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062160 MCHR NEWS #24 FA 25/11/05 4:00 PM Page 4 062160 MCHR NEWS #24 FA 25/11/05 4:00 PM Page 4 Department of Communities acknowledged MOSAIC mentor mother co-ordinator, and MOSAIC MOSAIC’s strong community partnership Jan Wiebe, MOSAIC research officer. They with maternal and child health nurse teams, are pictured here, together with Chief divisions of general practice, and women’s Investigators Angela Taft, Rhonda Small implementation health services in the north-west region of and Judith Lumley, and Kim Hoang, our Melbourne. research and project officer with the – funded The Hon Mary Delahunty MLA, Minister for Vietnamese community. Women's Affairs, will launch MOSAIC on Project update: MOSAIC has now at last! Angela Taft 12 December at Richmond Town Hall. completed training with six maternal and The launch will provide a wonderful child health nurse teams and 21 GPs from MCHR NEWS We have been outlining the gradual opportunity to celebrate the project with 17 general practices. These nurse teams development of the MOSAIC (Mothers’ our community partners and the mentor and practices have been randomised to Advocates In the Community) cluster mothers who have all supported MOSAIC comparison and intervention arms of the randomised trial over previous centre with such enthusiasm and commitment trial and referrals to the study have now newsletters. Readers will know that during our quest for funding. commenced. Further GP recruitment and Della Forster’s thesis Breastfeeding – Jane Yelland’s studies culminated in her MOSAIC aims to evaluate the role of making a difference: predictors, women’s thesis Changing maternity care: an evaluation MOSAIC has also recently welcomed two training will continue early in 2006. Celebrating supportive mentor mother advocates in views and results from a randomised trial of mainstream maternity enhancement new staff – Vivianne Woska, the new reducing partner abuse and depression, described a study that aimed to determine initiatives at four Melbourne hospitals. and strengthening mother-child bonds for three PhD whether mid-pregnancy breastfeeding In the late 1990s a Melbourne health women pregnant or with children under MOSAIC team education, with a focus on either attitudes network introduced a range of initiatives five, identified as at risk by their primary graduations to breastfeeding or on technical aspects of with the aim of improving mainstream care providers. breastfeeding, had an effect on rates of In a first for MCHR, three students recently maternity care. These innovations included breastfeeding initiation and duration. We were delighted in November that the graduated together with the award, Doctor the development of approaches that Victorian Government announced a grant of of Philosophy. Vice-Chancellor of La Trobe In Australia, as in many high income provided greater continuity of care, an $471,982 through its Community Support University, Professor Michael Osborne, countries, it has proven difficult to reach emphasis on improving postnatal Fund for full implementation of the project. conferred the awards on 7 October 2005. World Health Organization (WHO) outcomes and strategies to foster the MOSAIC already has NHMRC funding for recommendations that infants be uptake of evidence in clinical practice. Lisa Amir’s research focussed on the the study’s evaluation. The Victorian exclusively breastfed from birth to six Prevalence and prevention of mastitis in Jane’s doctoral work reports on the four-year months of age, yet there is limited lactating women. Mastitis is an important multifaceted evaluation of these maternity knowledge about interventions that are public health issue because it affects a enhancement initiatives. The findings focus effective in increasing breastfeeding large number of women and has physical on the outcomes of postal surveys of over initiation and duration. What is particularly and emotional consequences. 2,000 women who had given birth within lacking is evidence about how to maintain Complications of mastitis include the the network at two time-points. Seventy-five • Jane Yelland, Della Forster, Helen breastfeeding rates past the first six weeks Vietnamese women who had recently given development of a breast abscess and/or McLachlan and Jo Rayner received in countries which already have a high birth were also interviewed at home about Staff news Grants premature cessation of breastfeeding. $9,517 for a project titled ’The feasibility initiation of breastfeeding. their experiences of care. Process MOSAIC welcomes two new staff to the Angela Taft, Rhonda Small, Judith The Breastfeeding Survey of Frances Perry and development of a patient preference Neither intervention tested in the trial made evaluation, involving interviews with team. Jan Wiebe is working as a research