Perinatal support for breastfeeding using mHealth: A mixed methods feasibility study of the My Baby Now app.

Despite the well-known benefits of breastfeeding, breastfeeding rates remain suboptimal, particularly for women with lower socioeconomic position. Although popular, breastfeeding apps are often poor quality; their impact on breastfeeding knowledge, attitudes, confidence and intentions is unknown. A mixed method pre-post feasibility study was conducted to: 1) explore the feasibility of the My Baby Now app in providing perinatal breastfeeding support; 2) examine the impact on breastfeeding knowledge, attitudes, confidence and intentions; 3) to examine any differences in acceptability and impact of the app according to maternal education. The My Baby Now app was offered to pregnant women 20-30 weeks gestation. Breastfeeding knowledge and intentions were collected at baseline (T1) and 36-38 weeks gestation (T2); attitudes and confidence were collected at baseline, T2 and T3 (8-12 weeks post-partum). App engagement was measured via app analytics. Qualitative interviews were conducted with a purposeful sample following T3. Of 266 participants recruited, 169 (64%) completed T2 and 157 (59%) completed T3. Mothers without university education rated the app to be higher quality, more useful and impactful than mothers with university education. From T1-T2, breastfeeding knowledge (59.6% vs. 66.5%, p < 0.001) and exclusive breastfeeding intentions (76.6% vs. 80.9%, p < 0.001) increased. Breastfeeding attitudes and confidence scores also increased significantly across T1-T2 and T1-T3. App engagement during pregnancy predicted changes in breastfeeding attitudes from T1-T2 among participants without university education. App engagement did not predict changes in breastfeeding knowledge, confidence or intentions. Future randomised controlled studies should examine the effectiveness of mHealth interventions on breastfeeding outcomes.

Factors Controlling the Distribution of Microplastic Particles in Benthic Sediment of the Thames River, Canada.

Investigations of microplastic abundances in freshwater environments have become more common in the past five years, but few studies concern the factors that control the distribution of microplastics in river systems. We sampled benthic sediment from 34 stations along the Thames River in Ontario, Canada, to determine the influence of land use, grain size, river morphology, and relative amount of organic debris on the distribution of microplastics. Once counted and characterized for shape, color, and size, microplastic abundances were normalized to the results from Fourier transform infrared spectroscopy on randomly selected particles. The results indicate that 78% of the fragments and only 33% of the fibers analyzed were plastic. The normalized microplastic quantities ranged from 6 to 2444 particles per kg of dry weight sediment (kg-1 dw). The greatest number of microplastics were identified in samples of the finest grain sizes and with the greatest amount of organic debris. Although there was no significant difference between microplastic abundances in urban versus rural locations, the average microplastic count for urban samples was greater (269 vs 195 kg-1 dw). In terms of river morphology, samples from along straight courses of the river contained fewer microplastics than samples from inner and outer bends. Overall abundances confirm how rivers contain a significant number of plastic particles and thus may be major conduits of microplastics to lake and ocean basins.

Factors influencing the variation of microplastic uptake in demersal fishes from the upper Thames River Ontario.

Microplastics (plastic particles <5 mm) are abundant in aquatic environments, particularly near urban areas. Little is known, however, about how variations in microplastic abundances within watersheds affect fishes. Microplastics were examined in demersal fishes-white sucker (Catostomus commersonii) and common carp (Cyprinus carpio)-across 11 sites in the Thames River, Ontario, Canada. Microplastics were found in 44% of white sucker, ranging from 0 to 14 particles per fish, and 31% of common carp, ranging from 0 to 128 particles per fish. Across both species, the number of microplastics was higher in urban sites than rural sites, and there was a positive relationship between the number of microplastics in the fish and the abundance of microplastics in the sediment. Body mass was also positively related to number of microplastics in fish. Together these results provide insight into environmental and biological factors that may be influencing microplastic ingestion in demersal fishes.

Factors driving the spatial distribution of microplastics in nearshore and offshore sediment of Lake Huron, North America.

Offshore and nearshore sediment samples from Lake Huron, North America, were analysed for microplastics. Normalized abundances ranged from 59 to 335,714 particles per kg of dry weight sediment (p kg-1 dw). Of the four main basins of Lake Huron, the North Channel contained the greatest microplastic abundances, averaging 47,398 p kg-1 dw, followed by Georgian Bay (21,390 p kg-1 dw), the main basin (15,910 p kg-1 dw) and Saginaw Bay (1592 p kg-1 dw). Results indicate that greater lake depths (p = 0.004), associated with finer grained sediment (p = 0.048), are significant zones of deposition. Regression analysis reveals that source-driven factors generally do not account for microplastic abundances and distribution. Instead, process-driven hydrodynamic forces such as waves and surface currents could be driving distribution and deposition into the offshore environment. The findings suggest that these often overlooked processes should be considered when investigating microplastics quantity in bottom sediment of large lakes.

