. Longer pregnancy duration during the pandemic was associated with lower mental health wellbeing scores, while higher perceived stress scores were reported for regions with higher COVID-19 infection rates and women with perceived low milk supply. Women reported that the pandemic resulted in less pressure and more time for family bonding, while worries about the pandemic, family health, and parenting challenges were also cited. Mental health concerns of breastfeeding women appear to be exacerbated by COVID-19, highlighting a critical need for access to mental health and broader family support during the pandemic.

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Gibson, Louisa, and Melanie Porter. "Drinking or Smoking While Breastfeeding and Later Academic Outcomes in Children." Nutrients 12, no. 3 (March 20, 2020): 829. http://dx.doi.org/10.3390/nu12030829.

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Alcohol consumed by breastfeeding mothers has been associated with reduced grammatical comprehension and cognition in children. This study examined whether drinking or smoking while breastfeeding was associated with reductions in Australian National Assessment Program–Literacy and Numeracy assessments. Data was sourced from The Growing Up in Australia Study. This is an ongoing longitudinal study of 5107 infants and mothers recruited in 2004 and followed over time every two years. Multivariable linear regression found that maternal alcohol consumption at study entry was associated with reductions in Grade 3 (age 7–10 years) National Assessment Program–Literacy and Numeracy writing (b = −1.56, 95% CI: −2.52; −0.60, p = 0.01), spelling (b = −2.06, 95% CI: −3.31; −0.81, p < 0.0001) and grammar and punctuation (b = −2.11, 95% CI: −3.59; −0.64, p = 0.01) scores, as well as Grade 5 (age 9–11 years) spelling scores (b = −1.58, 95% CI: −2.74; −0.43, p = 0.03) in children who had been breastfed at any time. This was not evident in babies who had never breastfed, or in the smaller group of infants who were actively breastfeeding at study entry. Smoking was not associated with any outcome variable. Drinking alcohol while breastfeeding may result in dose-dependent reductions in children’s academic abilities. While reductions are small, they may be of clinical significance if mothers drink large quantities. Further analyses are planned to assess developmental, physical and behavioural outcomes in children.

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Kuswara, Konsita, Rachel A. Laws, Karen J. Campbell, and Kylie D. Hesketh. "Breastfeeding practices and associated predictors in Chinese mothers in Australia." Obesity Research & Clinical Practice 13, no. 3 (May 2019): 320. http://dx.doi.org/10.1016/j.orcp.2018.11.229.

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Davey, Mary-Ann. "Intervention in labour and early breastfeeding outcomes in Victoria, Australia." Women and Birth 26 (October 2013): S25. http://dx.doi.org/10.1016/j.wombi.2013.08.171.

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Chimoriya, Ritesh, Jane Anne Scott, James Rufus John, Sameer Bhole, Andrew Hayen, Gregory S. Kolt, and Amit Arora. "Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study." International Journal of Environmental Research and Public Health 17, no. 15 (July 27, 2020): 5384. http://dx.doi.org/10.3390/ijerph17155384.

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The aim of this study was to report on breastfeeding duration up to 24 months and determine the predictors of breastfeeding duration among women in South Western Sydney, one of the most culturally diverse and socioeconomically disadvantaged regions of New South Wales (NSW), Australia. Mother–infant dyads (n = 1035) were recruited to the Healthy Smiles Healthy Kids birth cohort study. Study data were collected through telephone interviews at 2, 4, 8, 12, and 24 months postpartum. Cox proportional hazards models were used to determine factors associated with the risk of stopping full breastfeeding at six months and any breastfeeding at 12 and 24 months. The majority of mothers (92.3%) had initiated breastfeeding. At six months, 13.5% of infants were fully breastfed, while 49.9% received some breast milk. Only 25.5% and 2.9% of infants received some breast milk at 12 and 24 months, respectively. Lower maternal education level, lower socioeconomic status, full-time employment, maternal smoking during pregnancy, and caesarean delivery were associated with increased risk of stopping full breastfeeding at six months and any breastfeeding at 12 and 24 months. Older maternal age and partner’s preference for breastfeeding were associated with an increased likelihood of continuing any breastfeeding at 12 and 24 months. These findings present a number of opportunities for prolonging breastfeeding duration in disadvantaged communities in NSW.

