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Breastfeeding rates of Aboriginal and Torres Strait Islander women in Australia: a systematic review and narrative analysis.

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dc.contributor.authorSpringall T.L.
dc.contributor.authorMcLachlan H.L.
dc.contributor.authorForster D.A.
dc.contributor.authorBrowne J.
dc.contributor.authorChamberlain C.
dc.date.accessioned2024-11-19T05:29:45Z
dc.date.available2024-11-19T05:29:45Z
dc.date.copyright2022
dc.date.issued2022-03-19en
dc.description.abstractBackground: Australian Aboriginal and Torres Strait Islander (referred to hereafter as Aboriginal) women breastfeed at lower rates than non-Aboriginal women, and rates vary across and within Aboriginal populations. Aim(s): To determine rates of breastfeeding initiation and maintenance and compare individually collected survey data with existing routinely collected state and national breastfeeding data for Aboriginal women. Method(s): CINAHL, Medline, EMBASE, SCOPUS, PsycINFO, and the Cochrane library were searched for peer-reviewed literature published between 1995 and 2021. Quantitative studies written in English and reporting breastfeeding for Aboriginal women or women having an Aboriginal infant were included. Screening and quality assessment included co-screening 10% of papers. Two reviewers completed data extraction. A proportional meta-analysis was undertaken for breastfeeding initiation and narrative data synthesis used to summarise breastfeeding maintenance. Finding(s): The initial search identified 12,091 records, with 31 full text studies retrieved, and 27 reports from 22 studies met inclusion criteria. Breastfeeding initiation was 78% (95% CI 0.71, 0.84), however, rates were lower than non-Aboriginal women. Maintenance ranged between one week and five years. Rates and definitions varied significantly between studies, with inconsistencies in government collection and reporting of breastfeeding. Conclusion(s): Significant variation in definitions and reporting make comparisons difficult. Breastfeeding rates were below recommended targets. Future pattern and trend analyses require standardised measures and definitions. Current collection and reporting of breastfeeding data, particularly routinely collected state-based data, is inadequate to present an accurate picture of current breastfeeding in Australia for Aboriginal women and infants, and to effectively inform interventions and policies.Copyright © 2022 Australian College of Midwives
dc.identifier.citationWomen and Birth. Vol.35(6), 2022, pp. e624-e638.
dc.identifier.doihttps://dx.doi.org/10.1016/j.wombi.2022.02.011
dc.identifier.institution(Springall, McLachlan, Forster, Chamberlain) Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
dc.identifier.institution(Springall) School of Nursing and Midwifery, Griffith University, Meadowbrook, QLD, Australia
dc.identifier.institution(McLachlan) School of Nursing and Midwifery, La Trobe University, Bundoora 3086, Australia
dc.identifier.institution(Forster) Maternity Services, Royal Women's Hospital, Parkville, VIC, Australia
dc.identifier.institution(Browne) Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, Geelong, VIC, Australia
dc.identifier.institution(Chamberlain) Centre for Health Equity, The University of Melbourne, Melbourne, VIC, Australia
dc.identifier.institution(Chamberlain) Ngangk Yira: Murdoch University Research Centre for Aboriginal Health and Social Equity, Perth, Western, Australia
dc.identifier.institution(Chamberlain) The Lowitja Institute, Melbourne, VIC, Australia
dc.identifier.pubmedid35288036 [https://www.ncbi.nlm.nih.gov/pubmed/?term=35288036]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/516
dc.relation.ispartofWomen and Birth
dc.subject.keywordsMaternal health
dc.titleBreastfeeding rates of Aboriginal and Torres Strait Islander women in Australia: a systematic review and narrative analysis.
dc.typeArticle
dc.type.studyortrialSystematic review and/or meta-analysis

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