Abstract
This paper reports on current initiation and prevalence rates, in Western Australia, differentiating ‘any’ breastfeeding with ‘exclusive’ breastfeeding whilst exploring patterns and reasons for stopping breastfeeding. The results presented are part of a larger study examining women’s perceptions of care and wellbeing in the early postnatal period. A cross sectional survey was used to examine infant feeding practices during the hospital stay and at 9 weeks post birth from Western Australian women with a registered live birth between February and June 2006. Data obtained from 2,669 women revealed a 93% (n = 2,472) initiation rate of any breastfeeding. More multiparous women (73.5%) were exclusively breastfeeding in hospital compared to primiparous women (65.2%), which decreased to 57.1 and 49.2%, respectively at 9 weeks. Of those who had ceased by 9 weeks, more multiparous women (71.1%) ceased before 3 weeks. Reasons cited for ceasing in order of frequency were insufficient milk supply, infant related reasons, pain and discomfort and emotional reasons. Younger maternal age, primiparous women, lower maternal education levels, offering a combination of breast milk and formula in hospital and caesarean birth were significant independent predictors of early cessation. Although initiation rates including “any” breast milk are meeting NHMRC dietary guidelines of 90%, the 60% target of exclusive breastfeeding is not being achieved for 3 months or in fact at 9 weeks. Targeted support for at risk groups such as younger, less well-educated, primiparous women must continue. Evidence based policies to protect breastfeeding must address the practice of offering formula to breastfed infants in hospital and the impact of increasing interventions such as caesarean births.
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Berry, N. J., & Gribble, K. D. (2006). Breast is no longer best: The World Health Organisation, the Multi-centre Growth Reference Study and normal infant feeding. Australian and New Zealand Journal of Public Health, 30, 387–389.
Kunz, C., Rodriguez-Palmero, M., Koletzko, B., & Jenson, R. (1999). Nutritional and biochemical properties of human milk Part 1. Clinics in Perinatology, 26, 307–333.
Oddy, W. H., Peat, J. K., & de Klerk, N. H. (2002). Maternal asthma, infant feeding and the risk of asthma in childhood. The Journal of Allergy and Clinical Immunology, 110, 65–67.
Leon-Cava, N., Lutter, C., Ross, J., & Martin, L. (2002). Quantifying the benefits of breastfeeding: A summary of the evidence. Washington: PAHO.
National Health and Medical Research Council. (2003). Dietary guidelines for children and adolescents in Australia, incorporating the infant feeding guidelines for health workers. Canberra: Commonwealth of Australia.
Callen, J., & Pinelli, J. (2004). Incidence and duration of breastfeeding for term infants in Canada, United States, Europe and Australia. Birth, 31, 285–291.
Scott, J. A., Binns, C. W., & Aroni, R. A. (1996). Breastfeeding in Perth: Recent trends. Australian and New Zealand Journal of Public Health, 20, 210–211.
Scott, J. A., Aitkin, I., Binns, C. W., & Aroni, R. A. (1999). Factors associated with the duration of breastfeeding amongst women in Perth, Australia. Acta Paediatrica, 88, 416–421.
Graham, K. I., Scott, J. A., Binns, C. W., & Oddy, W. H. (2005). National targets for breastfeeding at hospital discharge have been achieved in Perth. Acta Paediatrica, 94, 352–356.
Chalmers, B., Levitt, C., Heaman, M., Ob’Brien, B., Sauve, R., & Kaczorowski, J. (2009). Breastfeeding rates and hospital breastfeeding practice in Canada: A national survey of women. Birth, 36, 122–132.
Australian Bureau of Statistics. (2003). Breastfeeding in Australia, 2001. Catalogue No. 4810.0.55.001. Commonwealth of Australia.
Australian Bureau of Statistics. (2007). Australian social trends 2007: Australia’s babies. Catalogue No. 4102.0. Commonwealth of Australia.
Amir, L. H., & Donath, S. M. (2008). Socioeconomic status and rates of breastfeeding in Australia: Evidence from three recent national health surveys. Australian and New Zealand Journal of Public Health, 189, 254–256.
Kramer, M. S., & Kakuma, R. (2002). The optimal duration of exclusive breastfeeding: A systematic review. Geneva: World Health Organisation.
Lund-Adams, M., & Heywood, P. (1994). Australian breastfeeding rates: The challenge of monitoring. Australian Journal of Public Health, 18, 337–339.
Cooke, M., & Stacey, T. (2003). Differences in the evaluation of postnatal midwifery support by multiparous and primiparous women in the first two weeks after birth. Australian Midwifery Journal, 16, 18–24.
National Health and Medical Research Council. (2007). National Statement on Ethical Conduct in Human Research. Canberra ACT: Australian Government.
Hintz, J. (2008). Power analysis and sample size system (PASS 2008 software). Kaysville, Utah: NCSS, LLC.
