Breastfeeding Knowledge, Attitudes, and Practices Among Providers in a Medical Home

Szucs, Kinga A.; Miracle, Donna J.; Rosenman, Marc B.

doi:10.1089/bfm.2008.0108

Cited by 70 publications

(43 citation statements)

References 32 publications

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“…Suboptimal training has been well documented in medical and nursing curricula [21][22][23] and textbooks. [24][25][26] Importantly, we identified that this lack of time and skills was present across disciplines, with the exception of LCs who reported adequate skills but inadequate time.…”

Section: Discussionmentioning

confidence: 99%

Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Garner

Ratcliff

Thornburg

et al. 2016

Breastfeeding Medicine

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Background: Breastfeeding rates in the United States are suboptimal. Health professionals (HPs) have a unique opportunity to support breastfeeding because of the frequency and timing of their visits with mothers and infants as well as their call by professional organizations to do so. The objective of this study was to understand HPs' perceived roles and experiences with providing breastfeeding-related care. Materials and Methods: In-depth qualitative interviews were conducted with 34 HPs (obstetricians, midwives, pediatricians, nurses, and lactation consultants) who care for pregnant or lactating women. Interviews were audio-recorded, transcribed, and verified for accuracy; content analysis was used to identify themes using a grounded theory approach. Results: The overarching theme was discontinuity in breastfeeding care across the continuum. Most HPs relied on other HPs to provide breastfeeding care, which resulted from and contributed to problematic gaps in care that were reported. A minority of HPs attempted to bridge gaps in breastfeeding care or improve continuity. Contributing to the discontinuity were a lack of time, lack of skills, inconsistent messages, and low communication across stages of care. HPs were unsure whether their help was effective and whether required follow-up was completed. Conclusions: Despite HPs' recognition of breastfeeding as the best choice for infant feeding, breastfeeding care may be disjointed and a barrier to achieving breastfeeding recommendations. These problems should be investigated and systemically addressed in future research so that maternal-infant dyad breastfeeding care can be improved.

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Section: Discussionmentioning

confidence: 99%

Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Garner

Ratcliff

Thornburg

et al. 2016

Breastfeeding Medicine

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“…Essa deve ser sempre estimulada, já que práticas e aconselhamento sobre o aleitamento materno nas unidades de saúde muitas vezes são fundamentadas em valores culturais ou em experiên-cias próprias -nem sempre bem-sucedidas -dos profissionais, em detrimento de uma prática baseada em evidências científicas 43,49 .…”

Section: Discussionunclassified

Nascer em Hospital Amigo da Criança no Rio de Janeiro, Brasil: um fator de proteção ao aleitamento materno?

et al. 2011

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Este artigo pretende avaliar o papel da Iniciativa Hospital Amigo da Criança (IHAC) na duração do aleitamento materno exclusivo (AME). Trata-se de estudo transversal, com população constituída de 811 mães de crianças menores de cinco meses de idade, selecionadas aleatoriamente em cinco unidades básicas de saúde (UBS) no Município do Rio de Janeiro, Brasil. A exposição de interesse central foi o local de nascimento da criança: Hospital Amigo da Criança (HAC), em vias de receber a titulação (EVHAC) e sem a titulação. Optou-se pelo modelo de análise de sobrevida log-log complementar, que recompõe a experiência longitudinal da coorte, caracterizando abordagem do tipo current status. Mesmo após o controle por variáveis sociodemográficas, relativas ao estilo de vida e aos aspectos psicossociais maternos, à utilização dos serviços de saúde, idade e saúde da criança, houve maior duração do AME em crianças nascidas em HAC e EVHAC. Os resultados sugerem a efetividade da IHAC na manutenção de AME nos primeiros meses de vida, reforçando a necessidade de ampliar sua cobertura para todo o território nacional.

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“…According to the literature, pregnant women and mothers of infants report that physicians play a pivotal role in determining what type of feeding method to use, yet physicians have been found to underestimate the power they wield when it comes to increasing breastfeeding rates in their patients [32,34].…”

Section: Discussionmentioning

confidence: 99%

“…Decades of scientific data clearly indicate that physicians have the power to significantly increase breastfeeding initiation and duration rates by providing their patients with medically substantiated breastfeeding facts [1,33,34]. Scholars across diverse fields have suggested that in order to significantly increase breastfeeding rates across America, the following guidelines must be implemented.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding Education: A Physician and Patient Assessment

Stolzer

Hossain

2014

Child Development Research

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In the study presented here, Likert scaled surveys derived from the Surgeon General's Blueprint for Action on Breastfeeding (2000) were mailed to 400 practicing physicians in a Midwestern state to assess medical school breastfeeding education. In addition, 500 surveys were mailed to women in the same Midwestern state who had given birth within the last year to determine what type of breastfeeding information they were receiving from their attending physicians. The purpose of this study is to analyze physician breastfeeding education and to ascertain if the data collected from the physicians is congruent with the data collected from the women who had recently given birth. Results of this study indicate that while the majority of physicians reported sufficient levels of breastfeeding education while in medical school, women participating in this study reported that they did not receive compendious breastfeeding information from their attending physicians.

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Breastfeeding Knowledge, Attitudes, and Practices Among Providers in a Medical Home

Abstract: This study illuminated key disconnectedness challenges (and, hence, opportunities) for a model medical home in fostering continuous, comprehensive, coordinated, culturally effective, and evidence-based breastfeeding promotion and support.

Cited by 70 publications

References 32 publications

Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Nascer em Hospital Amigo da Criança no Rio de Janeiro, Brasil: um fator de proteção ao aleitamento materno?

Breastfeeding Education: A Physician and Patient Assessment

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