{"title":"Analysis of the ethical issues in the breastfeeding and bedsharing debate.","authors":"Catherine M Fetherston, J Shaughn Leach","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recommendations advising against mothers and their infants sharing a bed during sleep (bedsharing) have sparked heated debate in recent years, the effects of which are that bedsharing is now most often only considered in the polarised contexts of being either 'the norm' or 'inherently unsafe'. This has resulted in significant tensions between supporters of bedsharing and public health bodies who seek to eliminate the risks associated with SIDS. This paper considers the issues surrounding this debate by examining the evidence associated with bedsharing, SIDS and breastfeeding. This is undertaken using Baum's six-step framework for analysing potential ethical tensions in public health policy, which includes the principles of utility, evidence base and effectiveness of action, fairness, accountability, costs and burdens, and community acceptance. This framework has allowed us to examine the competing principles involved in the bedsharing and breastfeeding debate, and arrive at a position constructed using ethical considerations.</p>","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 3","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31171537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Human milk use in Australian hospitals, 1949-1985.","authors":"Virginia Thorley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper will draw mainly on the experiences of fourteen women to explore the use of expressed human milk by hospitals in Australia from the postwar period through to 1985. The purpose is to provide a snapshot of common practices before the decline of human milk banking and other uses of expressed breastmilk in Australian hospitals, thus providing a source for future comparison against the more rigorous, uniform practices being instituted in the new milk banks of the early-21st century. The ten mothers included were a convenience sample drawn from the author's networks, with recruitment continuing till a range of hospital types and a majority of states were included. Three of the mothers also had experience as trainee midwives and midwives, and four midwives contributed their experiences as staff members, only. The hospitals ranged from large teaching hospitals to small private hospitals and were in metropolitan, regional and country locations. The practices included routine expression and expression for specific purposes, whether for the mother's own baby or to donate. Some hospitals pooled the donor milk for premature or sick babies.</p>","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 2","pages":"13-23"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30879110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breastfeeding and thyroid disease: a literature review.","authors":"Elisabeth Speller, Wendy Brodribb","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 2","pages":"41-7"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30879527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breastfeeding--a framework for educating the primary care medical workforce.","authors":"Wendy E Brodribb","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Breastfeeding is an important public health issue with an increase in infant and maternal morbidity and mortality for artificially-fed infants and their mothers. Doctors in primary care can influence mothers' infant feeding decisions, both positively and negatively, depending on the adequacy of their training. As there is no consistent approach to educating doctors in Australia at present, the development of a curriculum outline and educational strategies would be one step towards improving doctors' breastfeeding knowledge.</p><p><strong>Approach: </strong>Studies investigating the breastfeeding knowledge, attitudes and training opportunities of doctors in Australia were reviewed and information pertinent to breastfeeding training of doctors working in primary care obtained. This information, in conjunction with relevant literature, was used to define a breastfeeding knowledge base and identify broader educational strategies applicable for the training of doctors.</p><p><strong>Conclusion: </strong>Australian primary care doctors require further breastfeeding training to be able to provide optimum care for breastfeeding mothers and their infants. This paper formulates a breastfeeding education framework for the training of medical students, junior doctors, GP registrars and GPs.</p>","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 2","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30879112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breastfeeding interventions that improve breastfeeding outcomes and Australian Breastfeeding Association services that support those interventions.","authors":"Susan Tawia","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 2","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30879528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It's not the contents, it's the container: Australian parents' awareness and acceptance of infant and young child feeding recommendations.","authors":"Nina J Berry, Sandra C Jones, Don Iverson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adherence to public health recommendations around infant and young child feeding is poor amongst Australian parents. This study aimed to investigate Australian parents' awareness and acceptance of public health recommendations about infant feeding. A cross-sectional design was used to survey a convenience sample of Australian parents. A total of 439 surveys were collected by intercept over 2 days from parents of children less than 5 years old, including those expecting a first baby, at the Pregnancy, Babies and Children (PBC) Expo held in Sydney in May 2008. Only 58.3% were aware of the WHO and NHMRC recommendation of 6 months exclusive breastfeeding. Fewer than 70% of respondents indicated that they thought breastfeeding should continue to 12 months or later, in accordance with the NHMRC guidelines, and only 12.3% thought breastfeeding should continue to 24 months or later, in accordance with WHO recommendations. This research suggests that awareness and acceptance of infant feeding recommendations in Australia is poor.</p>","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 2","pages":"31-5"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30879114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infant feeding and obesity risk in the child.","authors":"Wendy H Oddy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Early nutrition in infancy may influence later child health outcomes including overweight through 'programming'. Systematic reviews suggest that breastfeeding is associated with a modest reduction in the risk of later overweight and obesity. This commentary explores some of these mechanisms behind this association. Generally breastfed infants are leaner than artificially (formula)-fed infants and behavioural and hormonal mechanisms may explain this difference. The theory is that a high nutrient diet in infancy adversely programs the principal components of the metabolic syndrome in the child (body mass index, blood pressure and blood lipids) by promoting growth acceleration, whereas slower growth benefits later cardiovascular disease and its risk factors. Artificial-feeding stimulates a higher postnatal growth velocity with the adiposity rebound occurring earlier in those children who have greater fatness later, whereas breastfeeding has been shown to promote slower growth. The adverse long-term effects of early growth acceleration emerge as fundamental in later overweight and obesity. The higher protein content of artificial baby milk compared to the lower protein content in breastmilk is responsible for the increased growth rate and adiposity during the influential period of infancy of formula-fed infants. Breastfeeding, on the other hand, has a protective effect on child overweight and obesity by inducing lower plasma insulin levels, thereby decreasing fat storage and preventing excessive early adipocyte development. Plausible biological mechanisms underlying the protective effect of breastfeeding against obesity are based on the unique composition of human milk and the metabolic and physiological responses to human milk.</p>","PeriodicalId":35568,"journal":{"name":"Breastfeeding Review","volume":"20 2","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30879109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}