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Giglia, Roslyn Carmel, and Tracy Reibel. "Has a national policy guideline influenced the practice of raising the topic of alcohol and breastfeeding by maternal healthcare practitioners?" Australian Journal of Primary Health 25, no. 3 (2019): 275. http://dx.doi.org/10.1071/py18103.

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Globally, the public health recommendation for exclusive breastfeeding to the first 6 months of life is not being achieved by many low- and middle-income countries. Many factors have been determined to affect the early cessation of breastfeeding; however, little attention has been paid to the role of alcohol, an increasingly favoured commodity, particularly in these Westernised nations. Maternal healthcare practitioners play a pivotal role in a woman’s breastfeeding journey by providing timely advice that can help support continued breastfeeding. Maternal healthcare practitioners (MHP) from across Australia were invited to take part in a semi-structured telephone interview (n = 19) to elicit their knowledge of a national alcohol policy guideline on alcohol and breastfeeding, their confidence to provide information on this topic, and if they were routinely incorporating conversations on alcohol and breastfeeding into their practice. The results affirmed that the majority of MHP were not aware of the national policy providing direction for safely consuming alcohol during lactation and were not incorporating this information into their practice. This study suggests having a national policy guideline for safe alcohol consumption during lactation has not promoted awareness of this topic among MHP as a potential strategy to support long-term breastfeeding duration.

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Kinshella, Mai-Lei Woo, Sangwani Salimu, Marianne Vidler, Mwai Banda, Elizabeth M. Molyneux, Queen Dube, David M. Goldfarb, Kondwani Kawaza, and Alinane Linda Nyondo-Mipando. "Beyond early initiation: A qualitative study on the challenges of hospital-based postpartum breastfeeding support." PLOS Global Public Health 2, no. 11 (November 8, 2022): e0001266. http://dx.doi.org/10.1371/journal.pgph.0001266.

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Improving breastfeeding practices is key to reducing child mortality globally. Sub-optimal exclusive breastfeeding rates may be associated with inadequate hospital-based postpartum breastfeeding support, particularly in resource-limited health settings such as Malawi. While almost all children in Malawi are breastfed, it is a concern that exclusive breastfeeding rates in Malawi are declining. The objective of this study is to understand postpartum breastfeeding support after delivery at Malawian hospitals from the perspectives of health workers and caregivers. We conducted a secondary analysis of a descriptive qualitative study on health worker and caregiver experiences of breastfeeding support at health facilities in southern Malawi as part of the Innovating for Maternal and Child Health in Africa Initiative. In-depth interviews following a semi-structured topic guide were conducted at three secondary-level district hospitals and one tertiary-level central hospital. Interviews were thematically analysed in NVivo 12 software (QSR International, Melbourne, Australia). We interviewed a total of 61 participants, including 30 caregivers and 31 health care workers. Participants shared the following themes: 1) a focus on early initiation of breastfeeding, 2) inadequate follow-up on breastfeeding practice, and 3) feasibility challenges and local solutions. There was an emphasis on early initiation of breastfeeding, which was challenged by maternal exhaustion after delivery. Study participants reported poor follow-up on breastfeeding practice after initial counselling and reacting to adverse outcomes in lieu of adequate monitoring, with a reliance on caregivers to follow-up on challenges. There was poor support for facility-based breastfeeding after initial counselling post-delivery, which revealed an overall neglect in hospital postpartum care for those considered to be in good health after initial assessment. We recommend the development of indicators to track continued facility-based breastfeeding, identify vulnerable infants at-risk of feeding problems, and strengthening care in postnatal wards, which is currently as neglected component of maternity care.

