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

Thompson, Robyn; Kildea, Sue; Barclay, Lesley; Kruske, Sue

doi:10.1016/j.wombi.2010.08.005

Cited by 17 publications

(5 citation statements)

References 57 publications

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“…To the participants, this can translate into birth traumas that can become a source of psychological distress. It has been shown in other studies that traumatic stressors can influence and truncate the duration of breastfeeding in mothers [22, 23]. Additionally, it can be argued that substantial hemorrhages can lead to delayed initiation of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

et al. 2018

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BackgroundWe investigated the possible risk factors that could influence the likelihood of breastfeeding at 5 to 9 weeks postpartum with our primary aim being to analyse the associations between psychological vulnerabilities, such as peripartum depression and anxiety, and continued breastfeeding. Our secondary aim was to investigate other non-psychological factors’ influence on continued breastfeeding.MethodsA prospective cohort study was conducted in KK Women’s and Children’s Hospital in Singapore. Healthy nulliparous parturients at ≥36 weeks gestation with a singleton fetus who received epidural analgesia were recruited. Demographic and anaesthetic data were obtained. Self-reported psychological and pain determinants such as anxiety (State-Trait Anxiety Inventory), depression (Edinburgh Postnatal Depression Scale), stress (Perceived Stress Scale), pain susceptibility (Pain Catastrophizing Scale) and pain perception (McGill Pain Questionnaire) were also recorded at baseline. A phone interview was then performed at 5 to 9 weeks postpartum to obtain information on breastfeeding status.Results329 participants were included into this study, of which 263 (79.9%) of them were still breastfeeding at 5 weeks postpartum. Multivariate logistic regression analysis showed that a higher State-Trait Anxiety Inventory score (Adjusted Odds Ratio [AOR] 0.97; 95% Confidence Interval [CI] 0.94, 1.00) at baseline, higher intrapartum blood loss (AOR 0.76; 95% CI 0.61, 0.93), and occurrence of fetal anomalies (AOR 0.15; 95% CI 0.03, 0.72) were associated with reduced likelihood of breastfeeding at 5 to 9 weeks postpartum. Indians (AOR 0.56; 95% CI 0.20, 1.53), Malays (AOR 0.30; 95% CI 0.14, 0.62) and other ethnicities (AOR 0.36; 95% CI 0.16, 0.83) were less likely to continue breastfeeding compared to Chinese participants. On the other hand, receiving any support services on breastfeeding during the participants’ hospital stay was 3.3 times more likely (AOR 3.30; 95% CI 1.21, 9.02) to increase the likelihood of breastfeeding at 5 to 9 weeks postpartum.ConclusionWe identified 5 independent association factors that could have significant influences on breastfeeding at 5 to 9 weeks postpartum. Healthcare providers could utilize this risk stratification to identify parturients likely to have poorer breastfeeding outcomes and undertake interventions that may help safeguard optimization of breastfeeding outcomes and parturient care.Trial registrationClinicaltrials.gov NCT02278601. Registered 26 October 2014.Electronic supplementary materialThe online version of this article (10.1186/s13006-018-0184-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

et al. 2018

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“…Midwives, CHNs and mothers worked around these conflicting interests in ways that rendered collaboration ambiguous. The needs of mothers, for example, were articulated as professional concerns and risk just as many normal life events including pregnancy, childbirth and parenting, have become professionalised and medicalised (Conrad, 1992;Knaak, 2010;Thompson, Kildea, Barclay, & Kruske, 2011). While terms such as being "in partnership," "with woman" and "woman-centred" have entered midwifery care as antidotes to the medicalisation of pregnancy and birth (Carolan & Hodnett, 2007), the reconstruction of need within a risk framework gives rise to and justifies professional surveillance (Armstrong, 1983(Armstrong, , 1995.…”

Section: Collaboration As Institutional Workmentioning

confidence: 99%

Collaboration: A critical exploration of the care continuum

Penny

Windsor

2016

Nursing Inquiry

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The purpose of this research was to explore the concept of collaboration within a specific healthcare context and to include the perspectives of healthcare users, a position largely lacking in previous studies. In applying a critical theoretical approach, the focus was on, as an exemplar, mothers with newborn babies who had spent more than 48 hr in a special care nursery. Semistructured interviews were undertaken with child health nurses, midwives and mothers. The three key theoretical findings on collaboration generated in the study point to layers of meanings around identity, knowledge and institutions of care. Findings from the interview data analysis were further examined through the lens of key policy documents. The research outcomes indicate that the concept of collaboration serves an important function in healthcare in obscuring the complexities and ambiguities that characterise the care continuum. The study concludes the need for a more critical approach to the assumptions that underlie the language of collaboration and the implications for practice in healthcare.

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“…Most of these studies were set in the West. [21][22][23][24][25][26][27][28][29] However, perceptions of breastfeeding have been found to vary by sociocultural background, 20,[30][31][32] and their generalizability to Chinese cultures in Asia is not clear. The Western studies tended to focus on older adults (about 26-41 of age), [22][23][24]29 and the Chinese mainland and Hong Kong studies often focused on small numbers of young adults (about 6-14%).…”

Section: Introductionmentioning

confidence: 99%

Young adults’ perceptions of breastfeeding in public: a focus group study

Yip

Lee

et al. 2020

Frontiers of Nursing

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ObjectiveTo elucidate the perceptions of young Chinese adults aged 18–25 toward adopting breastfeeding in public in Hong Kong Special Administrative Region (Hong Kong), China.MethodsA descriptive and exploratory study design was adopted. Participants were recruited by convenience sampling. Focus group data were collected from three semi-structured interviews. Responses from 18 participants were audiotaped, transcribed verbatim, coded, and analyzed using content analysis.ResultsFour themes emerged that described the young adults’ perceptions and barriers toward breastfeeding practices: (1) adaptability of self and others, (2) cultural deem and practice, (3) convenience and connection, and (4) education and advocacy. Interestingly, all respondents (male and female) are aware of the benefits of breastfeeding. Their negative perceptions toward breastfeeding initiation and continuation originate from factors that are essentially extraneous to the mother–infant dyads (such as the breadth and intensity of sociopolitical support, the dominant social beliefs and norms, and the inadequacy of breastfeeding education in adolescent years).ConclusionsIn general, the young adult's perception of breastfeeding is dominated by sociopolitical and cultural-related factors. In particular, sexualization of breasts as a deep-rooted belief in the Chinese context negatively affects young adults’ perceptions and limits their breastfeeding practices.

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

Cited by 17 publications

References 57 publications

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

Collaboration: A critical exploration of the care continuum

Young adults’ perceptions of breastfeeding in public: a focus group study

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