PMID- 28365239 OWN - NLM STAT- MEDLINE DCOM- 20180330 LR - 20211204 IS - 1878-1799 (Electronic) IS - 1871-5192 (Linking) VI - 30 IP - 5 DP - 2017 Oct TI - Breastfeeding initiation for Aboriginal and Torres Strait Islander women in Victoria: analysis of routinely collected population-based data. PG - 361-366 LID - S1871-5192(16)30268-2 [pii] LID - 10.1016/j.wombi.2017.02.011 [doi] AB - BACKGROUND: Increasing breastfeeding rates is one way of improving the short and long term health of Aboriginal and Torres Strait Islander children (hereafter referred to as Aboriginal). Despite the benefits of breastfeeding and recommendations for strategies to increase breastfeeding among Aboriginal people, there is a lack of available population data. AIM: To use population-based data from Victoria, Australia to compare breastfeeding initiation for Aboriginal and non-Aboriginal women and to explore factors associated with breastfeeding initiation of Aboriginal women. METHODS: Routinely collected infant feeding data obtained from the Victorian Perinatal Data Collection (VPDC) was used. The VPDC is a mandatory, population-based system where maternal and infant data on all Victorian births are collected. FINDINGS: Compared with non-Aboriginal women, Aboriginal women were less likely to attempt to breastfeed their baby (87.2% vs 95.3%; p<0.001); more likely to give formula in hospital (39.6% vs 30.6%; p<0.001) and less likely to give the last feed prior to discharge exclusively from the breast (64.4% vs 75.0% p<0.001). For Aboriginal women, factors associated with not initiating breastfeeding were being single, multiparous, smoking and length of stay. Infant factors were gestation less than 37 weeks and low birthweight (<2,500g). CONCLUSION: In Victoria, breastfeeding initiation is lower for Aboriginal women compared with non-Aboriginal women. Further research is needed to explore the effectiveness of interventions that may increase breastfeeding for Aboriginal women. CI - Copyright (c) 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved. FAU - McLachlan, Helen L AU - McLachlan HL AD - Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia; School of Nursing and Midwifery La Trobe University, Melbourne, Victoria, Australia. Electronic address: h.mclachlan@latrobe.edu.au. FAU - Shafiei, Touran AU - Shafiei T AD - Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia. FAU - Forster, Della A AU - Forster DA AD - Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia; The Royal Women's Hospital,Parkville, Vic, Australia. LA - eng PT - Comparative Study PT - Journal Article DEP - 20170329 PL - Netherlands TA - Women Birth JT - Women and birth : journal of the Australian College of Midwives JID - 101266131 MH - Adult MH - *Attitude to Health MH - Breast Feeding/*statistics & numerical data MH - Data Collection MH - Female MH - Humans MH - Infant MH - Infant Care/methods MH - Infant Formula/*statistics & numerical data MH - Infant, Low Birth Weight MH - Infant, Newborn MH - Native Hawaiian or Other Pacific Islander/*statistics & numerical data MH - Pregnancy MH - Victoria OTO - NOTNLM OT - Aboriginal OT - Breastfeeding OT - Infant feeding OT - Population-based EDAT- 2017/04/04 06:00 MHDA- 2018/03/31 06:00 CRDT- 2017/04/03 06:00 PHST- 2016/12/09 00:00 [received] PHST- 2017/02/02 00:00 [revised] PHST- 2017/02/10 00:00 [accepted] PHST- 2017/04/04 06:00 [pubmed] PHST- 2018/03/31 06:00 [medline] PHST- 2017/04/03 06:00 [entrez] AID - S1871-5192(16)30268-2 [pii] AID - 10.1016/j.wombi.2017.02.011 [doi] PST - ppublish SO - Women Birth. 2017 Oct;30(5):361-366. doi: 10.1016/j.wombi.2017.02.011. Epub 2017 Mar 29.