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Beck, Cheryl Tatano. "The Impact of Traumatic Childbirth on Women’s Breastfeeding Experiences." Clinical Lactation 13, no. 1 (February 1, 2022): 54–59. http://dx.doi.org/10.1891/cl-2021-0009.

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BackgroundResearchers are confirming that posttraumatic stress due to traumatic childbirth is significantly associated with lower rates of breastfeeding and low maternal attachment.PurposeThe purpose of this secondary qualitative data analysis was to identify metaphorical expressions women use to describe the impact their birth trauma had on their breastfeeding experiences.MethodsThe primary dataset used to conduct this analysis was a descriptive phenomenological study that focused on birth trauma and breastfeeding experiences of 52 women from New Zealand, the United States, Australia, the United Kingdom, and Canada. Metaphor Identification Procedure was used to identify metaphorical expressions.ResultsSix metaphors were identified. Breastfeeding after a traumatic birth is your head in a vise, an empty affair, mechanical, true grit, a guilt trip, and a form of forgiveness.ConclusionThe six metaphors provide a new voice for women who are attempting to breastfeed following a traumatic birth. Perinatal and neonatal nurses need to be attentive to any of the metaphors new mothers are using to help identify women struggling with the aftermath of birth trauma.

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Cromie, Elizabeth, Carrington Shepherd, Stephen Zubrick, and Wendy Oddy. "Breastfeeding Duration and Residential Isolation amid Aboriginal Children in Western Australia." Nutrients 4, no. 12 (December 13, 2012): 2020–34. http://dx.doi.org/10.3390/nu4122020.

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Brown, Stephanie, Deanna Stuart-Butler, Cathy Leane, Karen Glover, Amanda Mitchell, Janiene Deverix, Theresa Francis, et al. "Initiation and duration of breastfeeding of Aboriginal infants in South Australia." Women and Birth 32, no. 3 (June 2019): e315-e322. http://dx.doi.org/10.1016/j.wombi.2018.07.009.

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Gallegos, Danielle, Ceridwen Cromack, and Karen J. Thorpe. "Can a phone call make a difference? Breastfeeding self-efficacy and nurse responses to mother’s calls for help." Journal of Child Health Care 22, no. 3 (March 7, 2018): 433–46. http://dx.doi.org/10.1177/1367493518757066.

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Telephone support is a format that presents an opportunity to sustain breastfeeding at a time when mothers identify themselves as at risk of cessation. The interactive mechanisms by which support is provided have not, however, been well investigated. We aimed to identify characteristics of calls that support breastfeeding self-efficacy. Thematic analysis of 149 calls from mothers seeking help for breastfeeding made to a 24-hour parenting helpline over a four week period, in Brisbane, Australia. Call-takers were 12 qualified and experienced maternal and child health nurses. Calls classified according to changes in breastfeeding self-efficacy across the call were thematically analysed to identify distinguishing interactional characteristics. Key interactional characteristics that served to build self-efficacy were privileging the mother, teamwork and credible affirmation while those that failed to build self-efficacy were laissez-faire affirmation and pragmatic problem-solving responses. Nurse responses that undermined caller self-efficacy conceptualized breastfeeding as a problem. Telephone helplines have potential to enhance mothers’ confidence and sustain breastfeeding when there is a call for help, this study highlights that the style of interaction is critical. The findings identify the need for specific training to increase awareness of interactional styles and delivery of advice through telehealth formats.

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Al Alawi, Abdullah M., Usama Al Amri, and Henrik Falhammar. "Lactation Ketoacidosis: A case series." Sultan Qaboos University Medical Journal [SQUMJ] 19, no. 4 (December 22, 2019): 359. http://dx.doi.org/10.18295/squmj.2019.19.04.012.

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Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results showed that both patients had high anion gap metabolic acidosis, ketosis and hypoglycaemia. The patients responded well to intravenous dextrose and resumption of a balanced diet. Both patients were able to continue breastfeeding and remained well on follow-up.Keywords: Breastfeeding; Starvation; Hypoglycemia; Ketosis; Acid-Base Imbalance; Metabolic Diseases; Ketone Bodies; Fasting; Case Series; Australia; Oman.

