TY - JOUR
T1 - Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia
AU - Chamberlain, Catherine R.
AU - Wilson, Alyce N.
AU - Amir, Lisa H.
AU - O'Dea, Kerin
AU - Campbell, Sandra
AU - Leonard, Dympna
AU - Ritte, Rebecca
AU - Mulcahy, Mary
AU - Eades, Sandra
AU - Wolfe, Rory
PY - 2017/4
Y1 - 2017/4
N2 - 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.
AB - 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.
KW - Aboriginal
KW - breastfeeding
KW - diabetes
KW - Gestational Diabetes Mellitus
KW - Indigenous
KW - pregnancy
KW - Type 2 Diabetes Mellitus
UR - http://www.scopus.com/inward/record.url?scp=85010192475&partnerID=8YFLogxK
U2 - 10.1111/1753-6405.12629
DO - 10.1111/1753-6405.12629
M3 - Article
C2 - 28110518
AN - SCOPUS:85010192475
VL - 41
SP - 144
EP - 150
JO - Australian and New Zealand Journal of Public Health
JF - Australian and New Zealand Journal of Public Health
SN - 1326-0200
IS - 2
ER -