Predictors of breastfeeding exclusivity and duration in a hospital without Baby Friendly Hospital Initiative accreditation : A prospective cohort study

Journal article

O'Connor, Michelle, Allen, Jyai, Kelly, Jennifer, Gao, Yu and Kildea, Sue. (2018). Predictors of breastfeeding exclusivity and duration in a hospital without Baby Friendly Hospital Initiative accreditation : A prospective cohort study. Australian Midwifery. 31(4), pp. 319-324. https://doi.org/10.1016/j.wombi.2017.10.013

Publication dates
Authors	O'Connor, Michelle, Allen, Jyai, Kelly, Jennifer, Gao, Yu and Kildea, Sue
Abstract	Aim The aim of this study was to investigate the maternity care factors associated with exclusive breastfeeding duration at three months and six months postpartum in a setting without BFHI accrediation. Methods A prospective cohort design. Participants from one tertiary maternity hospital were eligible if they intended to exclusively breastfeed, had birthed a live, term baby; were breastfeeding at recruitment; were rooming-in with their baby; were healthy and well; and understood English. Participants completed an infant feeding survey using 24-h recall questions at three time-points. Data were analysed using descriptive statistics, bivariate analysis and regression modelling. Findings We recruited 424 participants of whom 84% (n = 355) responded to the survey at 3-months and 79% (n = 335) at 6-months. Women who avoided exposure to intrapartum opioid analgesia (e.g. intramuscular, intraveous or epidural) were more likely to be exclusively breastfeeding at 3-months postpartum (adjusted odds ratio (aOR) 2.09, 95% confidence interval (CI) 1.15–3.80, probability value (p) 0.016). The only other modifiable predictor of exclusive breastfeeding at 3-months was non-exposure to artificial formula on the postnatal ward (aOR 2.44, 95% CI 1.43–4.18, p < 0.001). At 6-months postpartum, the rate of exclusive breastfeeding had reduced to 5% (n = 16) which rendered regression modelling untenable. Discussion Strategies to decrease exposure to opioid analgesia in birth settings and the use of infant formula on the postnatal ward may improve exclusive breastfeeding at three months. Conclusion Results suggest that both intrapartum and postpartum maternity care practices can predict long-term breastfeeding success.
Keywords	breastfeeding; infant formula; opioid analgesics; epidural analgesia; midwifery; postnatal care
Year	2018
Journal	Australian Midwifery
Journal citation	31 (4), pp. 319-324
Publisher	Elsevier Ltd
ISSN	1871-5192
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.wombi.2017.10.013
Scopus EID	2-s2.0-85034971429
Open access	Published as green open access
Page range	319-324
Author's accepted manuscript	AM_OConnor_2018_Predictors_of_breastfeeding_exclusivity_and_duration.pdf License CC BY-NC-ND 4.0 File Access Level Open
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	02 Nov 2017
Publication process dates
Accepted	25 Oct 2017
Deposited	12 May 2021

Permalink -

https://acuresearchbank.acu.edu.au/item/8w072/predictors-of-breastfeeding-exclusivity-and-duration-in-a-hospital-without-baby-friendly-hospital-initiative-accreditation-a-prospective-cohort-study

Download files

Author's accepted manuscript

	AM_OConnor_2018_Predictors_of_breastfeeding_exclusivity_and_duration.pdf
License: CC BY-NC-ND 4.0
File access level: Open

Restricted files

Publisher's version

(1 files)

31
total views
3
total downloads
0
views this month
0
downloads this month

These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Exploring the impact of a dual occupancy neonatal intensive care unit on staff workflow, activity, and their perceptions

Broom, Margaret, Kecskes, Zsuzsoka, Kildea, Sue and Gardner, Anne. (2019). Exploring the impact of a dual occupancy neonatal intensive care unit on staff workflow, activity, and their perceptions. Health Environments Research and Design Journal. 12(2), pp. 44-54. https://doi.org/10.1177/1937586718779360

Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study

Williams, Lauren, Jenkinson, Bec, Lee, Nigel, Gao, Yu, Allen, Jyai, Morrow, Jane and Kildea, Sue. (2019). Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study. Women and Birth. 33(3), pp. 259 - 264. https://doi.org/10.1016/j.wombi.2019.05.001

The Indigenous Birthing in an Urban Setting study: the IBUS study

Sophie Hickey, Yvette Roe, Yu Gao, Carmel Nelson, Adrian Carson, Jody Currie, Maree Reynolds, Kay Wilson, Sue Kruske, Renee Blackman, Megan Passey, Anton Clifford, Sally Tracy, Roianne West, Daniel Williamson, Machellee Kosiak, Shannon Watego, Joan Webster and Sue Kildea. (2018). The Indigenous Birthing in an Urban Setting study: the IBUS study. BMC Pregnancy and Childbirth. 18(431), pp. 1-12. https://doi.org/10.1186/s12884-018-2067-8

Is the Birthing Unit Design Spatial Evaluation Tool valid for diverse groups?