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Hegedus, Jessica, and Judy Mullan. "Are we adequately providing support services for optimal infant nutrition in Australia? A study in regional NSW." Australian Journal of Primary Health 21, no. 3 (2015): 293. http://dx.doi.org/10.1071/py14044.

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Evidence from the literature suggests that parents of infants in Australia may not be receiving appropriate professional assistance to support best practice in infant feeding. This study aimed to investigate whether services for infant nutrition (including breastfeeding, infant formula feeding and support for at-risk infants) complied with current recommendations. Relevant services in a regional area of NSW completed a questionnaire to characterise the assistance they provided for parents of infants in the first 6 months of life. Services for breastfeeding, unlike services for use of infant formula, were consistent with recommendations in the literature. Services were significantly more likely to provide education (χ2 (1, n = 44) = 5.939, P < 0.025) and various forms of professional support (χ2 (1, n = 44) = 20.29, P < 0.0001) for breastfeeding compared with infant formula. At-risk infants were mostly identified through growth monitoring, and extra support services were mostly provided on site. Parents of at-risk infants were encouraged to attend services; strategies included involving family in consultations, offering multiple services on site, free services and home visits. Other important measures recommended in the literature, such as providing continuous care from the antenatal period and transport, were provided infrequently.

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White, Becky K., Sharyn K. Burns, Roslyn C. Giglia, Satvinder S. Dhaliwal, and Jane A. Scott. "Measuring User Engagement with a Socially Connected, Gamified Health Promotion Mobile App." International Journal of Environmental Research and Public Health 19, no. 9 (May 5, 2022): 5626. http://dx.doi.org/10.3390/ijerph19095626.

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Participant engagement is an important consideration in mHealth interventions and there are no standardised measurements available to guide researchers. This paper describes the engagement index customised for the Milk Man app, a mobile app designed to engage fathers with breastfeeding and parenting information. Participants were recruited from maternity hospitals in Perth, Western Australia. An engagement index with scores ranging from 0 to 100 was calculated. Kaplan Meier survival analysis was used to determine difference in duration of exclusive breastfeeding, and Pearson’s chi square analysis was conducted to investigate the association of engagement level with demographic characteristics and exclusive breastfeeding at 6 weeks. While overall, partners of participants who installed Milk Man were less likely to have ceased exclusive breastfeeding at any time point from birth to six weeks postpartum, this result was modest and of borderline significance (log rank test p = 0.052; Breslow p = 0.046; Tarone-Ware p = 0.049). The mean engagement score was 29.7% (range 1–80%), median 27.6%. Engagement level had no impact on duration of exclusive breastfeeding and demographic factors were not associated with engagement level. This research demonstrates a range of metrics that can be used to quantify participant engagement. However, more research is needed to identify ways of measuring effective engagement.

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Bartlett, Alison. "Black breasts, white milk? Ways of constructing breastfeeding and race in Australia." Australian Feminist Studies 19, no. 45 (November 2004): 341–55. http://dx.doi.org/10.1080/0816464042000278016.

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Scott, JA, I. Aitkin, CW Binns, and RA Aroni. "Factors associated with the duration of breastfeeding amongst women in Perth, Australia." Acta Paediatrica 88, no. 4 (January 2, 2007): 416–21. http://dx.doi.org/10.1111/j.1651-2227.1999.tb01133.x.

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Barnes, Larisa A. J., Lesley Barclay, Kirsten McCaffery, and Parisa Aslani. "Complementary medicine products information-seeking by pregnant and breastfeeding women in Australia." Midwifery 77 (October 2019): 60–70. http://dx.doi.org/10.1016/j.midw.2019.06.011.

