infant feeding research in newfoundland and labrador · infant feeding research in newfoundland and...
TRANSCRIPT
Infant Feeding Research in
Newfoundland and Labrador
Leigh Anne Newhook MD, FRCPC
• To introduce the Baby-Friendly Council of NL Research
Working Group and its purpose
• To gain an understanding of the infant feeding culture in NL
and an awareness of why breastfeeding rates are low
• To learn highlights of our research results to date
• To learn how we are using research to inform our Baby-
Friendly Council strategy
Learning Objectives:
Breastfeeding Rates by Health
Authority in NL
Health Region 2012 2016
Eastern Health 70 % 78 %
Central Health 64 % 65 %
Western Health
61 % 65 %
Labrador Grenfell
72 % 77 %
NL 68 % 75 %
Source: Perinatal Program NL, 2016
Exclusive BF for Six Months
• NL EBF for 6
months: 16%
• Canadian EBF: 26%
Source: Statistics Canada, CCHS 2014 Photo courtesy of Russell Wyse
o by 2025, Newfoundland and Labrador’s
breastfeeding initiation rate will increase by 7%
(to ≈ 80%).
o current NL initiation rate: 72.7%
oCanadian rate: 90%
Baby-Friendly Council of NL
Strategic Goals
• To establish breastfeeding as
the cultural norm for infant
feeding
• Increase 6-month EBF to
20%
• Increase EBF at hospital
discharge to 60%
• designated Baby-Friendly
maternity facilities and
community health services in
each RHA Photo courtesy of Rhonda Roebothan
Baby-Friendly Council Of NL: Structure
Baby-Friendly Initiative
Central Regional
Breastfeeding Committee
Eastern Regional
Breastfeeding Committee
Labrador/ Grenfell Regional
Breastfeeding Committee
Western Regional
Breastfeeding Committee
Communication and Strategy
Public Education and Awareness
Research
The Research Working Group
• A multidisciplinary team of
researchers, research users,
healthcare professionals, healthcare
decision makers and policy makers
Who are we?
• www.babyfriendlynl.ca
Students:
• Dr. Samantha Woodrow
• Susan Warren
• Nouf Alkusayer
• Sharmeen Chowdhury
• Alicia Taylor
• Dr. Laurie Twells• Dr. Leigh Anne Newhook • Dr. Janine Woodrow • Beth Halfyard• Nicole Gill • Heidi Boyd • Dr. William Midodzi• Dr. Julie Emberley• Dr. Anne Ryan-Drover• Dr. Rana Aslanov• Dr. Tiffany Lee• Dr. Julie Temple-Newhook
www.babyfriendlynl.ca
Primary Goal
• To develop a comprehensive body of
research including a social strategy to
protect, promote and support
breastfeeding in NL
www.babyfriendlynl.ca
This is to be achieved using: 1. Quantitative research methods
2. Qualitative research methods
3. Social Strategy - interact and engage the public
in a discussion on infant feeding
Research Working Group
Objectives • To accurately measure the rates of BF: intent,
initiation and duration
• To collect reliable information on why women choose specific infant feeding methods
• To gain a better understanding of why breastfeeding rates are so low in this province
• To inform the development of interventions to improve BF rates
• Improve the health and well-being of all mothers and babies in NL
Research Program in Infant Feeding
mothers’ attitudes, beliefs
and values regarding infant
feeding
Grandmothers’Perspective
Phase 1Recruitment of
pregnant mothers in 3rd trimester
Phase 2Follow-up with
mother 1-3 mthspost delivery
Phase 3Follow-up with
mother 6-12 mthspost delivery
Phase 4Follow-up with
mother and childOne year of age(GE, AOM, LRTI)
Meeting with Aboriginal stakeholders
Labrador
LabradorAboriginal-Nunatsiavut,
NunatuKavut, Innu
Intervention studies
Follow-up study with mother and child at 4-5
years of age
Qualitative StudiesQuantitative Study
The FiNal StudyFuture Research
Perinatal experiences
Tongue-tie
Published topics
• Infant feeding and preschool obesity• Reasons why mothers chose formula feeding• Experience of grandmothers • Knowledge and attitudes of pregnant women
(IIFAS)• Poverty and breastfeeding: comparing
determinants of early breastfeeding cessation• Determinants of nonmedically indicated in-
hospital supplementation • Omega fatty acids and breastmilk
Current projects
• Clinical applicability of IIFAS
• Infant “health services use” and infant feeding
• Systematic review of infant feeding and respiratory infection
• Parental and provider experiences of infant feeding support
• Skin-to-skin and C-Sections
• Family experiences and tongue-tie
• Human milk supplementation in the NICU
Future topics
• Epidemiology of tongue-tie
• Influence of the formula industry in NL
• Post-partum depression and infant feeding
• Intervention studies
– Prenatal education
– skin-to-skin and vulnerable women
• *Patient-oriented research
Knowledge Translation/Social
Strategy
• Local Research Symposia (2009, 2011, 2016)
• Presentations to government policy makers
• NLCHI Breastfeeding Fast Facts
• Baby-Friendly Council Newsletter
• Collaboration with MUN student researchers
• Conference presentations
• Pediatric Grand Rounds
www.babyfriendlynl.caCafé Scientifiques
(CIHR funded) ◦ 2011 - St. John’s
◦ 2012 - Corner Brook
◦ 2013 - Gander
◦ 2014 - Labrador
www.babyfriendlynl.ca
Media-public interviews/print• CBC morning shows
• CBC Cross Talk
• Rogers “Out of the Fog”
• Articles in local papers
• University publications
• Social media: babyfriendlynl.ca
Baby-Friendly Council Of NL: Structure
Baby-Friendly Initiative
Central Regional
Breastfeeding Committee
Eastern Regional
Breastfeeding Committee
Labrador/ Grenfell Regional
Breastfeeding Committee
Western Regional
Breastfeeding Committee
Communication and Strategy
Public Education and Awareness
Research
www.babyfriendlynl.ca
Photo courtesy of Aimee Chaulk
Funding
Committee Members
• To introduce the Baby-Friendly Council of NL Research
Working Group and its purpose
• To gain an understanding of the infant feeding culture in NL
and an awareness of why breastfeeding rates are low
• To learn highlights of our research efforts to date
• To learn how we are using research to inform our Baby-
Friendly Council strategy
Learning Objectives: