No abstract

A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.

The Internet has become an important tool for patients seeking to expand their knowledge of health conditions and medications. Breastfeeding initiation and duration increase because of physician encouragement. Therefore, electronic communication potentially provides additional opportunities for physicians to inform, reassure, encourage, and support breastfeeding families. An e-mail from a breastfeeding mother may deal with a topic well-suited to e-mail communication, such as information on the safety of specific medications during breastfeeding, or may deal with a concern that would make observation of breastfeeding necessary. Physicians have expressed qualms about electronic communication with patients due to privacy, malpractice liability, time, and reimbursement issues. Strategies to optimize e-mail communication include establishing a turnaround time for responses, informing patients of privacy issues, establishing what types of messages are appropriate over e-mail, and setting limits for when an e-mailed concern escalates to a need for an office visit.

Many breastfeeding mothers reach out to breastfeeding experts over the Internet. Our findings suggest that physicians who provide care to breastfeeding mothers need further education on breastfeeding to provide adequate support to their own patients.