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McKellar, Lois, Shona Dove, Ros Mayfield, and Julie Fleet. "Improving breastfeeding initiation and duration in the mid north of South Australia." Women and Birth 28 (2015): S22—S23. http://dx.doi.org/10.1016/j.wombi.2015.07.080.

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Cox, Kylee, Roslyn Giglia, Yun Zhao, and Colin W. Binns. "Factors Associated with Exclusive Breastfeeding at Hospital Discharge in Rural Western Australia." Journal of Human Lactation 30, no. 4 (August 19, 2014): 488–97. http://dx.doi.org/10.1177/0890334414547274.

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Burns, Elaine, Zoi Triandafilidis, and Virginia Schmied. "Designing a model of breastfeeding support in Australia: An appreciative inquiry approach." Health & Social Care in the Community 28, no. 5 (April 15, 2020): 1723–33. http://dx.doi.org/10.1111/hsc.12997.

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Newton, Kathy, and Kate Huppatz. "Policewomen’s Perceptions of Gender Equity Policies and Initiatives in Australia." Feminist Criminology 15, no. 5 (June 24, 2020): 593–610. http://dx.doi.org/10.1177/1557085120937060.

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This paper explores policewomen’s perceptions of Equal Employment Opportunity (EEO) initiatives including breastfeeding rooms, part-time and flexible work arrangements, and gender quotas. Drawing on interviews with 18 Australian policewomen, our analysis reveals that while policewomen recognize that good initiatives and policies exist, when workers attempt to access them, they are often met with resistance and resentment. Policewomen express concerns about quotas, fearing that they might translate to a loss of respect and credibility for women workers. Our research aims to create a more nuanced understanding of how EEO policies are practiced within policing and considers possibilities for future policies.

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Auerbach, Kathleen G. "Book Review: Breastfeeding Management in Australia: A Reference and Study Guide, Revised Edition." Journal of Human Lactation 8, no. 4 (December 1992): 229. http://dx.doi.org/10.1177/089033449200800429.

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Gallegos, Danielle, Natalie Vicca, and Samantha Streiner. "Breastfeeding beliefs and practices of African women living in Brisbane and Perth, Australia." Maternal & Child Nutrition 11, no. 4 (April 5, 2013): 727–36. http://dx.doi.org/10.1111/mcn.12034.

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Sjöström, Kaisa, Sara Welander, Helen Haines, Ewa Andersson, and Ingegerd Hildingsson. "Comparison of breastfeeding in rural areas of Sweden and Australia – a cohort study." Women and Birth 26, no. 4 (December 2013): 229–34. http://dx.doi.org/10.1016/j.wombi.2013.08.159.

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McKellar, Lois, Julie Fleet, and Shona Dove. "It’s more than just luck: A qualitative exploration of breastfeeding in rural Australia." Women and Birth 31, no. 3 (June 2018): 177–83. http://dx.doi.org/10.1016/j.wombi.2017.09.005.

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Kelaher, Margaret, David Dunt, Peter Feldman, Andrea Nolan, and Bridie Raban. "The effect of an area-based intervention on breastfeeding rates in Victoria, Australia." Health Policy 90, no. 1 (April 2009): 89–93. http://dx.doi.org/10.1016/j.healthpol.2008.08.004.

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Javanparast, Sara, Linda Sweet, Lareen Newman, and Ellen McIntyre. "A Survey of Child Care Centers about Breastfeeding Support in Adelaide, South Australia." Journal of Human Lactation 29, no. 2 (March 15, 2013): 230–35. http://dx.doi.org/10.1177/0890334413477241.

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Meng, Xingqiong, Alison Daly, Christina Mary Pollard, and Colin William Binns. "Community Attitudes toward Breastfeeding in Public Places among Western Australia Adults, 1995-2009." Journal of Human Lactation 29, no. 2 (March 15, 2013): 183–89. http://dx.doi.org/10.1177/0890334413478835.

