Evidence map›Paper›PMID 40481537›Full record

ArticleInternational breastfeeding journal2025

Breastfeeding experiences and infant feeding decisions for women birthing Aboriginal children in Adelaide, South Australia: a qualitative study.

Karen Hawke, Anneka Bowman, Casey Cameron, Karen L Peterson, Philippa Middleton, Cathy Leane, Janiene Deverix, Amanda Collins-Clinch, Alice Rumbold, Karen Glover

Abstract read
In one paragraph

Article in International breastfeeding journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Karen HawkeAboriginal Families and Communities Health Research Alliance (ACRA), Women and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
Anneka BowmanAboriginal Families and Communities Health Research Alliance (ACRA), Women and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
Casey CameronAboriginal Families and Communities Health Research Alliance (ACRA), Women and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
Karen L PetersonAboriginal Families and Communities Health Research Alliance (ACRA), Women and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
Philippa MiddletonSchool of Medicine, University of Adelaide, Adelaide, Australia.
Cathy LeaneAboriginal Health Division, Women's and Children's Health Network, Adelaide, Australia.
Janiene DeverixAboriginal Health Division, Women's and Children's Health Network, Adelaide, Australia.
Amanda Collins-ClinchAboriginal Health Council of Western Australia, Highgate, Australia.
Alice RumboldWomen and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
Karen GloverAboriginal Families and Communities Health Research Alliance (ACRA), Women and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia. karen.glover@sahmri.com.

Funding

Channel 7 Children's Research Foundation 171468
6 · The paper itself

Abstract

backgroundIncreasing breastfeeding rates among Aboriginal and Torres Strait Islander (hereafter, respectfully Aboriginal) infants could improve health outcomes that disproportionately affect Aboriginal children into adulthood. This study was undertaken with mothers birthing Aboriginal children in Adelaide, Australia. The study sought to: understand their perceptions, motivations, influences and experiences around breastfeeding; explore factors affecting the ability to breastfeed; perceptions of alternative feeding options; and experiences of care to support breastfeeding.

methodsSemi-structured Research Yarning interviews were conducted between November 2020 and May 2022 with 30 mothers who birthed an Aboriginal baby within metropolitan Adelaide, Australia, within the previous 18 months. Women were invited to participate if they were enrolled in a larger cohort study known as the Aboriginal Families and Baby Bundles Study, or had antenatal care from the local Aboriginal community controlled health service, were aged 16 and over, and were involved in feeding the child since birth. Three female Aboriginal researchers undertook the Yarning interviews, which were transcribed and analysed thematically.

resultsParticipants demonstrated a strong desire to breastfeed and described a range of factors impacting on their ability to establish or maintain breastfeeding. The role of healthcare providers was key to breastfeeding success with participants reporting both positive and negative care experiences. Participants described supportive experiences as those where non-judgemental care was provided that was tailored to their needs, included Aboriginal staff, and provision of continuity of care. Mothers described negative effects of their experiences of racism and ageism (young mothers) from care providers.

conclusionsAboriginal women expressed a range of challenges to sustaining breastfeeding that could be addressed by increased investment in provision of timely, non-judgemental postnatal care tailored to their social and cultural needs, including access to specialised lactation care in the hospital and including facilitated continuation of successful breastfeeding at home.

Indexed as

Breast FeedingMothersAdolescentAdultAustralian Aboriginal and Torres Strait Islander PeoplesFemaleHumansInfantInfant, NewbornQualitative ResearchSouth AustraliaYoung AdultBreastfeedingCultural safetyFirst nationsInfant feedingLactationLactation consultant

Identifiers

PMID40481537
PMCPMC12144733

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.