Lumley and Associate Professor House and the Royal Women’s Hospital package of postnatal care’. a difference to the proportion of women managers, clinicians and recent mothers, officer and Vivianne Woska as mentor Kelsey Hegarty were awarded a (RWH) Family Birth Centre was an addition • Ann Krastev and Stephanie Brown initiating (96%) or continuing (53%) was conducted to assess the process and mother co-ordinator for the project. Community Support Grant of $472,891 to a concurrent large breastfeeding trial, received $4,946 for a project titled ‘Medical breastfeeding. progress of change. Emergency for the MOSAIC project. Attachment to the Breast and Family Vicki Wyatt graduated in October with a records versus self-report questionnaires: department attendances and readmissions An NHMRC enabling grant of $1,040,000 Attitudes to Breastfeeding (ABFAB), which Recommendations for further research are La Trobe University Diploma of University assessing discrepancies, inconsistencies of mothers and infants were monitored. over five years for the WOMBAT recruited public patients at the RWH. Of the based on the findings of this study in Administration. and missing data for exposure and The evaluation demonstrated that it is possible collaboration on perinatal trials was 1,189 women who were interviewed at six combination with meta-analyses following Dianne Beck has commenced a four outcome measures in a prospective cohort to re-orient mainstream maternity care in awarded to Professor Caroline months postpartum, 205 women (17%) had a systematic review of the literature. Given month placement at MCHR, her final study investigating women’s health during complex hospital environments, resulting in Crowther, Dr Steve Cole, Dr Jodie experienced mastitis. Fifty percent of the complex issues related to measuring placement as part of the Victorian Public pregnancy and after childbirth’. significant improvements. The study also Dodd, Professor Lex Doyle, Ms Vicki episodes occurred in the first four weeks breastfeeding outcomes and the relative Health Training Scheme. Dianne will be illustrated the strengths and limitations of a Flenady, Professor David Henderson- • Helen McLachlan, Della Forster, Jane postpartum and 83% in the first three lack of efficacy of many breastfeeding working with Lyn Watson and Judith Lumley quasi-experimental approach to evaluation Smart, Judith Lumley, Ms Philippa Yelland and Jo Rayner received $4,934 for months postpartum. Five women interventions, it is important that future on the association of prior pregnancy loss and the benefits of systematically Middleton, Dr Christine Roberts, their project, ‘Supporting women after developed a breast abscess, which is 3% studies include adequate sample size; and preterm birth and how smoking examining the context and process of a new Professor Jeffrey Robinson, Professor childbirth: adapting and piloting an educational of the women who experienced mastitis. follow-up to at least six months; economic influences this association. program aimed at enhancing the knowledge evaluation; clear breastfeeding definitions; approach to public maternity care. Many Karen Simmer and Professor William A separate case-control study investigated Congratulations to Ann Krastev and Ellie and skills of midwives and nurses to identify and importantly, input from women about of the findings from the evaluation have Tarnow-Mordi. the possible association between mastitis McDonald on their recent marriages and and support women with psychosocial issues intervention design. applicability for the organisation and Five Faculty of Health Sciences and nasal carriage of Staphylococcus Liesje Toomey on her engagement. We during the postnatal period’. provision of care at other maternity facilities. Research Grant applications were aureus. There was no difference in the Della’s studies were supervised by wish them every happiness for the future. Jane’s studies were supervised by recently successful. Sue Armstrong received a Faculty of proportion of women with mastitis and Judith Lumley. Congratulations also to Fiona Bruinsma Health Sciences Postgraduate Support Stephanie Brown. • Della Forster, Jo Rayner, Helen without mastitis who were nasal carriers. on the birth of a baby girl, Naomi Elise. Grant of $425 to support her attendance at McLachlan and Jane Yelland received However, the infants of mothers with the recent annual $9,930 for ‘A state-wide review of postnatal mastitis were more likely to be nasal Jane Yelland, Lisa Amir Public Health & Della Forster care in private hospitals in Victoria’. Mother & Child carriers (82%) than the infants of other Awards Association of Health Research women (56%). The presence of a cracked • , , Mary-Ann Davey Della Forster Helen Australia La Trobe University nipple was associated
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