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Javanparast, Sara, Lareen Newman, Linda Sweet, and Ellen McIntyre. "Analysis of Breastfeeding Policies and Practices in Childcare Centres in Adelaide, South Australia." Maternal and Child Health Journal 16, no. 6 (September 25, 2011): 1276–83. http://dx.doi.org/10.1007/s10995-011-0887-5.

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Bacciaglia, Meagan, and Hannah Neufeld. "Examining the Application and Use of the Baby-Friendly Hospital Initiative Within Rural and Urban Health Facilities in Canada and Australia Among Indigenous Mothers." Current Developments in Nutrition 6, Supplement_1 (June 2022): 1131. http://dx.doi.org/10.1093/cdn/nzac072.003.

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Abstract Objectives To prevent infant mortality and morbidity, the WHO and UNICEF established the Baby-Friendly Hospital Initiative (BFHI) to support breastfeeding initiation and duration by improving the quality of care provided in health facilities globally. Indigenous communities across the world report lower breastfeeding rates compared to non-Indigenous populations. There is very limited research surrounding the implementation of the BFHI to support Indigenous women. The objectives of this research are: to gather firsthand experiences of policymakers, administrators, and health care providers on implementing and supporting access among Indigenous mothers; and apply and adapt the Interactive Theory of Breastfeeding to explore theoretical concepts influencing breastfeeding practices among Indigenous women within Canada and Australia. Methods A case study research design will be implemented to explore the experiences of policymakers, health service providers, and advocates in implementing the BFHI in health facilities servicing Indigenous women. Targeted emails and flyers will be posted on social media to recruit participants with expertise in Indigenous maternal health and infant feeding. Participants will be recruited from four health facilities, either from a small, rural location or a large urban facility. Examining facilities with different resources available will help shine light on how the implementation of the BFHI may differ. In addition, representatives of local, provincial, and territorial governments, and international organizations such as WHO will be recruited to participate in virtual semi-structured interviews. In total, 15 to 20 participants will be included in this research. Thematic analysis and line-by-line coding will then be utilized to identify themes and patterns. Results It is anticipated the results from this study will highlight current gaps in care surrounding the BFI and its availability and use among Indigenous women within Canada and Australia. Conclusions This research has national and international policy implications as it will help uncover whether the BFHI can be used as a tool to promote and support Indigenous maternal-child health through culturally safe infant feeding practice. Funding Sources Canadian Institutes of Health Research.

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Bradfield, Zoe, Karen Wynter, Yvonne Hauck, Linda Sweet, Alyce N. Wilson, Rebecca A. Szabo, Vidanka Vasilevski, Lesley Kuliukas, and Caroline S. E. Homer. "COVID-19 vaccination perceptions and intentions of maternity care consumers and providers in Australia." PLOS ONE 16, no. 11 (November 15, 2021): e0260049. http://dx.doi.org/10.1371/journal.pone.0260049.

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Introduction Vaccination against COVID-19 is a key global public health strategy. Health professionals including midwives and doctors support and influence vaccination uptake by childbearing women. There is currently no evidence regarding the COVID-19 vaccination perceptions and intentions of those who receive or provide maternity care in Australia. The aim of this study was to address this gap in knowledge and explore the perceptions and intentions regarding COVID-19 vaccination from consumers and providers of maternity care in Australia. Methods A national cross-sectional online study conducted in early 2021 in Australia, a country that has had a very low number of COVID-19 cases and deaths. Recruitment was undertaken through parenting and health professional social media sites and professional college distribution lists. A total of 853 completed responses, from women (n = 326), maternity care providers including doctors (n = 58), midwives (n = 391) and midwifery students (n = 78). Findings Personal intention to be vaccinated ranged from 48–89% with doctors most likely and women least likely. Doctors and midwifery students were significantly more likely to recommend the vaccine to pregnant women in their care than midwives (p<0.001). Fewer doctors (2%) felt that women should wait until breastfeeding had concluded before being vaccinated compared with 24% of midwives and 21% of midwifery students (p<0.001). More than half of the midwives (53%) had concerns about the COVID-19 vaccine for the women in their care compared with 35% of doctors and 46% of midwifery students. Despite national guidelines recommending vaccination of breastfeeding women, 54% of practitioners were unlikely to recommend vaccination for this group. Conclusion This is the first study to explore the perceptions and intentions regarding COVID-19 vaccination from the perspective of those who receive and provide maternity care in Australia. Findings have utility to support targeted public health messaging for these and other cohorts.

