Day 1 :
National University of Singapore, Singapore
Keynote: Breastfeeding intention, initiation and duration among Hong Kong Chinese women: A prospective longitudinal study
Time : 10:00-10:40
Lau Ying holds Bachelor, Master and Doctoral degrees from University of Hong Kong, Hong Kong. She had clinical experience over 15 years in different hospitals. She is an Assistant Professor in Alice Lee Centre for Nursing Studies, Yong Lin School of Medicine, National University of Singapore. She has worked as an International Board Certified Lactation Consultant for 10 years and has published over 80 international peer reviewed papers in journals, professional journals, books, and book chapters.
Objectives of this study are to: estimate the breastfeeding intention, initiation and duration rate; identify the reasons to initiate; and wean breastfeeding and explore predictors of breastfeeding duration. A prospective longitudinal study was used at antenatal clinics of five regional hospitals from four clusters in Hong Kong. A population-based sample of 2098 women in the second trimester of pregnancy was recruited with a systematic sampling method. Three different sets of questionnaires were used. The rates of formula feeding and breastfeeding were 41.1% and 58.9%, while breastfeeding intention and initiation rates were 85.3% and 67.0%, respectively. The breastfeeding duration rates were 11.1%, 10.3%, 10.7% and 26.7%, for the “within < 1week”, “1-3 weeks”, “> 3-6 weeks” and “> 6 weeks” groups. The common reasons for initiating breastfeeding were that breastfeeding is beneficial for both the baby (89.8%) and mother (39.7%). Reasons for weaning breastfeeding were insufficient breast milk (32.7%), tiredness and fatigue (39.7%) and return to work (29.6%). Partner, relatives and nurse midwives were important supportive resources during breastfeeding. Ordinal logistic regression analysis identified five predictive factors of breastfeeding duration. Participants who were working part-time or were housewives (p=0.037), had monthly family income of < HK$10,000 (p=0.034), more than one child (p=0.001), positive breastfeeding intention (p=0.001) and early breastfeeding within the first hour (p<0.0001) were more likely to have longer breastfeeding than their counterparts. The findings are important for a process-oriented breastfeeding training programme for nurse midwives
University of South Australia, Australia
Time : 10:40-11:20
Mary Steen is a Professor of Midwifery at the University of South Australia and Visiting Professor at the Universities of Port Harcourt, Nigeria, Sao Paulo, Brazil and Chester, UK. She is interested in a wide remit of midwifery and family health issues that has led her to undertake research studies in developed and developing countries. She has published her work widely and has written numerous articles, chapters and several books. She has received several awards for clinical innovation, original research and outstanding services to midwifery
Introduction: Engaging with families and communities to promote maternal and infant health and wellbeing is an important aspect of care. Good evidence from around the world clearly demonstrates that when partners, families and local communities are involved, mothers and infants thrive. In addition, when considering the delivery of maternity services to diverse populations, there is evidence to suggest that expectant and new mothers are highly influenced by partner, families, friends and their local communities. Alloparents are significant in families, for example grandparents, other blood relatives and community neighbours who directly provide care and support to mothers and their infants. This supports the concept that ‘it takes a village to bring a child up’. However, implementing family inclusive approaches to maternity care pose challenges.
Aims: The aims of this study are: To gain an insight into how we can engage with families and communities; to explore historical and anthropological evidence that relates to family and community engagement; to describe and discuss some global studies that demonstrate better health outcomes; to describe and discuss studies the presenters has personally been involved with that have included engaging with families and communities; to introduce the Family Included Global Network.
Conclusions: There is an identified need to implement effective approaches to engage with families and communities throughout the world. A Family Included Global Network (FI) has recently been set up to enable health professionals and researchers throughout the world to network, collaborate, unite and pioneer the engagement of families and communities to improve maternal and infant health and wellbeing.