Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia

Chamberlain, Catherine R., Wilson, Alyce N., Amir, Lisa H., O'Dea, Kerin, Campbell, Sandra, Leonard, Dympna, Ritte, Rebecca, Mulcahy, Mary, Eades, Sandra, and Wolfe, Rory (2017) Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia. Australian and New Zealand Journal of Public Health, 41 (2). pp. 144-150.

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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.

Item ID: 48795
Item Type: Article (Research - C1)
ISSN: 1753-6405
Keywords: breastfeeding, Gestational Diabetes Mellitus, Type 2 Diabetes Mellitus, pregnancy, Aboriginal, Indigenous, diabetes
Additional Information:

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium.

Funders: National Health and Medical Research Council of Australia (NHMRC), Cairns Diabetes Centre
Projects and Grants: NHMRC Early Career Fellowship 1088813, NHMRC Program Grant 631947, NHMRC Early Career Fellowship 1071889, NHMRC Postgraduate Scholarship 1092732
Date Deposited: 26 Apr 2017 03:36
FoR Codes: 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450414 Aboriginal and Torres Strait Islander mothers and babies health and wellbeing @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920104 Diabetes @ 50%
92 HEALTH > 9202 Health and Support Services > 920205 Health Education and Promotion @ 50%
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