Breastfeeding in Obstetrics Residency: Exploring Maternal and Colleague Resident Perspectives

Orth, Teresa; Drachman, David A.; Habak, Patricia

doi:10.1089/bfm.2012.0153

Cited by 27 publications

(29 citation statements)

References 12 publications

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“…Consistent with other physician studies, [9][10][11][12][13][14][23][24][25][26] we found high breastfeeding initiation rates in this study. We note that the breastfeeding rates in this study surpass those of the general population and meet the Healthy People 2020 breastfeeding objectives.…”

Section: Discussionsupporting

confidence: 92%

Physician Mothers and Breastfeeding: A Cross-Sectional Survey

Sattari

Levine

Mramba

et al. 2020

Breastfeeding Medicine

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Objectives: To explore infant-feeding intentions and behavior of physician mothers as well as their breastfeeding enablers and obstacles. Study Design: A cross-sectional online survey was conducted among female physicians with at least one biological child recruited through the Academy of Breastfeeding Medicine. The main outcomes were duration of exclusive breastfeeding (EBF) and duration of any breastfeeding (BFD). We determined predictors of EBF and BFD. Results: The 570 participants reported intention to breastfeed at least 12 months in 78.1% of cases. Breastfeeding rates were 97.8%, 85.5%, and 55.4% at birth, 6, and 12 months. EBF rates were 88.5%, 76.3%, and 40.9% at birth, 3, and 6 months. Younger participant age, breastfeeding discontinuation not due to work-related demands, and heightened maternal satisfaction with BFD were associated with longer EBF and BFD. EBF at birth, less maternal stress, availability of time to express milk, and collegial support were associated with longer EBF. Longer maternal BFD goal, longer maternity leave, existence of laws or regulations to support breastfeeding among working mothers, later child order, and lower level of maternal depression were associated with longer BFD. Conclusions: Maternal infant-feeding intentions and work-related factors both play important roles in physician mothers' infant-feeding behavior. Longer maternity leave, regulations to support breastfeeding among working mothers, and workplace support might significantly improve physician mothers' BFD.

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Section: Discussionsupporting

confidence: 92%

Physician Mothers and Breastfeeding: A Cross-Sectional Survey

Sattari

Levine

Mramba

et al. 2020

Breastfeeding Medicine

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“…Consistent with other physician studies, [14][15][16][17][19][20][21][22] we found high breastfeeding initiation rates among the 72 physician mothers in the IM cohort. It is encouraging that more than one half of the infants in this study were able to continue receiving breast milk at 6 months of age and that there was a statistically significant correlation between maternal goal for breastfeeding duration and actual breastfeeding duration.…”

Section: Discussionsupporting

confidence: 91%

“…While our study cohort might have been too small for detection of significant relationships between work-related factors and breastfeeding duration, previous physician studies have identified lack of time and place for breastfeeding/ milk expression, lack of collegial or attending support, and inadequate milk supply after return to work as work-related obstacles to breastfeeding maintenance. [14][15][16][17][19][20][21][22][23] Programs to promote breastfeeding duration, including formal maternity leave policies, part-time employment opportunities, longer paid maternity leave, nonclinical duties when physician mothers first return to work, on-site childcare facilities, protected time for milk expression at work, designated lactation rooms and sanitary storage for breast milk, as well as support and reinforcement at the work-site, especially from colleagues, program directors, and chiefs, are modifiable institutional factors that might influence IM physician mothers' breastfeeding duration after return to work. Effective workplace strategies to promote breastfeeding duration among IM physician mothers returning to work might not only improve the health of the physicians and their children but also enhance their role as breastfeeding advocates and improve breastfeeding rates in the community.…”

Section: Resultsmentioning

confidence: 99%

Infant-Feeding Intentions and Practices of Internal Medicine Physicians

Sattari

Serwint

Shuster

et al. 2016

Breastfeeding Medicine

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“…The benefits of breastfeeding for mother and child are well established, such as a reduction in serious upper respiratory infections by 63% in infants who breastfed for 6 months, a 36% reduction in SIDS (sudden infant death syndrome), reductions in childhood lymphoma and leukemia correlated with duration of breastfeeding, and even improved neurodevelopmental outcomes . These benefits led to clear recommendations from the American Academy of Pediatrics and the World Health Organization of, “exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant.” Our policy is also intended to protect against dwindling milk supply in breastfeeding mothers by creating adequate opportunities for lactation . However, in a 2018 JAMA research letter, less than one‐third of physicians report adequacy of breastfeeding according to their personal goal.…”

Section: Discussionmentioning

confidence: 99%

The Birth of a Return to work Policy for New Resident Parents in Emergency Medicine

Gordon

Sebok‐Syer

Dohn

et al. 2019

Academic Emergency Medicine

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Objective: With the rising number of female physicians, there will be more children than ever born in residency, and the current system is inadequate to handle this increase in new resident parents. Residency is stressful and rigorous in isolation, let alone when pregnant or with a new child. Policies that ease these stressful transitions are generally either insufficient or do not exist. Therefore, we created a comprehensive return-to-work policy for resident parents and piloted its implementation. Our policy aims to: 1) establish a clear, shared understanding of the regulatory and training requirements as they pertain to parental leave; 2) facilitate a smooth transition for new parents returning to work; and 3) summarize the local and institutional resources available for both males and females during residency training.Method: In Fall 2017, a task force was convened to draft a return-to-work policy for new resident parents. The task force included nine key stakeholders (i.e., residents, faculty, and administration) at our institution and was made up of three graduate medical education (GME) program directors, a vice chair of education, a designated institutional official (DIO), a chief resident, and three members of our academic department's faculty affairs committee. The task force was selected because of individual expertise in gender equity issues, mentorship of resident parents, GME, and departmental administration.Results: After development, the policy was piloted from November 2017 to June 2018. Our pilot implementation period included seven new resident parents. All of these residents received schedules that met the return-to-work scheduling terms of our return-to-work policy including no overnight shifts, no sick call, and no more than three shifts in a row. Of equal importance, throughout our pilot, the emergency department schedules at all of our clinical sites remained fully staffed and our sick call pool was unaffected. Conclusion:Our return-to-work policy for new resident parents provides a comprehensive guide to training requirements and family leave policies, an overview of available resources, and a scheduling framework that makes for a smooth transition back to clinical duties.

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Breastfeeding in Obstetrics Residency: Exploring Maternal and Colleague Resident Perspectives

Abstract: Despite high levels of perceived support from faculty/fellow residents, breastfeeding residents struggle with low milk supply and work demands that lead to early discontinuation.

Cited by 27 publications

References 12 publications

Physician Mothers and Breastfeeding: A Cross-Sectional Survey

Physician Mothers and Breastfeeding: A Cross-Sectional Survey

Infant-Feeding Intentions and Practices of Internal Medicine Physicians

The Birth of a Return to work Policy for New Resident Parents in Emergency Medicine

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