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Katmini, Katmini, and Nazilatul Maulinda Sholichah. "Lactation Massage for Increasing Breast Milk Production in Postpartum Mothers." Journal for Quality in Public Health 4, no. 1 (November 26, 2020): 104–13. http://dx.doi.org/10.30994/jqph.v4i1.168.

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Background: Breast milk is the best food for babies. But breastmilk production which is little or not smooth in the first days of delivery becomes an obstacle in breastfeeding. The study conducted by Collin and a scot in Australia showed that 556 mothers gave birth as many as 29% had stopped breastfeeding their babies in the second week on the grounds that their milk was lacking. The lack of milk production causes many mothers to easily provide prelacteal foods. This prelacteal feeding causes the amount of exclusive breastfeeding to decrease. Purpose: To obtain a scientific reference source about lactation massage, which in previous studies can increase milk production in postpartum mothers. Methods: This study is a metadata analysis using a literature review that explores the benefits of massage to increase milk production. Literature sources used are journals from Pubmed, Garuda (garba rujukan digital), Doaj, Researchgate and Google Scholar. Results: With the principle of working to maximize the mechanism of prolactin and oxytocin receptors, lactation massage is a solution to overcome the smooth production of breast milk and minimize the side effects of delayed breastfeeding. In a study conducted by Aprilianti, lactation massage had a tendency to rapid onset of lactation 5.57 times greater than mothers who received oxytocin massage. Conclusion: This article tries to examine the problem of breastfeeding in postpartum mothers based on literature review. In general the role of lactation massage is successful in smoothing milk production, but there are a number of things that need to be evaluated.

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Buck, Miranda L., Lisa H. Amir, and Susan M. Donath. "Topical Treatments Used by Breastfeeding Women to Treat Sore and Damaged Nipples." Clinical Lactation 6, no. 1 (February 2015): 16–23. http://dx.doi.org/10.1891/2158-0782.6.1.16.

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Background: Nipple pain and trauma are frequent complaints of new mothers, and a variety of treatments have been proposed and investigated for efficacy. Numerous studies have examined the efficacy of nipple creams, but there is no published data describing patterns of use in breastfeeding women.Aim: To describe the use of topical nipple treatments by a cohort of first-time mothers in AustraliaMethods: A cohort of 360 nulliparous women were recruited in Melbourne, Australia, and the question, “In the last week, have you used any creams or ointments on your nipples?” was included in a questionnaire on breastfeeding practices administered at 6 time points.Results: In the first week after giving birth, 91% (307/336) of women used a topical treatment on their nipples. The most popular treatment was purified lanolin, with nearly three quarters of women (250/336) reporting its use. At 8 weeks postpartum, 37% (129/345) continued to use topical treatments, and 94% (320/340) of women continued to breastfeed.Conclusion: Widespread use of topical nipple creams is concerning not only because it may indicate a high rate of nipple pain but also because this is a disruption to the natural environment where the newborn is establishing breastfeeding.

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Cox, Kylee, Roslyn Giglia, and Colin W. Binns. "Breastfeeding beyond the big smoke: Who provides support for mothers in rural Western Australia?" Australian Journal of Rural Health 25, no. 6 (August 23, 2017): 369–75. http://dx.doi.org/10.1111/ajr.12362.

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Mackerras, Dorothy E. M., and Creswell J. Eastman. "Estimating the iodine supplementation level to recommend for pregnant and breastfeeding women in Australia." Medical Journal of Australia 197, no. 4 (August 2012): 238–42. http://dx.doi.org/10.5694/mja12.10220.

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