Publicly available Australian hospital data on infant feeding : A review and comparative analysis of outcomes

Journal article

Meedya, S., Hocking, J., Atchan, M. and Burns, E.. (2024). Publicly available Australian hospital data on infant feeding : A review and comparative analysis of outcomes. Women and Birth. 37(5), p. Article 101658. https://doi.org/10.1016/j.wombi.2024.101658
AuthorsMeedya, S., Hocking, J., Atchan, M. and Burns, E.
Abstract

Background
Breastfeeding is the optimal method of providing infant nutrition. The Baby Friendly Health Initiative (BFHI) is a global strategy to promote breastfeeding. This study aimed to explore infant feeding data in Australian hospitals and compare outcomes between BFHI and non-BFHI accredited hospitals, and between public and private hospitals.

Methods
We targeted publicly available Australian public and private hospital data on breastfeeding outcomes at discharge from 2018 to 2019. We linked the data to the BFHI accredited hospitals and used t tests to compare mean breastfeeding rates and Chi square or Fisher’s exact test for categorical variables.

Findings
Across all Australian states and territories, only New South Wales (NSW) and Victoria (VIC) provided the publicly available target data. Breastfeeding indicators were defined differently between these states. In NSW, breastfeeding at discharge was reported as a full breastfeeding rate among live born infants (71 %) whereas in VIC, it was reported as exclusive breastfeeding rates among term babies only (79 %). Comparing public with private hospitals, the rates of full breastfeeding at discharge in NSW and exclusive breastfeeding in VIC were significantly lower among private non-BFHI accredited hospitals compared to public non-BFHI accredited hospitals.

Conclusion
BFHI accreditation can be beneficial in decreasing the rates of commercial milk formula use. Consistent reinforcement of BFHI principles and implementation in both private and public hospitals is required. Regular state monitoring and national dissemination of aggregated data collected using standardised breastfeeding indicators is also essential.

Keywordsbreastfeeding; Baby Friendly Health Initiative; monitoring; trends
Year2024
JournalWomen and Birth
Journal citation37 (5), p. Article 101658
PublisherElsevier Ltd
ISSN1871-5192
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2024.101658
PubMed ID39018605
Scopus EID2-s2.0-85198524193
Open accessPublished as ‘gold’ (paid) open access
Publisher's version
License
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Open
Output statusPublished
Publication dates
Online16 Jul 2024
Publication process dates
Accepted16 Jul 2024
Deposited09 Feb 2025
Additional information

© 2024 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

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Hassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2019). Assessment of childbirth preparation classes : A parallel convergent mixed study. Reproductive Health. 16(1), p. Article 160. https://doi.org/10.1186/s12978-019-0826-2
Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol
Hadian, Tahereh, Mousavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol. Reproductive Health. 16(1), p. Article 45. https://doi.org/10.1186/s12978-019-0719-4
The role of editors and reviewers [Editorial]
Stulz, Virginia, Meedya, Shahla and Sweet, Linda. (2019). The role of editors and reviewers [Editorial] Elsevier Ltd. https://doi.org/10.1016/j.wombi.2019.04.009
Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study
Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study. BMC Pregnancy and Childbirth. 19(1), pp. 1-9. https://doi.org/10.1186/s12884-019-2333-4
Exercise and dementia in nursing homes : Views of staff and family carers
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2018). Exercise and dementia in nursing homes : Views of staff and family carers. Journal of Aging and Physical Activity. 26(1), pp. 89-96. https://doi.org/10.1123/japa.2016-0368
Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary]
Brett, Lindsey, Stapley, Paul, Meedya, Shahla and Traynor, Victoria. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary] John Wiley & Sons, Inc.. https://doi.org/10.1111/1753-6405.12800
Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period
Bagherinia, Marzieh, Meedya, Shahla and Mirghafourvand, Mojgan. (2018). Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period. Shiraz E-Medical Journal. 19(3), p. Article e59286. https://doi.org/10.5812/semj.59286
Putting Australia to the test: The World Breastfeeding Trends Initiative
Naomi Hull, Julie Smith, Mary Peterson and Jen Hocking. (2018). Putting Australia to the test: The World Breastfeeding Trends Initiative. Breastfeeding Review. 26(2), pp. 7-15.
Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis. JBI Evidence Synthesis. 15(9), pp. 2307-2332. https://doi.org/10.11124/JBISRIR-2016-002955
Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol. JBI Evidence Synthesis. 15(3), pp. 594-602. https://doi.org/10.11124/JBISRIR-2016-003132
Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol. International Psychogeriatrics. 29(9), pp. 1565-1577. https://doi.org/10.1017/S1041610217000138
The health and health preparation of long-term Australian travellers
Halcomb, Elizabeth, Stephens, Moira, Smyth, Elizabeth, Meedya, Shahla and Tillott, Sarah. (2017). The health and health preparation of long-term Australian travellers. Australian Journal of Primary Health. 23(4), pp. 386-390. https://doi.org/10.1071/PY16138
The Milky Way educational and support programme : Structure, content and strategies
Meedya, Shahla, Fahy, Kathleen and Parratt, Jenny A.. (2016). The Milky Way educational and support programme : Structure, content and strategies. Women and Birth. 29(4), pp. 388-393. https://doi.org/10.1016/j.wombi.2016.01.006