A comprehensive investigation of industrial plastic pellets on beaches across the Laurentian Great Lakes and the factors governing their distribution.

Industrial, pre-consumer pellets are a major type of plastics pollution found on shorelines worldwide. This study investigates the distribution and characteristics of plastic pellets accumulated on beaches of the Laurentian Great Lakes of North America and provides a "snapshot" of pellet distribution in a lake system that accounts for 21% of the world's freshwater reserves. We sampled pellets simultaneously from 10m2 quadrats on 66 beaches and characterized the 12,595 pellets collected (average of 19.1 pellets/m2). Forty-two beaches contained pellets and 86% of the pellets were found on three beaches: Rossport (Lake Superior), Baxter (Lake Huron), and Bronte (Lake Ontario). The number of pellets on each beach was compared with factors hypothesized to control their accumulation. In general, positive correlations were found between pellet abundance and watershed population, number of plastic-related industries, and proximity to a river mouth, although for Lake Superior, abundance was related to a train spill that took place over 10 years ago. Beach grain size appears to be related to pellet abundance, with very fine sand, fine sand and medium sand containing the greatest number of pellets. All pellets were visually characterized based on size, color, shape, weathering, and distinguishing traits. The predominant color was white, oblate shapes were most common, and the main distinguishing trait was a dimple. Most pellets showed little evidence of weathering, with the weathered samples mainly from Lakes Erie and Ontario. Lake Ontario pellets were the most varied, with 6/7 shapes, 35/40 colors, and 21/25 distinguishing traits, indicating a wider range of pellet sources compared to the other lakes. Polymer compositions were mainly polyethylene (PE) and polypropylene (PP). Our results will lead to increased recognition of regional pellet pollution in the Great Lakes watershed, thereby motivating change during their production, transport and use.

Plastics and beaches: a degrading relationship.

Plastic debris in Earth's oceans presents a serious environmental issue because breakdown by chemical weathering and mechanical erosion is minimal at sea. Following deposition on beaches, plastic materials are exposed to UV radiation and physical processes controlled by wind, current, wave and tide action. Plastic particles from Kauai's beaches were sampled to determine relationships between composition, surface textures, and plastics degradation. SEM images indicated that beach plastics feature both mechanically eroded and chemically weathered surface textures. Granular oxidation textures were concentrated along mechanically weakened fractures and along the margins of the more rounded plastic particles. Particles with oxidation textures also produced the most intense peaks in the lower wavenumber region of FTIR spectra. The textural results suggest that plastic debris is particularly conducive to both chemical and mechanical breakdown in beach environments, which cannot be said for plastics in other natural settings on Earth.

Embracing an interdisciplinary approach to plastics pollution awareness and action.

This paper considers how an interdisciplinary approach to the "wicked problem" of plastics pollution offers unique and important collaborative possibilities. Specially, the paper considers the approach of the Synthetic Collective, a group comprising artists, humanities scholars, and scientists. Considering first how artists and scientists might respond differently to tracking, mapping, understanding, and representing plastics pollution, we then look for potential points of commonality across disciplinary difference. In respect to the urgent and multifaceted problem of marine plastics pollution in the Great Lakes region, we ask what are some of the successes and pitfalls of bringing together diverse approaches and interests? The paper concludes with a clear strategy: a set of instructions geared towards building successful interdisciplinary collaborations. Ultimately, we conclude that a strong relationship amongst scientists and artists is possible, fruitful, and indeed warranted when shared goals are the driving principle of the group.

Models of midwifery care for Indigenous women and babies: A meta-synthesis.

