title: Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia.
abstract: OBJECTIVE
  To investigate rates of 'any' and 'predominant' breastfeeding in hospital among Indigenous and non-Indigenous women with and without gestational diabetes mellitus (GDM).
  
  
  METHODS
  A retrospective study of singleton infants born from July 2007 to December 2010 at Cairns Hospital, Australia, following GDM pregnancy, using linked hospital and birth data (n=617 infants), with a subsample of medical record reviews (n=365 infants). Aggregate data were used to compare to breastfeeding rates among infants born following non-GDM pregnancy (n=7,894 infants).
  
  
  RESULTS
  More than 90% of all women reported any breastfeeding before hospital discharge. About 80% of women without GDM reported predominant breastfeeding. Despite significant increases over time (p<0.0001), women with GDM were less likely to predominantly breastfeed (OR 0.32, 95%CI 0.27-0.38, p<0.0001); with lower rates among Indigenous women (53%) compared with non-Indigenous (60%) women (OR 0.78, 0.70-0.88, p<0.0001); and women having a caesarean birth or pre-term infant.
  
  
  CONCLUSIONS
  Rates of predominant in-hospital breastfeeding were lower among women with GDM, particularly among Indigenous women and women having a caesarean or pre-term birth.
  
  
  CONCLUSIONS
  Strategies are needed to support predominant in-hospital breastfeeding among women with GDM.
authors.affiliation: Indigenous Health Equity Unit, School of Population and Global Health, University of Melbourne, Victoria.|Aboriginal Health Domain, Baker IDI Heart and Diabetes Institute, Victoria.
authors.forename: Catherine R
authors.initials: CR
authors.lastname: Chamberlain
authors.affiliation: Indigenous Health Equity Unit, School of Population and Global Health, University of Melbourne, Victoria.
authors.forename: Alyce N
authors.initials: AN
authors.lastname: Wilson
authors.affiliation: Judith Lumley Centre, La Trobe University, Victoria.
authors.forename: Lisa H
authors.initials: LH
authors.lastname: Amir
authors.affiliation: Centre for Population Health Research, School of Health Sciences, University of South Australia.
authors.forename: Kerin
authors.initials: K
authors.lastname: O'Dea
authors.affiliation: Apunipima Cape York Health Council, Queensland.|Centre for Chronic Disease Prevention, Cairns Institute, James Cook University, Queensland.
authors.forename: Sandra
authors.initials: S
authors.lastname: Campbell
authors.affiliation: Centre for Chronic Disease Prevention, Cairns Institute, James Cook University, Queensland.
authors.forename: Dympna
authors.initials: D
authors.lastname: Leonard
authors.affiliation: Indigenous Health Equity Unit, School of Population and Global Health, University of Melbourne, Victoria.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Ritte
authors.affiliation: Maternity Unit, Cairns Hospital, Queensland.
authors.forename: Mary
authors.initials: M
authors.lastname: Mulcahy
authors.affiliation: Aboriginal Health Domain, Baker IDI Heart and Diabetes Institute, Victoria.
authors.forename: Sandra
authors.initials: S
authors.lastname: Eades
authors.affiliation: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Victoria.
authors.forename: Rory
authors.initials: R
authors.lastname: Wolfe
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D001942:Breast Feeding / Q000706:statistics & numerical data*; D016640:Diabetes, Gestational / Q000208:ethnology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012044:Regression Analysis; D012189:Retrospective Studies
keywords: Aboriginal; Gestational Diabetes Mellitus; Indigenous; Type 2 Diabetes Mellitus; breastfeeding; diabetes; pregnancy