Sara Menke, Bec Jenkinson, Maralyn Foureur and Sue Kildea. (2018). Is the Birthing Unit Design Spatial Evaluation Tool valid for diverse groups? Australian Midwifery. 32(4), pp. 372-379. https://doi.org/10.1016/j.wombi.2018.09.009

Birthing on Country (in Our Community): A case study of engaging stakeholders and developing a best-practice Indigenous maternity service in an urban setting

Sue Kildea, Sophie Hickey, Carmel Nelson, Jody Currie, Adrian Carson, Maree Reynolds, Kay Wilson, Sue Kruske, Megan Passey, Yvette Roe, Roianne West, Anton Clifford, Machellee Kosiak, Shannon Watego and Sally Tracy. (2018). Birthing on Country (in Our Community): A case study of engaging stakeholders and developing a best-practice Indigenous maternity service in an urban setting. Australian Health Review. 42(2), pp. 230-238. https://doi.org/10.1071/AH16218

Transition from an open-plan to a two-cot neonatal intensive care unit : A participatory action research approach

Broom, Margaret, Gardner, Anne, Kecskes, Zsuzsoka and Kildea, Sue. (2017). Transition from an open-plan to a two-cot neonatal intensive care unit : A participatory action research approach. Journal of Clinical Nursing. 26(13-14), pp. 1939-1948. https://doi.org/10.1111/jocn.13509

So you want to conduct a randomised trial? Learnings from a ‘failed’ feasibility study of a Crisis Resource Management prompt during simulated paediatric resuscitation

Teis, Rachel, Allen, Jyai, Lee, Nigel and Kildea, Sue. (2017). So you want to conduct a randomised trial? Learnings from a ‘failed’ feasibility study of a Crisis Resource Management prompt during simulated paediatric resuscitation. Australasian Emergency Nursing Journal. 20(1), pp. 37 - 44. https://doi.org/10.1016/j.aenj.2016.12.001

How optimal caseload midwifery can modify predictors for preterm birth in young women : Integrated findings from a mixed methods study

Allen, Jyai, Kildea, Sue and Stapleton, Helen. (2016). How optimal caseload midwifery can modify predictors for preterm birth in young women : Integrated findings from a mixed methods study. Midwifery. 41, pp. 30-38. https://doi.org/10.1016/j.midw.2016.07.012

Reconceptualising risk: Perceptions of risk in rural and remote maternity service planning

Barclay, Lesley, Kornelsen, Jude, Longman, Jo, Robin, Sarah, Kruske, Sue, Kildea, Sue Verlie, Pilcher, Jennifer, Martin, Tanya, Grzybowski, Stefan, Donoshue, Deborah Anne, Rolfe, Margaret and Morgan, Geoff. (2016). Reconceptualising risk: Perceptions of risk in rural and remote maternity service planning. Midwifery. 38, pp. 63 - 70. https://doi.org/10.1016/j.midw.2016.04.007

Does model of maternity care make a difference to birth outcomes for young women? A retrospective cohort study

Allen, Jyai, Gibbons, Kristen, Beckmann, Michael, Tracy, Mark, Stapleton, Helen and Kildea, Sue. (2015). Does model of maternity care make a difference to birth outcomes for young women? A retrospective cohort study. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2015.04.011

A cost-consequences analysis of a Midwifery Group Practice for Aboriginal mothers and infants in the Top End of the Northern Territory, Australia

Gao, Yu, Gold, Lisa, Josif, Cath, Bar-Zeev, Sarah, Steenkamp, Malinda, Barclay, Lesley, Zhao, Yuejen, Tracy, Sally and Kildea, Sue. (2014). A cost-consequences analysis of a Midwifery Group Practice for Aboriginal mothers and infants in the Top End of the Northern Territory, Australia. Midwifery. 30(4), pp. 447 - 455. https://doi.org/10.1016/j.midw.2013.04.004