ISSUE: Indigenous women in many countries experience a lack of access to culturally appropriate midwifery services. A number of models of care have been established to provide services to women. Research has examined some services, but there has not been a synthesis of qualitative studies of the models of care to help guide practice development and innovations. AIM: To undertake a review of qualitative studies of midwifery models of care for Indigenous women and babies evaluating the different types of services available and the experiences of women and midwives. METHODS: A meta-synthesis was undertaken to examine all relevant qualitative studies. The literature search was limited to English-language published literature from 2000-2014. Nine qualitative studies met the inclusion criteria and literature appraisal - six from Australia and three from Canada. These articles were analysed for coding and theme development. FINDINGS: The major themes were valuing continuity of care, managing structural issues, having negative experiences with mainstream services and recognising success. DISCUSSION: The most positive experiences for women were found with the services that provided continuity of care, had strong community links and were controlled by Indigenous communities. Overall, the experience of the midwifery services for Indigenous women was valuable. Despite this, there were still barriers preventing the provision of intrapartum midwifery care in remote areas. CONCLUSION: The expansion of midwifery models of care for Indigenous women and babies could be beneficial in order to improve cultural safety, experiences and outcomes in relation to pregnancy and birth.

Sources and sinks of microplastics in Canadian Lake Ontario nearshore, tributary and beach sediments.

Microplastics contamination of Lake Ontario sediments is investigated with the aim of identifying distribution patterns and hotspots in nearshore, tributary and beach depositional environments. Microplastics are concentrated in nearshore sediments in the vicinity of urban and industrial regions. In Humber Bay and Toronto Harbour microplastic concentrations were consistently >500 particles per kg dry sediment. Maximum concentrations of ~28,000 particles per kg dry sediment were determined in Etobicoke Creek. The microplastic particles were primarily fibres and fragments <2mm in size. Both low- and high-density plastics were identified using Raman spectroscopy. We provide a baseline for future monitoring and discuss potential sources of microplastics in terms of how and where to implement preventative measures to reduce the contaminant influx. Although the impacts of microplastics contamination on ecosystem health and functioning is uncertain, understanding, monitoring and preventing further microplastics contamination in Lake Ontario and the other Great Lakes is crucial.

Benthic plastic debris in marine and fresh water environments.

This review provides a discussion of the published literature concerning benthic plastic debris in ocean, sea, lake, estuary and river bottoms throughout the world. Although numerous investigations of shoreline, surface and near-surface plastic debris provide important information on plastic types, distribution, accumulation, and degradation, studies of submerged plastic debris have been sporadic in the past and have become more prominent only recently. The distribution of benthic debris is controlled mainly by combinations of urban proximity and its association with fishing-related activities, geomorphology, hydrological conditions, and river input. High density plastics, biofouled products, polymers with mineral fillers or adsorbed minerals, and plastic-metal composites all have the potential to sink. Once deposited on the bottoms of water basins and channels, plastics are shielded from UV light, thus slowing the degradation process significantly. Investigations of the interactions between benthic plastic debris and bottom-dwelling organisms will help shed light on the potential dangers of submerged plastic litter.

Hidden plastics of Lake Ontario, Canada and their potential preservation in the sediment record.

Microplastics are a source of environmental pollution resulting from degradation of plastic products and spillage of resin pellets. We report the amounts of microplastics from various sites of Lake Ontario and evaluate their potential for preservation in the sediment record. A total of 4635 pellets were sampled from the Humber Bay shoreline on three sampling dates. Pellet colours were similar to those from the Humber River bank, suggesting that the river is a pathway for plastics transport into Lake Ontario. Once in the lake, high density microplastics, including mineral-polyethylene and mineral-polypropylene mixtures, sink to the bottom. The minerals may be fillers that were combined with plastics during production, or may have adsorbed to the surfaces of the polymers in the water column or on the lake bottom. Based on sediment depths and accumulation rates, microplastics have accumulated in the offshore region for less than 38 years. Their burial increases the chance of microplastics preservation. Shoreline pellets may not be preserved because they are mingled with organic debris that is reworked during storm events.

Effects of mechanical and chemical processes on the degradation of plastic beach debris on the island of Kauai, Hawaii.

Plastic debris is accumulating on the beaches of Kauai at an alarming rate, averaging 484 pieces/day in one locality. Particles sampled were analyzed to determine the effects of mechanical and chemical processes on the breakdown of polymers in a subtropical setting. Scanning electron microscopy (SEM) indicates that plastic surfaces contain fractures, horizontal notches, flakes, pits, grooves, and vermiculate textures. The mechanically produced textures provide ideal loci for chemical weathering to occur which further weakens the polymer surface leading to embrittlement. Fourier transform infrared spectroscopy (FTIR) results show that some particles have highly oxidized surfaces as indicated by intense peaks in the lower wavenumber region of the spectra. Our textural analyses suggest that polyethylene has the potential to degrade more readily than polypropylene. Further evaluation of plastic degradation in the natural environment may lead to a shift away from the production and use of plastic materials with longer residence times.