Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia
Catherine R. Chamberlain, Alyce N. Wilson, Lisa H. Amir, Kerin O'Dea, Sandra Campbell, Dympna Leonard, Rebecca Ritte, Mary Mulcahy, Sandra Eades and Rory Wolfe
Australian and New Zealand journal of public health, Vol.41(2), pp.144-150
Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
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.
Details
Title
Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia
Authors/Creators
Catherine R. Chamberlain - Baker Heart and Diabetes Institute
Alyce N. Wilson - The University of Melbourne
Lisa H. Amir - La Trobe University
Kerin O'Dea - University of South Australia
Sandra Campbell - James Cook University
Dympna Leonard - James Cook University
Rebecca Ritte - The University of Melbourne
Mary Mulcahy - Cairns Hospital
Sandra Eades - Baker Heart and Diabetes Institute
Rory Wolfe - Monash University
Publication Details
Australian and New Zealand journal of public health, Vol.41(2), pp.144-150
Publisher
Wiley
Number of pages
7
Grant note
631947; 1071889; 1092732 / NHMRC; National Health and Medical Research Council (NHMRC) of Australia
1088813 / National Health and Medical Research Council (NHMRC); National Health and Medical Research Council (NHMRC) of Australia
Cairns Diabetes Centre