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A Western Australian Survey of Breastfeeding Initiation, Prevalence and Early Cessation Patterns

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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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References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    CAS  PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. Leon-Cava, N., Lutter, C., Ross, J., & Martin, L. (2002). Quantifying the benefits of breastfeeding: A summary of the evidence. Washington: PAHO.

    Google Scholar 

  5. 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.

    Google Scholar 

  6. Callen, J., & Pinelli, J. (2004). Incidence and duration of breastfeeding for term infants in Canada, United States, Europe and Australia. Birth, 31, 285–291.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  CAS  PubMed  Google Scholar 

  8. 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.

    Article  CAS  PubMed  Google Scholar 

  9. 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.

    Article  CAS  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. Australian Bureau of Statistics. (2003). Breastfeeding in Australia, 2001. Catalogue No. 4810.0.55.001. Commonwealth of Australia.

  12. Australian Bureau of Statistics. (2007). Australian social trends 2007: Australia’s babies. Catalogue No. 4102.0. Commonwealth of Australia.

  13. 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.

    Google Scholar 

  14. Kramer, M. S., & Kakuma, R. (2002). The optimal duration of exclusive breastfeeding: A systematic review. Geneva: World Health Organisation.

    Google Scholar 

  15. Lund-Adams, M., & Heywood, P. (1994). Australian breastfeeding rates: The challenge of monitoring. Australian Journal of Public Health, 18, 337–339.

    Article  CAS  PubMed  Google Scholar 

  16. 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.

    Article  Google Scholar 

  17. National Health and Medical Research Council. (2007). National Statement on Ethical Conduct in Human Research. Canberra ACT: Australian Government.

  18. Hintz, J. (2008). Power analysis and sample size system (PASS 2008 software). Kaysville, Utah: NCSS, LLC.

    Google Scholar 

  19. Taylor, B., Kermode, S., & Roberts, K. (2007). Research in nursing and health care: Evidence for practice (3rd ed.). Melbourne, Victoria: Nelson.

    Google Scholar 

  20. Field, A. (2005). Discovering statistics using SPSS (2nd ed.). London: Sage.

    Google Scholar 

  21. 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.

  22. 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.

    Article  PubMed  Google Scholar 

  23. 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.

    CAS  PubMed  Google Scholar 

  24. 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.

    Article  PubMed  Google Scholar 

  25. 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.

    Article  CAS  PubMed  Google Scholar 

  26. 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.

    Article  PubMed  Google Scholar 

  27. Binns, C. W., & Scott, J. A. (2002). Breastfeeding: Reasons for starting, reasons for stopping and problems along the way. Breastfeeding Review, 10, 13–19.

    Google Scholar 

  28. McLeod, D., Pullon, S., & Cookson, T. (2002). Factors influencing continuation of breastfeeding in a cohort of women. Journal of Human Lactation, 18, 335–342.

    Article  PubMed  Google Scholar 

  29. 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.

  30. 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.

    Google Scholar 

  31. 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.

    Article  PubMed  Google Scholar 

  32. 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.

    Google Scholar 

  33. Kronborg, H., & Vaeth, M. (2004). The influence of psychosocial factors on the duration of breastfeeding. Scandinavian Journal of Public Health, 32, 210–216.

    Article  PubMed  Google Scholar 

  34. 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.

    Article  PubMed  Google Scholar 

  35. 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.

    Google Scholar 

  36. 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.

    Article  PubMed  Google Scholar 

  37. Australian College of Midwives. Baby Friendly Health Initiative Australia. (2009). Deakin West, ACT. Available from http://www.bfhi.org.au/text/bfhi_hospitals.html.

  38. 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.

    Article  PubMed  Google Scholar 

  39. Kelleher, C. M. (2006). The physical challenges of early breastfeeding. Social Science and Medicine, 63, 2727–2738.

    Article  PubMed  Google Scholar 

  40. Mohrbacher, N., & Stock, J. (1997). The breastfeeding answer book (rev ed). Schaumburg, (Ill): LaLeche League International.

    Google Scholar 

  41. Blackburn, S. T. (2003). Maternal fetal and neonatal physiology: A clinical perspective (2nd ed.). St Louis (MO): Saunders.

    Google Scholar 

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Acknowledgments

The Western Australian Nurses Memorial Charitable Trust funded this study.

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Correspondence to Yvonne L. Hauck.

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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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