Breastfeeding practices in an Australian tertiary care hospital: A retrospective study
Open accessAbstract
Background The World Health Organization recommend that infants be exclusively breastfed until six months of age. The Baby Friendly Health Initiative (BFHI) was developed for protecting, promoting, and supporting breastfeeding. The BFHI global criteria guides hospital practice for supporting infant feeding and reducing disparities in breastfeeding outcomes.Aim The aim of this study was to analyse 2019 data to identify factors that predict exclusive breastfeeding vs non-exclusive breastfeeding on discharge to determine areas for intervention in relation to BFHI guidelines.Material and methods A retrospective chart review of 5836 neonates born at an Australian tertiary hospital in 2019 was conducted. Descriptive statistics were used to report exclusive breastfeeding rates. Univariate and logistic regression analyses were conducted to determine factors associated with exclusive breastfeeding and non-exclusive breastfeeding on discharge.Results A total of 69% of neonates were exclusively breastfed on discharge in 2019. When excluding admissions to Newborn Services, 75% of neonates were exclusively breastfed on discharge, achieving the BFHI benchmark. Predictors which significantly reduced the odds of exclusive breastfeeding on discharge were maternal country of birth (Vietnam, p < 0.001, Sudan p < 0.001, Samoa p < 0.01, Philippines p < 0.05), main language (Other, p < 0.05), birth type (caesarean or assisted vaginal birth p < 0.001), first-feed type (mixed feeding or formula p < 0.001), and Newborn Services admission (p < 0.001).Conclusions Examining breastfeeding outcomes is an important quality assurance process for health services. Understanding groups of mothers who commence breastfeeding but do not exclusively breastfeed upon discharge enables identification of areas for intervention to achieve BFHI targets and reduce breastfeeding disparities.
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Domiciliary midwifery supports breastfeeding initiation and support, considering that most women are discharged before the proper onset of lactation.
“For the women, domiciliary midwifery supports breastfeeding initiation and support, considering that most women are discharged before the proper onset of lactation [14, 15].”
Cites
Beasley, T. M., & Schumacker, R. E. (1995) · The Journal of Experimental Education · doi:10.1080/00220973.1995.9943797 · Cited by 748 · see citing works
Common pitfalls in statistical analysis: Logistic regression
Ranganathan, P., Pramesh, C. S., & Aggarwal, R. (2017) · Perspectives in Clinical Research · doi:10.4103/picr.picr_87_17 · Cited by 659 · see citing works
Pérez‐Escamilla, R., Martinez‐Brockman, J. L., & Segura‐Pérez, S. (2016) · Maternal and Child Nutrition · doi:10.1111/mcn.12294 · Cited by 597 · see citing works
Factors Associated with Breastfeeding Initiation and Continuation: A Meta-Analysis
Cohen, S. S., Alexander, D. D., Krebs, N. F., Young, B. E., Cabana, M. D., Erdmann, P., Hays, N. P., Bezold, C. P., Levin-Sparenberg, E., Turini, M. E., et al. (2018) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2018.08.008 · Cited by 432 · see citing works
Supporting breastfeeding mothers: qualitative synthesis
McInnes, R. J., & Chambers, J. A. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04618.x · Cited by 305 · see citing works
Antenatal breastfeeding education for increasing breastfeeding duration
Lumbiganon, P., Martis, R., Laopaiboon, M., Festin, M., Ho, J. J., & Hakimi, M. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006425.pub4 · Cited by 268 · see citing works
Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice
Widström, A., Brimdyr, K., Svensson, K., Cadwell, K., & Nissen, E. (2019) · Acta Paediatrica · doi:10.1111/apa.14754 · Cited by 264 · see citing works
Small, R. E., Roth, C., Raval, M., Shafiei, T., Korfker, D. G., Heaman, M. I., McCourt, C., & Gagnon, A. J. (2014) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-14-152 · Cited by 244 · see citing works
Stevens, J., Schmied, V., Burns, E., & Dahlen, H. (2014) · Maternal & Child Nutrition · doi:10.1111/mcn.12128 · Cited by 216 · see citing works
A Western Australian Survey of Breastfeeding Initiation, Prevalence and Early Cessation Patterns
Hauck, Y. L., Fenwick, J., Dhaliwal, S. S., & Butt, J. (2010) · Maternal and Child Health Journal · doi:10.1007/s10995-009-0554-2 · Cited by 192 · see citing works
Factors Related to Breastfeeding Discontinuation Between Hospital Discharge and 2 Weeks Postpartum
Brand, E., Kothari, C., & Stark, M. A. (2011) · The Journal of Perinatal Education · doi:10.1891/1058-1243.20.1.36 · Cited by 158 · see citing works
Munn, A. C., Newman, S. D., Mueller, M., Phillips, S. M., & Taylor, S. N. (2016) · Breastfeeding Medicine · doi:10.1089/bfm.2015.0135 · Cited by 158 · see citing works
Crenshaw, J. T. (2014) · The Journal of Perinatal Education · doi:10.1891/1058-1243.23.4.211 · Cited by 146 · see citing works
Hake-Brooks, S. J., & Anderson, G. C. (2008) · Neonatal Network The Journal of Neonatal Nursing · doi:10.1891/0730-0832.27.3.151 · Cited by 142 · see citing works