Taylor, B., Kermode, S., & Roberts, K. (2007). Research in nursing and health care: Evidence for practice (3rd ed.). Melbourne, Victoria: Nelson.
Field, A. (2005). Discovering statistics using SPSS (2nd ed.). London: Sage.
Gee, V., & Ernstzen, A. N. (2008). Perinatal statistics in Western Australia, 2006. In: Twenty-fourth annual report of the Western Australian midwives’ notification system. Western Australia: Department of Health.
Park, Y. K., Meier, E. R., & Song, W. O. (2003). Characteristics of teenage mothers and predictors of breastfeeding initiation in the Michigan WOC Program in 1995. Journal of Human Lactation, 19, 50–56.
Ward, M., Sheridan, A., Howell, F., Hegarty, I., & O’Farrell, A. (2004). Infant feeding: Factors affecting initiation, exclusivity and duration. Irish Medical Journal, 97, 197–199.
Grjibovski, A. M., Yngve, A., Bygren, L. O., & Sjostrom, M. (2005). Socio-demographic determinants of initiation and duration of breastfeeding in northwest Russia. Acta Paediatrica, 94, 588–594.
Scott, J. A., Lander, M. C., Hughes, R. M., & Binns, C. W. (2001). Psychosocial factors associated with the abandonment of breastfeeding prior to hospital discharge. Journal of Human Lactation, 17, 24–30.
Bailey, C., Pain, R. H., & Aarwold, J. E. (2004). A ‘give it a go’ breastfeeding culture and early cessation among low-income mothers. Midwifery, 20, 240–250.
Binns, C. W., & Scott, J. A. (2002). Breastfeeding: Reasons for starting, reasons for stopping and problems along the way. Breastfeeding Review, 10, 13–19.
McLeod, D., Pullon, S., & Cookson, T. (2002). Factors influencing continuation of breastfeeding in a cohort of women. Journal of Human Lactation, 18, 335–342.
Britton, C., McCormick, F. M., Renfrew, M. J., Wade, A., & King, S. E. (2007). Support for breastfeeding mothers. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD001141. DOI: 10.1002/14651858.CD001141.pub3.
Chezem, J., Friesen, C., & Boettcher, J. (2003). Breastfeeding knowledge, breastfeeding confidence and infant feeding plans: Effects on actual feeding practices. JOGN Nursing, 32, 40–47.
Forster, D., McLachlan, H., & Lumley, J. (2006). Factors associated with breastfeeding at six months postpartum in a group of Australian women. International Breastfeeding Journal, 1, 18.
Lewallen, L. P., Dick, M. J., Flowers, J., Powell, W., Zickefoose, K. T., & Wall, Y. G. (2006). Breastfeeding support and early cessation. JOGN Nursing, 35, 166–172.
Kronborg, H., & Vaeth, M. (2004). The influence of psychosocial factors on the duration of breastfeeding. Scandinavian Journal of Public Health, 32, 210–216.
Baghurst, P., Pincombe, J., Peat, B., Henderson, A., Reddin, E., & Antoniou, G. (2007). Breastfeeding self-efficacy and other determinants of the duration of breastfeeding in a cohort of first time mothers in Adelaide, Australia. Midwifery, 23, 382–391.
Kohluber, M., Rebhan, B., Schwegler, U., Koletzko, B., & Fromme, H. (2008). Breastfeeding rates and duration in Germany: A Bavarian cohort study. The British Journal of Nutrition, 99, 1127–1132.
Pechlivani, F., Vassilakou, T., Sarafidou, J., Zachou, T., Anastasiou, C. A., & Sidossi, L. S. (2005). Prevalence and determinants of exclusive breastfeeding during hospital stay in the area of Athens, Greece. Acta Paediatrica, 94, 928–934.
Australian College of Midwives. Baby Friendly Health Initiative Australia. (2009). Deakin West, ACT. Available from http://www.bfhi.org.au/text/bfhi_hospitals.html.
Cooke, M., Sheehan, A., & Schmied, V. (2003). A description of the relationship between breastfeeding experiences, breastfeeding satisfaction and weaning in the first 3 months after birth. Journal of Human Lactation, 19, 145–156.
Kelleher, C. M. (2006). The physical challenges of early breastfeeding. Social Science and Medicine, 63, 2727–2738.
Mohrbacher, N., & Stock, J. (1997). The breastfeeding answer book (rev ed). Schaumburg, (Ill): LaLeche League International.
Blackburn, S. T. (2003). Maternal fetal and neonatal physiology: A clinical perspective (2nd ed.). St Louis (MO): Saunders.
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The Western Australian Nurses Memorial Charitable Trust funded this study.
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Hauck, Y.L., Fenwick, J., Dhaliwal, S.S. et al. A Western Australian Survey of Breastfeeding Initiation, Prevalence and Early Cessation Patterns. Matern Child Health J 15, 260–268 (2011). https://doi.org/10.1007/s10995-009-0554-2
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DOI: https://doi.org/10.1007/s10995-009-0554-2