Factors affecting the quality of antenatal care provided to remote dwelling Aboriginal women in northern Australia

Barclay, Lesley, Bar-Zeev, Sarah, Kruske, Sue and Kildea, Sue. (2014). Factors affecting the quality of antenatal care provided to remote dwelling Aboriginal women in northern Australia. Midwifery. 30(3), pp. 289 - 296. https://doi.org/10.1016/j.midw.2013.04.009

'No more strangers': Investigating the experiences of women, midwives and others during the establishment of a new model of maternity care for remote dwelling aboriginal women in northern Australia

Josif, Cath, Barclay, Lesley, Kruske, Sue and Kildea, Sue. (2014). 'No more strangers': Investigating the experiences of women, midwives and others during the establishment of a new model of maternity care for remote dwelling aboriginal women in northern Australia. Midwifery. 30(3), pp. 317 - 323. https://doi.org/10.1016/j.midw.2013.03.012

'Give us the full story': Overcoming the challenges to achieving informed choice about fetal anomaly screening in Australian Aboriginal communities

Wild, Kayli, Maypilama, Elaine, Kildea, Sue, Boyle, Jacqueline, Barclay, Lesley and Rumbold, Alice. (2013). 'Give us the full story': Overcoming the challenges to achieving informed choice about fetal anomaly screening in Australian Aboriginal communities. Social Science & Medicine. https://doi.org/10.1016/j.socscimed.2012.10.031

Impact on Caesarean section rates following injections of sterile water (ICARIS): a multicentre randomised controlled trial

Lee, Nigel, Mårtensson, Lena B., Homer, Caroline, Webster, Joan, Gibbons, Kristen, Stapleton, Helen, Dos Santos, Natalie, Beckmann, Michael, Gao, Yu and Kildea, Sue. (2013). Impact on Caesarean section rates following injections of sterile water (ICARIS): a multicentre randomised controlled trial. BMC Pregnancy and Childbirth. 13(105), pp. 1 - 10. https://doi.org/10.1186/1471-2393-13-105

Adherence to management guidelines for growth faltering and anaemia in remote dwelling Australian Aboriginal infants and barriers to health service delivery

Bar-Zeev, Sarah, Kruske, Sue, Barclay, Lesley, Bar-Zeev, Naor and Kildea, Sue. (2013). Adherence to management guidelines for growth faltering and anaemia in remote dwelling Australian Aboriginal infants and barriers to health service delivery. BMC Health Services Research. 13(250), pp. 1 - 12. https://doi.org/10.1186/1472-6963-13-250

Caseload midwifery care versus standard maternity care for women of any risk : M@NGO, a randomised controlled trial

Tracy, Sally, Hartz, Donna, Tracy, Mark, Allen, Jyai, Forti, Amanda, Hall, Bev, White, Jan, Lainchbury, Anne, Stapleton, Helen, Beckmann, Michael, Bisits, Andrew, Homer, Caroline, Foureur, Maralyn and Kildea, Sue. (2013). Caseload midwifery care versus standard maternity care for women of any risk : M@NGO, a randomised controlled trial. The Lancet. https://doi.org/10.1016/S0140-6736(13)61406-3

Niyith Nniyith Watmam (the quiet story): Exploring the experiences of Aboriginal women who give birth in their remote community

Ireland, S., Wulili Narjic, C., Belton, S. and Kildea, Sue. (2011). Niyith Nniyith Watmam (the quiet story): Exploring the experiences of Aboriginal women who give birth in their remote community. Midwifery (print version). 27(5), pp. 634 - 641. https://doi.org/10.1016/j.midw.2010.05.009

A randomised controlled trial of caseload midwifery care: M@NGO (Midwives @ New Group practice Options)

Tracy, S., Hartz, D., Hall, B., Allen, Jyai D., Forti, A., Lainchbury, A., White, J., Walsh, A., Tracy, M. and Kildea, Sue. (2011). A randomised controlled trial of caseload midwifery care: M@NGO (Midwives @ New Group practice Options). BMC Pregnancy and Childbirth. 11(82), pp. 1 - 8. https://doi.org/10.1186/1471-2393-11-82

Study protocol: A randomised non-inferiority controlled trial of a single versus a four intradermal sterile water injection technique for relief of continuous lower back pain during labour

