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Background Breastfeeding provides the optimal nourishment for infant and child health and supporting mothers to breastfeed is a global health priority. Midwives are uniquely placed to provide breastfeeding education and support to the woman and it is imperative that they have a sound understanding of the physiological underpinnings of breastfeeding. However, midwifery students and some midwives continue to struggle with the complex physiology of lactation. The purpose of this study was to evaluate an instructional animation resource to teach breastfeeding physiology to student and practicing midwives. Further, this study also offers insights into how student and practicing midwives accept novel approaches to learning. Methods A cross-sectional survey design using both quantitative and qualitative approaches was employed in this proof of concept study. The setting was online with midwifery students recruited from Deakin University and registered midwives recruited from the Australian College of Midwives membership. Snowball sampling was also employed to recruit midwives through professional networks of the research team. The quantitative part of this study included a structured online questionnaire for midwives and midwifery students and descriptive statistics were used to present the quantitative data. The qualitative data were collected from open-ended questions on the questionnaire and a deductive approach was used for analysing the data. Results This proof of concept study collected data from 110 participants and provides evidence for the use of animation as an effective pedagogical tool to explain complex concepts. The animated instructional resource was viewed favourably by both the midwifery students and practicing midwives. Conclusions The findings from this study, support the pedagogical advantages of animated instructional resources for teaching complex physiology. Further, educators should be encouraged and feel confident to develop and use animation technology as both an engaging and effective teaching resource especially for complex concepts.

To investigate predictors of breastfeeding self-efficacy, postnatal care experiences, and there subsequent impact on breastfeeding outcomes in Australia and Aotearoa New Zealand in the context of the COVID-19 pandemic.A cross-sectional online survey collected data between August and October 2020 with recruitment via social media. Quantitative data were analyzed using descriptive analyses, and linear and logistic regression analysis related to the Breastfeeding Self-Efficacy Scale-Short Form findings. Open text responses were analyzed using content analysis.There were 1001 complete responses. Visitor restrictions impacted the woman's early parenting experience in both positive and negative ways. One third of participants stated their postnatal needs were not met with 82 stating that they had no postnatal care at all. During the first six weeks postnatal, 48.1% felt not very or not at all confident caring for their baby. Despite 94.3% of participants initiating breastfeeding, only 70% were exclusively breastfeeding at six weeks. The mean self-efficacy score was 49.98 suggesting the need for additional help, with first time mothers having a statistically significant lower score.Sub-optimal postnatal care and support negatively influence breastfeeding self-efficacy. Women desired additional help during the COVID-19 pandemic inclusive of support and education to meet their postnatal needs and exclusively breastfeed.Women require appropriate and timely postnatal care and support to promote confidence in caring for baby and achieve their breastfeeding goals. Preferably this care should be provided face-to-face.

Background: Supporting women to breastfeed requires knowledge of the physiology, including the complex interplay of both endocrine and autocrine systems. The use of e-learning provides an alternative platform for customising and diversifying content to appeal to a variety of learning styles. While the evidence addressing the effectiveness of instructional animation is equivocal, an innovative approach utilising the application of animation in enhancing midwives' knowledge regarding lactation is warranted. Drawing on expertise in lactation, midwifery education and video design and production, a seven-minute animated video was produced. In this presentation we will showcase the video and present the results of the evaluation. Methods: The aim of this study was to evaluate registered midwives' understanding of breastfeeding physiology and the acceptability and usability of the animated resource. In February/March 2018, registered midwives across Australia were offered the opportunity to review and evaluate the video by completing a cross-sectional anonymous online survey consisting of 29 items containing 4-point Likert scales and free-text responses. Invitation was via the Australian College of Midwives national newsletter. Ethics approval from Deakin University was obtained. Descriptive statistics were used to analyse quantitative data and free-text was coded. Results: Results of the registered midwife evaluation will be presented that will demonstrate midwives' opinions of the animation as a teaching modality. The presentation will include midwives' views on how the resource impacted on their breastfeeding knowledge and understanding and their views of the animation as a learning resource. Comparison will be made to the students' evaluation where 85-95% of respondents reported that the resource enhanced their learning. Discussion and Conclusion: Evidence to inform the use of innovative approaches to support traditional teaching methods will be provided. These results will provide valuable data to inform further innovation in the area of professional development education in breastfeeding and other complex midwifery concepts.