Physician personal breastfeeding experience and clinical care of the breastfeeding dyad.

Autor: Hoyt-Austin AE; University of California Davis, Sacramento, California, USA., Phillipi CA; Oregon Health & Science University, Portland, Oregon, USA., Lloyd-McLennan AM; University of Nebraska Medical Center, Omaha, Nebraska, USA., King BA; Academic Pediatric Association, McLean, Virginia, USA., Sipsma HL; Public Health at Gordon College, Wenham, Massachusetts, USA., Flaherman VJ; Department of Pediatrics and Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, USA., Kair LR; University of California Davis, Sacramento, California, USA.
Jazyk: angličtina
Zdroj: Birth (Berkeley, Calif.) [Birth] 2024 Mar; Vol. 51 (1), pp. 112-120. Date of Electronic Publication: 2023 Sep 19.
DOI: 10.1111/birt.12772
Abstrakt: Background: Prior research suggests that physicians' personal experience with breastfeeding may influence their attitudes toward breastfeeding. This phenomenon has not been explored in well-newborn care physician leaders, whose administrative responsibilities often include drafting and approval of hospital breastfeeding and formula supplementation policies.
Methods: We conducted a mixed-methods study, surveying physicians in the Better Outcomes through Research for Newborns (BORN) network. We examined physician attitudes toward recommending breastfeeding and their breastfeeding experience. Qualitative analysis was conducted on responses to the question: "How do you think your breastfeeding experience influences your clinical practice?"
Results: Of 71 participants, most (92%) had a very positive attitude toward breastfeeding with 75% of respondents reporting personal experience with breastfeeding. Of these, 68% had a very positive experience, 25% had a somewhat positive experience, and 6% had a neutral experience. Four themes emerged with respect to the effect of breastfeeding experience on practice: (1) empathy with breastfeeding struggles, (2) increased knowledge and skills, (3) passion for breastfeeding benefits, and (4) application of personal experience in lieu of evidence-based medicine, particularly among those who struggled with breastfeeding.
Conclusions: Well-newborn care physician leaders reported positive attitudes about breastfeeding, increased support toward breastfeeding persons, and a perception of improved clinical lactation skills. Those who struggled with breastfeeding reported increased comfort with recommending formula supplementation to their own patients. Medical education about evidence-based breastfeeding support practices and provision of lactation support to physicians has the potential to affect public health through improved care for the patients they serve.
(© 2023 Wiley Periodicals LLC.)
Databáze: MEDLINE
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