Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

Ogbo, Felix Akpojene; Eastwood, John; Page, Andrew; Arora, Amit; McKenzie, Anne; Jalaludin, Bin; Tennant, Elaine; Miller, Erin; Kohlhoff, Jane; Noble, Justine; Chaves, Karina; Jones, Jennifer; Smoleniec, J. S.; Chay, Paul; Smith, Bronwyn; Oei, Ju Lee; Short, Kate; Collie, Laura; Kemp, Lynn; Raman, Shanti; Woolfenden, Susan; Clark, Trish; Blight, Victoria; Eapen, Valsamma

doi:10.1186/s13006-017-0110-4

Cited by 73 publications

(80 citation statements)

References 49 publications

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“…With regard to previous breastfeeding experiences, 31 (50.8%) of the women indicated they had used mixed breastfeeding. The literature indicates that causes for mixed breastfeeding include early return to work, inexperience in breastfeeding, lack of support of partner and family, pain while breastfeeding, infant weight loss, and insufficient milk production (Odom, Li, Scanlon, Perrine, & Grummer‐Strawn, ; Ogbo et al., ; Prado, Fabbro, & Ferreira, ; Rocci & Fernandes, ). The assessment of these factors is useful for directing interventions to improve current breastfeeding experience.…”

Section: Discussionmentioning

confidence: 99%

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Emídio¹,

Moorhead

Oliveira

et al. 2019

Int J of Nursing Knowl

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PURPOSE To clinically validate indicators of the nursing outcomes “Breastfeeding establishment: Infant (1000)” and “Breastfeeding establishment: maternal (1001)”, and their conceptual and operational definitions in infants admitted to a neonatal unit and their mothers. METHOD This study utilized several methods in a stepwise approach including an integrative review of the literature, content validation, and clinical validation. The content validity index was performed by eight experts, who evaluated revised content of the studied nursing outcomes. In the clinical validation, 61 mother–infant dyads were evaluated by two pairs of nurses: one pair used an instrument with developed definitions, whereas the other used an instrument without definitions. The evaluations were compared using Fleiss’ kappa and weighted kappa. RESULTS The agreement between all evaluators was considered excellent for almost all nursing outcome indicators related to the mothers. The pair of evaluators using the definitions had an agreement greater than 0.80 for most indicators. For the pair that did not use the definitions, agreement was poor. CONCLUSION There was an increase in uniformity and accuracy between the assessments when using the conceptual and operational definitions for the nursing outcome indicators related to Breastfeeding establishment. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of terms within the Nursing Outcomes Classification, and enriched the body of nursing knowledge.

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Section: Discussionmentioning

confidence: 99%

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Emídio¹,

Moorhead

Oliveira

et al. 2019

Int J of Nursing Knowl

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“…SEIFA is a composite indicator developed by the Australian Bureau of Statistics that ranks areas in Australia according to relative socioeconomic advantage and disadvantage [36]. Deciles of SES were categorised into high (top 10% of the population), medium (middle 80% of the population) and low (bottom 10% of the population), consistent with previous publications [35,37]. CALD is a term used for communities with diverse characteristics including but not limited to: language, ethnicity, nationality, dress, traditions, food, social structures, art and religion [38].…”

Section: Risk Factorsmentioning

confidence: 95%

“…The EPDS has been translated into a number of languages, including a validation study conducted in South Western Sydney in Vietnamese and Arabic-speaking women [57]. Women from over 25 countries are represented in this study cohort [37].…”

Section: Outcome Variablesmentioning

confidence: 99%

Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

Khanlari

Eastwood

Barnett

et al. 2019

BMC Pregnancy Childbirth

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Background and objectives: The perinatal period presents a high-risk time for development of mood disorders. Australia-wide universal perinatal care, including depression screening, make this stage amenable to populationlevel preventative approaches. In a large cohort of women receiving public perinatal care in Sydney, Australia, we examined: (1) the psychosocial and obstetric determinants of women who signal distress on EPDS screening (scoring 10-12) compared with women with probable depression (scoring 13 or more on EPDS screening); and (2) the predictive ability of identifying women experiencing distress during pregnancy in classifying women at higher risk of probable postnatal depression. Methods: We analysed routinely collected perinatal data from all live-births within public health facilities from two health districts in Sydney, Australia (N = 53,032). Perinatal distress was measured using the EPDS (scores of 10-12) and probable perinatal depression was measured using the EPDS (scores of 13 or more). Logistic regression models that adjusted for confounding variables were used to investigate a range of psychosocial and obstetric determinants and perinatal distress and depression. Results: Eight percent of this cohort experienced antenatal distress and about 5 % experienced postnatal distress. Approximately 6 % experienced probable antenatal depression and 3 % experienced probable postnatal depression. Being from a culturally and linguistically diverse background (AOR = 2.0, 95% CI 1.8-2.3, P < 0.001), a lack of partner support (AOR = 2.9, 95% CI 2.3-3.7) and a maternal history of childhood abuse (AOR = 1.9, 95% CI 1.6-2.3) were associated with antenatal distress. These associations were similar in women with probable antenatal depression. Women who scored 10 to12 on antenatal EPDS assessment had a 4.5 times higher odds (95% CI 3.4-5.9, P < 0.001) of experiencing probable postnatal depression compared with women scoring 9 or less. Conclusion: Antenatal distress is more common than antenatal depressive symptoms and postnatal distress or depression. Antenatal maternal distress was associated with probable postnatal depression. Scale properties of the EPDS allows risk-stratification of women in the antenatal period, and earlier intervention with preventively focused programs. Prevention of postnatal depression could address a growing burden of illness and long-term complications for mothers and their infants.

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“…The involvement of close family members (fathers and/or grandmothers) have been shown to increase optimal IYCF practices [82][83][84]. Therefore, community-based interventions that aim to improve IYCF in Ethiopia must consider the involvement of these close family members who play an important role in mothers' decisions to initiate, cease or continue breastfeeding in the early postnatal period [85,86].…”

Section: Policy Implications Of the Study Findingsmentioning

confidence: 99%

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

et al. 2020

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Background Acute respiratory infection (ARI) and diarrhoea are the leading causes of childhood morbidity and mortality in Ethiopia. Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. The IYCF practices include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, introduction of complementary foods, continued breastfeeding at two years and bottle feeding. Results Infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed had a lower prevalence of ARI. Infants who were exclusively and predominantly breastfed had a lower prevalence of diarrhoea. Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of

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Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

Cited by 73 publications

References 49 publications

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

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