Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study
OBJECTIVES: There is an urgent need to improve breast feeding rates for Australian First Nations (Aboriginal and Torres Strait Islander) infants. We explored breast feeding outcomes of women having a First Nations infant at three sites that introduced a culturally specific continuity of midwife care...
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ftgriffithuniv:oai:research-repository.griffith.edu.au:10072/422225 2024-06-23T07:52:48+00:00 Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study Springall, T Forster, DA McLachlan, HL McCalman, P Shafiei, T 2023 http://hdl.handle.net/10072/422225 https://doi.org/10.1136/bmjopen-2022-066978 eng eng BMJ BMJ Open Springall, T; Forster, DA; McLachlan, HL; McCalman, P; Shafiei, T, Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study, BMJ Open, 2023, 13 (1), pp. e066978 http://hdl.handle.net/10072/422225 2044-6055 doi:10.1136/bmjopen-2022-066978 http://creativecommons.org/licenses/by-nc/4.0/ © Author(s) (or their employer(s)) 2023. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. open access Biomedical and clinical sciences Health sciences Psychology NEONATOLOGY OBSTETRICS PRIMARY CARE Journal article 2023 ftgriffithuniv https://doi.org/10.1136/bmjopen-2022-066978 2024-06-12T00:16:12Z OBJECTIVES: There is an urgent need to improve breast feeding rates for Australian First Nations (Aboriginal and Torres Strait Islander) infants. We explored breast feeding outcomes of women having a First Nations infant at three sites that introduced a culturally specific continuity of midwife care model. DESIGN: Women having a First Nations infant booking for pregnancy care between March 2017 and November 2020 were invited to participate. Surveys at recruitment and 3 months post partum were developed with input from the First Nations Advisory Committee. We explored breast feeding intention, initiation, maintenance and reasons for stopping and factors associated with breast feeding. SETTING: Three tertiary maternity services in Melbourne, Australia. PARTICIPANTS: Of 479/926 eligible women approached, 343 (72%) completed the recruitment survey, and 213/343 (62%) the postnatal survey. OUTCOMES: Primary: breast feeding initiation and maintenance. Secondary: breast feeding intention and reasons for stopping breast feeding. RESULTS: Most women (298, 87%) received the culturally specific model. Breast feeding initiation (96%, 95% CI 0.93 to 0.98) was high. At 3 months, 71% were giving 'any' (95% CI 0.65 to 0.78) and 48% were giving 'only' breast milk (95% CI 0.41 to 0.55). Intending to breast feed 6 months (Adj OR 'any': 2.69, 95% CI 1.29 to 5.60; 'only': 2.22, 95% CI 1.20 to 4.12), and not smoking in pregnancy (Adj OR 'any': 2.48, 95% CI 1.05 to 5.86; 'only': 4.05, 95% CI 1.54 to 10.69) were associated with higher odds. Lower education (Adj OR 'any': 0.36, 95% CI 0.13 to 0.98; 'only': 0.50, 95% CI 0.26 to 0.96) and government benefits as the main household income (Adj OR 'any': 0.26, 95% CI 0.11 to 0.58) with lower odds. CONCLUSIONS: Breast feeding rates were high in the context of service-wide change. Our findings strengthen the evidence that culturally specific continuity models improve breast feeding outcomes for First Nations women and infants. We recommend implementing and upscaling First Nations specific ... Article in Journal/Newspaper First Nations Griffith University: Griffith Research Online BMJ Open 13 1 e066978 |
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Open Polar |
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Griffith University: Griffith Research Online |
op_collection_id |
ftgriffithuniv |
language |
English |
topic |
Biomedical and clinical sciences Health sciences Psychology NEONATOLOGY OBSTETRICS PRIMARY CARE |
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Biomedical and clinical sciences Health sciences Psychology NEONATOLOGY OBSTETRICS PRIMARY CARE Springall, T Forster, DA McLachlan, HL McCalman, P Shafiei, T Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study |
topic_facet |
Biomedical and clinical sciences Health sciences Psychology NEONATOLOGY OBSTETRICS PRIMARY CARE |
description |
OBJECTIVES: There is an urgent need to improve breast feeding rates for Australian First Nations (Aboriginal and Torres Strait Islander) infants. We explored breast feeding outcomes of women having a First Nations infant at three sites that introduced a culturally specific continuity of midwife care model. DESIGN: Women having a First Nations infant booking for pregnancy care between March 2017 and November 2020 were invited to participate. Surveys at recruitment and 3 months post partum were developed with input from the First Nations Advisory Committee. We explored breast feeding intention, initiation, maintenance and reasons for stopping and factors associated with breast feeding. SETTING: Three tertiary maternity services in Melbourne, Australia. PARTICIPANTS: Of 479/926 eligible women approached, 343 (72%) completed the recruitment survey, and 213/343 (62%) the postnatal survey. OUTCOMES: Primary: breast feeding initiation and maintenance. Secondary: breast feeding intention and reasons for stopping breast feeding. RESULTS: Most women (298, 87%) received the culturally specific model. Breast feeding initiation (96%, 95% CI 0.93 to 0.98) was high. At 3 months, 71% were giving 'any' (95% CI 0.65 to 0.78) and 48% were giving 'only' breast milk (95% CI 0.41 to 0.55). Intending to breast feed 6 months (Adj OR 'any': 2.69, 95% CI 1.29 to 5.60; 'only': 2.22, 95% CI 1.20 to 4.12), and not smoking in pregnancy (Adj OR 'any': 2.48, 95% CI 1.05 to 5.86; 'only': 4.05, 95% CI 1.54 to 10.69) were associated with higher odds. Lower education (Adj OR 'any': 0.36, 95% CI 0.13 to 0.98; 'only': 0.50, 95% CI 0.26 to 0.96) and government benefits as the main household income (Adj OR 'any': 0.26, 95% CI 0.11 to 0.58) with lower odds. CONCLUSIONS: Breast feeding rates were high in the context of service-wide change. Our findings strengthen the evidence that culturally specific continuity models improve breast feeding outcomes for First Nations women and infants. We recommend implementing and upscaling First Nations specific ... |
format |
Article in Journal/Newspaper |
author |
Springall, T Forster, DA McLachlan, HL McCalman, P Shafiei, T |
author_facet |
Springall, T Forster, DA McLachlan, HL McCalman, P Shafiei, T |
author_sort |
Springall, T |
title |
Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study |
title_short |
Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study |
title_full |
Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study |
title_fullStr |
Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study |
title_full_unstemmed |
Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study |
title_sort |
rates of breast feeding and associated factors for first nations infants in a hospital with a culturally specific caseload midwifery model in victoria, australia: a cohort study |
publisher |
BMJ |
publishDate |
2023 |
url |
http://hdl.handle.net/10072/422225 https://doi.org/10.1136/bmjopen-2022-066978 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
BMJ Open Springall, T; Forster, DA; McLachlan, HL; McCalman, P; Shafiei, T, Rates of breast feeding and associated factors for First Nations infants in a hospital with a culturally specific caseload midwifery model in Victoria, Australia: a cohort study, BMJ Open, 2023, 13 (1), pp. e066978 http://hdl.handle.net/10072/422225 2044-6055 doi:10.1136/bmjopen-2022-066978 |
op_rights |
http://creativecommons.org/licenses/by-nc/4.0/ © Author(s) (or their employer(s)) 2023. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. open access |
op_doi |
https://doi.org/10.1136/bmjopen-2022-066978 |
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BMJ Open |
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13 |
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1 |
container_start_page |
e066978 |
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1802644191650512896 |