Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia
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Date
2017
Authors
Chamberlain, C.R.
Wilson, A.N.
Amir, L.H.
O'Dea, K.
Campbell, S.
Leonard, D.
Ritte, R.
Mulcahy, M.
Eades, S.
Wolfe, R.
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Journal article
Citation
Australian and New Zealand Journal of Public Health, 2017; 41(2):144-150
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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.
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Data source: Supporting information, https://doi.org/10.1111/1753-6405.12629
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Copyright 2017 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. (http://creativecommons.org/licenses/by-nc-nd/4.0/)