ORCID Profile
0000-0001-8513-0653
Current Organisations
Lyell McEwin Hospital
,
University of Adelaide
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Publisher: SAGE Publications
Date: 29-10-2014
Abstract: Insufficient milk supply is 1 of the most commonly reported reasons for discontinuation of infant breastfeeding. Although domperidone is often used to improve milk supply, knowledge of factors associated with the use of domperidone in clinical practice is scarce. This study aimed to examine factors associated with the use of domperidone as a galactogogue at the Women’s and Children’s Hospital (WCH), Adelaide. A retrospective cohort study was conducted, involving women who delivered live-born singletons (N = 21 914) at the WCH between January 2004 and December 2008. Women dispensed domperidone were identified using WCH pharmacy dispensing records. Maternal and infant clinical data were obtained from the WCH Perinatal Statistics Collection. Relationships between maternal/infant demographic and clinical variables and the use of domperidone were examined through univariate and multivariate logistic regression analyses. Key factors associated with an increased likelihood of women receiving domperidone were increasing maternal age (adjusted odds ratio [aOR] = 1.04 95% confidence interval [CI], 1.03-1.06), maternal obesity (aOR = 1.41 95% CI, 1.16-1.77), primiparity (aOR = 1.94 95% CI, 1.63-2.30), delivery by cesarean section (aOR = 1.31 95% CI, 1.10-1.55), preterm birth (aOR = 3.54 95% CI, 2.79-4.50), and neonatal hospitalization (aOR = 2.51 95% CI, 2.01-3.14). In addition, statistically significant trends were observed between increasing socioeconomic status and year of delivery and an increased likelihood of women receiving domperidone (all Ps .004). These findings are of clinical importance as they not only reinforce previous findings regarding risk factors for women experiencing lactation difficulties but also highlight the need for improved research regarding the rational and efficacious use of domperidone to improve breastfeeding outcomes.
Publisher: Elsevier BV
Date: 09-2005
Publisher: SAGE Publications
Date: 03-12-2020
Abstract: Until relatively recently, processes of health application (app) design have been understudied and this has resulted in a lack of critical reflection on app creation, including curtailing opportunities to share insights and possible pitfalls that could inform best practice in the field. In response, this article contributes to a growing body of literature that addresses this lacuna by exploring the experiences of the research and design team that developed a health app for pregnant women attending a large tertiary hospital in South Australia. Our analysis pays particular attention to the designer–researcher–user nexus exhibited in the ‘co-design’ process and in doing so, draws on Rittel’s notion of ‘wicked problems’. Ultimately, we show that app design is a problem-solving process that is reflective of a high degree of sociality, fluidity, accommodations and compromises.
Publisher: Elsevier BV
Date: 04-2020
Publisher: Springer Science and Business Media LLC
Date: 20-03-2021
No related grants have been discovered for Julia Dalton.