Lee, Nigel J., Coxeter, P., Beckmann, M., Webster, J., Wright, V., Smith, T. and Kildea, Sue. (2011). Study protocol: A randomised non-inferiority controlled trial of a single versus a four intradermal sterile water injection technique for relief of continuous lower back pain during labour. BMC Pregnancy and Childbirth. 11(21), pp. 1 - 9. https://doi.org/10.1186/1471-2393-11-21

An account of significant events influencing Australian breastfeeding practice over the last 40 years

Thompson, Robyn, Kildea, Sue, Barclay, L. and Kruske, S.. (2011). An account of significant events influencing Australian breastfeeding practice over the last 40 years. Women and Birth (print version). 24(3), pp. 97 - 104. https://doi.org/10.1016/j.wombi.2010.08.005

Pragmatic indicators for remote Aboriginal maternal and infant health care: Why it matters and where to start

Kildea, Sue, Barclay, Lesley, Steenkamp, Malinda and Rumbold, Alice. (2010). Pragmatic indicators for remote Aboriginal maternal and infant health care: Why it matters and where to start. Australian and New Zealand Journal of Public Health. 34(1), pp. 55 - 58. https://doi.org/10.1111/j.1753-6405.2010.00545.x

Rural birth index for Australia?

Kildea, Sue and Stratagos, Susan. (2010). Rural birth index for Australia? Australian Journal of Rural Health. 18(2), pp. 85 - 86. https://doi.org/10.1111/j.1440-1584.2010.01130.x

Barriers to increasing hospital birth rates in rural Shanxi province, China

Gao, Yu, Barclay, Lesley, Kildea, Sue, Hao, Min and Belton, Suzanne. (2010). Barriers to increasing hospital birth rates in rural Shanxi province, China. Reproductive Health Matters. 18(36), pp. 35 - 45. https://doi.org/10.1016/S0968-8080(10)36523-2

'Closing the gap': How maternity services can contribute to reducing poor maternal infant health outcomes for Aboriginal and Torres Strait Islander women

Kildea, Sue, Kruske, Sue, Barclay, Lesley and Tracy, Sally. (2010). 'Closing the gap': How maternity services can contribute to reducing poor maternal infant health outcomes for Aboriginal and Torres Strait Islander women. Rural and Remote Health. 10(3), pp. 1383 - 1402.

The role of the midwife in Australia: views of women and midwives

Homer, Caroline, Passant, Lyn, Brodie, Pat, Kildea, Sue, Leap, Nicky, Pincombe, Jan and Thorogood, Carol. (2009). The role of the midwife in Australia: views of women and midwives. Midwifery. 25(6), pp. 673 - 681. https://doi.org/10.1016/j.midw.2007.11.003

Making pregnancy safer in Australia: The importance of maternal death review

Kildea, Sue, Pollock, Wendy E. and Barclay, Lesley. (2008). Making pregnancy safer in Australia: The importance of maternal death review. Australian and New Zealand Journal of Obstetrics and Gynaecology. 48(2), pp. 130 - 136. https://doi.org/10.1111/j.1479-828X.2008.00846.x

Maternal deaths high for indigenous women

Kildea, Sue. (2008). Maternal deaths high for indigenous women. Women and Birth. 21(4), pp. 175 - 176. https://doi.org/10.1016/j.wombi.2008.06.002

Maternal mortality and psychiatric morbidity in the perinatal period: Challenges and opportunities for prevention in the Australian setting

Austin, Marie-Paule, Kildea, Sue and Sullivan, Elizabeth. (2007). Maternal mortality and psychiatric morbidity in the perinatal period: Challenges and opportunities for prevention in the Australian setting. Medical Journal of Australia. 186(7), pp. 364 - 367.

The development of national competency standards for the midwife in Australia

Homer, Caroline, Passant, Lyn, Kildea, Sue, Pincombe, Jan, Thorogood, Carol, Leap, Nicky and Brodie, Pat. (2007). The development of national competency standards for the midwife in Australia. Midwifery. 23(4), pp. 350 - 360. https://doi.org/10.1016/j.midw.2006.03.008

Maternity emergency care: Short course in maternity emergencies for remote area health staff with no midwifery qualifications

Kildea, Sue, Kruske, Sue and Bowell, Libby. (2006). Maternity emergency care: Short course in maternity emergencies for remote area health staff with no midwifery qualifications. Australian Journal of Rural Health. 14(3), pp. 111 - 115. https://doi.org/10.1111/j.1440-1584.2006.00785.x