Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia
Abstract Objectives: To investigate rates of ‘any’ and ‘predominant’ breastfeeding in hospital among Indigenous and non‐Indigenous women with and without gestational diabetes mellitus (GDM). Methods: A retrospective study of singleton infants born from July 2007 to December 2010 at Cairns Hospital,...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-04-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12629 |
| _version_ | 1797766547953942528 |
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| author | Catherine R. Chamberlain Alyce N. Wilson Lisa H. Amir Kerin O'Dea Sandra Campbell Dympna Leonard Rebecca Ritte Mary Mulcahy Sandra Eades Rory Wolfe |
| author_facet | Catherine R. Chamberlain Alyce N. Wilson Lisa H. Amir Kerin O'Dea Sandra Campbell Dympna Leonard Rebecca Ritte Mary Mulcahy Sandra Eades Rory Wolfe |
| author_sort | Catherine R. Chamberlain |
| collection | DOAJ |
| description | Abstract Objectives: To investigate rates of ‘any’ and ‘predominant’ breastfeeding in hospital among Indigenous and non‐Indigenous women with and without gestational diabetes mellitus (GDM). Methods: A retrospective study of singleton infants born from July 2007 to December 2010 at Cairns Hospital, Australia, following GDM pregnancy, using linked hospital and birth data (n=617 infants), with a subsample of medical record reviews (n=365 infants). Aggregate data were used to compare to breastfeeding rates among infants born following non‐GDM pregnancy (n=7,894 infants). Results: More than 90% of all women reported any breastfeeding before hospital discharge. About 80% of women without GDM reported predominant breastfeeding. Despite significant increases over time (p<0.0001), women with GDM were less likely to predominantly breastfeed (OR 0.32, 95%CI 0.27–0.38, p<0.0001); with lower rates among Indigenous women (53%) compared with non‐Indigenous (60%) women (OR 0.78, 0.70–0.88, p<0.0001); and women having a caesarean birth or pre‐term infant. Conclusions: Rates of predominant in‐hospital breastfeeding were lower among women with GDM, particularly among Indigenous women and women having a caesarean or pre‐term birth. Implications: Strategies are needed to support predominant in‐hospital breastfeeding among women with GDM. |
| first_indexed | 2024-03-12T20:26:49Z |
| format | Article |
| id | doaj.art-dc9186c1d2fc4eb6be4b0fed0e6d45c2 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T20:26:49Z |
| publishDate | 2017-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-dc9186c1d2fc4eb6be4b0fed0e6d45c22023-08-02T00:28:35ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052017-04-0141214415010.1111/1753-6405.12629Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in AustraliaCatherine R. Chamberlain0Alyce N. Wilson1Lisa H. Amir2Kerin O'Dea3Sandra Campbell4Dympna Leonard5Rebecca Ritte6Mary Mulcahy7Sandra Eades8Rory Wolfe9Indigenous Health Equity Unit, School of Population and Global Health University of Melbourne VictoriaIndigenous Health Equity Unit, School of Population and Global Health University of Melbourne VictoriaJudith Lumley Centre La Trobe University VictoriaCentre for Population Health Research, School of Health Sciences University of South AustraliaApunipima Cape York Health Council QueenslandCentre for Chronic Disease Prevention, Cairns Institute James Cook University QueenslandIndigenous Health Equity Unit, School of Population and Global Health University of Melbourne VictoriaMaternity Unit, Cairns Hospital QueenslandAboriginal Health Domain, Baker IDI Heart and Diabetes Institute VictoriaDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine Monash University VictoriaAbstract Objectives: To investigate rates of ‘any’ and ‘predominant’ breastfeeding in hospital among Indigenous and non‐Indigenous women with and without gestational diabetes mellitus (GDM). Methods: A retrospective study of singleton infants born from July 2007 to December 2010 at Cairns Hospital, Australia, following GDM pregnancy, using linked hospital and birth data (n=617 infants), with a subsample of medical record reviews (n=365 infants). Aggregate data were used to compare to breastfeeding rates among infants born following non‐GDM pregnancy (n=7,894 infants). Results: More than 90% of all women reported any breastfeeding before hospital discharge. About 80% of women without GDM reported predominant breastfeeding. Despite significant increases over time (p<0.0001), women with GDM were less likely to predominantly breastfeed (OR 0.32, 95%CI 0.27–0.38, p<0.0001); with lower rates among Indigenous women (53%) compared with non‐Indigenous (60%) women (OR 0.78, 0.70–0.88, p<0.0001); and women having a caesarean birth or pre‐term infant. Conclusions: Rates of predominant in‐hospital breastfeeding were lower among women with GDM, particularly among Indigenous women and women having a caesarean or pre‐term birth. Implications: Strategies are needed to support predominant in‐hospital breastfeeding among women with GDM.https://doi.org/10.1111/1753-6405.12629breastfeedingGestational Diabetes MellitusType 2 Diabetes MellituspregnancyAboriginalIndigenous |
| spellingShingle | Catherine R. Chamberlain Alyce N. Wilson Lisa H. Amir Kerin O'Dea Sandra Campbell Dympna Leonard Rebecca Ritte Mary Mulcahy Sandra Eades Rory Wolfe Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia Australian and New Zealand Journal of Public Health breastfeeding Gestational Diabetes Mellitus Type 2 Diabetes Mellitus pregnancy Aboriginal Indigenous |
| title | Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia |
| title_full | Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia |
| title_fullStr | Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia |
| title_full_unstemmed | Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia |
| title_short | Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia |
| title_sort | low rates of predominant breastfeeding in hospital after gestational diabetes particularly among indigenous women in australia |
| topic | breastfeeding Gestational Diabetes Mellitus Type 2 Diabetes Mellitus pregnancy Aboriginal Indigenous |
| url | https://doi.org/10.1111/1753-6405.12629 |
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