Skouteris, H., Bailey, C., Nagle, C., Hauck, Y. L., Bruce, L. J., & Morris, H. (2017) · Breastfeeding Medicine · doi:10.1089/bfm.2017.0065 · Cited by 118 · see citing works
Prevalence and Predictors of Exclusive Breastfeeding at Hospital Discharge
McDonald, S. D., Pullenayegum, E., Chapman, B., Vera, C. M., Giglia, L., Fusch, C., & Foster, G. (2012) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318256194b · Cited by 97 · see citing works
Ogbo, F. A., Eastwood, J. G., Page, A., Arora, A., McKenzie, A., Jalaludin, B. B., Tennant, E., Miller, E., Kohlhoff, J. R., Noble, J., et al. (2016) · International Breastfeeding Journal · doi:10.1186/s13006-017-0110-4 · Cited by 94 · see citing works
Arora, A., Manohar, N., Hayen, A. D., Bhole, S., Eastwood, J. G., Levy, S. M., & Scott, J. A. (2017) · International Breastfeeding Journal · doi:10.1186/s13006-017-0130-0 · Cited by 78 · see citing works
Breastfeeding Practices Among First-Time Mothers and Across Multiple Pregnancies
Sutherland, T. N., Pierce, C. B., Blomquist, J. L., et al. (2011) · Maternal and Child Health Journal · doi:10.1007/s10995-011-0866-x · Cited by 75 · see citing works
Medically Complex Pregnancies and Early Breastfeeding Behaviors: A Retrospective Analysis
Kozhimannil, K. B., Jou, J., Attanasio, L. B., Joarnt, L. K., & McGovern, P. M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0104820 · Cited by 72 · see citing works
Beake, S., Bick, D., Narracott, C., & Chang, Y. (2016) · Maternal and Child Nutrition · doi:10.1111/mcn.12390 · Cited by 72 · see citing works
McLachlan, H., & Forster, D. A. (2006) · International Breastfeeding Journal · doi:10.1186/1746-4358-1-7 · Cited by 68 · see citing works
Association between Intrapartum Interventions and Breastfeeding Duration
Bai, D. L., Wu, K. M., & Tarrant, M. (2013) · Journal of Midwifery & Women s Health · doi:10.1111/j.1542-2011.2012.00254.x · Cited by 59 · see citing works
Pérez‐Escamilla, R., & Sellen, D. (2015) · Journal of Human Lactation · doi:10.1177/0890334414561062 · Cited by 48 · see citing works
In-hospital formula supplementation of breastfed babies: a population-based survey.
Biro, M., Sutherland, G., Yelland, J., Hardy, P., & Brown, S. (2011) · Birth · doi:10.1111/j.1523-536x.2011.00485.x · Cited by 48 · see citing works
Breastfeeding: How Could it be Enhanced? The Perceptions of Vietnamese Women in Sydney, Australia
Rossiter, J. C., & Yam, B. M. C. (2000) · Journal of Midwifery & Women s Health · doi:10.1016/s1526-9523(00)00013-1 · Cited by 37 · see citing works
Marshall, S. K., Taki, S., Love, P., Kearney, M., Tam, N., Sabry, M., Kuswara, K., Laird, Y., Wen, L. M., & Rissel, C. E. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.06.002 · Cited by 37 · see citing works
Factors Associated with Exclusive Breastfeeding at Hospital Discharge in Rural Western Australia
Cox, K., Giglia, R. C., Zhao, Y., & Binns, C. W. (2014) · Journal of Human Lactation · doi:10.1177/0890334414547274 · Cited by 36 · see citing works
Joseph, J., Brodribb, W. E., & Liamputtong, P. (2018) · Women and Birth · doi:10.1016/j.wombi.2018.12.002 · Cited by 36 · see citing works
Breastfeeding Practices in a Hospital-Based Study of Vietnamese Women
Ramoo, S., Trinh, T. A., Hirst, J. E., et al. (2014) · Breastfeeding Medicine · doi:10.1089/bfm.2014.0021 · Cited by 18 · see citing works
Lande, M. S., Nedberg, I. H., & Anda, E. E. (2020) · International Breastfeeding Journal · doi:10.1186/s13006-020-00286-9 · Cited by 16 · see citing works
Vietnamese women’s attitudes to and experiences of breastfeeding: a qualitative study
Nagle, C., Kerr, C., Pring, M. J. D., et al. (2015) · Deakin Research Online (Deakin University) · Cited by 1 · see citing works
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Apili, F., Isoke, R., Mann, J., Matte, R. F., Abeja, C. J., Auma, A. G., Atuhairwe, I., Agaba, B., & Ukoha, W. C. (2026) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-026-09489-0
“For the women, domiciliary midwifery supports breast-feeding initiation and support, considering that most women are discharged before the proper onset of lactation [14, 15].”
- Authors
- Vasilevski, V., Arnold, T., Halliday, K., Hughes, J., Dwyer, N., & Sweet, L.
- Affiliations
- Deakin University (AU)
- Western Health (AU)
- Corresponding author
- Vasilevski, Vidanka
- Venue
- Sexual & Reproductive Healthcare
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 30
- Pages
- 100671
- ISSN
- 1877-5756 (ISSN-L)
- OpenAlex
- W3206165555
- Cited by
- 11
- References
- 32
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Sexual & Reproductive Healthcare (publishedVersion)
- PubMed (publishedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- exclusive breastfeeding, Baby-Friendly Hospital Initiative, breastfeeding practices, neonatal discharge, breastfeeding disparities, maternal country of birth, mother tongue, caesarean birth, tertiary care hospital, infant feeding
- MeSH terms
- Australia, Breast Feeding, Female, Humans, Infant, Infant, Newborn, Mothers, Pregnancy, Retrospective Studies, Tertiary Care Centers
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