Breastfeeding Education and Support Services Offered to Pediatric Residents in the US

Osband, Yardaena B.; Altman, Robin; Patrick, Patricia A.; Edwards, Karen

doi:10.1016/j.acap.2010.11.002

Cited by 25 publications

(13 citation statements)

References 6 publications

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“…Although 12 months of exclusive breastfeeding is recommended by the American Academy of Pediatrics, 30 a majority of physicians are unable to sustain breastfeeding to their personal goals, with many reporting that they would have been able to breastfeed longer if their work environment was more accommodating 31 . In our study, one in five breastfeeding parents felt that their program did not support their breastfeeding goals at all, echoing prior reports of barriers to lactation during GME training 32–34 . One in four breastfeeding parents reported that they never had time or space to meet their breastfeeding goals; this group showed our study's highest average PSS scores.…”

Section: Discussionsupporting

confidence: 39%

“…31 In our study, one in five breastfeeding parents felt that their program did not support their breastfeeding goals at all, echoing prior reports of barriers to lactation during GME training. [32][33][34] One in four breastfeeding parents reported that they never had time or space to meet their breastfeeding goals; this group showed our study's highest average PSS scores.…”

Section: Discussionmentioning

confidence: 99%

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Parent‐in‐training: Resident and fellow experiences from pregnancy to parenthood

Sharp

Nicholson²,

Taft

et al. 2022

Journal of Hospital Medicine

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Background Residents and fellows with children face distinct challenges; however, knowledge of factors associated with increased parental stress is limited. Objective This study aimed to investigate experiences and concerns of physician trainees and identify factors associated with higher parental stress. Methods An anonymous survey was distributed to all resident and fellow trainees in June 2021 to assess experiences regarding parental leave, breastfeeding, and childcare. We used the Parental Stress Scale (PSS) to identify the factors associated with stress and analyzed the results using descriptive statistics, linear regression, and thematic analysis. Results Of 1719 trainees, 509 participated (62% women, 30% response rate); half were parents. One‐third of the respondents (152/470) said that childcare costs affected the number of children they plan to have; One‐third of respondents (152/470) said that childcare costs affected the number of children they plan to have; 45% (210/470) said childcare costs affected when they plan to have children. Among parents, the mean PSS score was 44.3 ± 12.3, with no significant gender differences. More women identified as primary or coprimary caregivers (97% [113/117] vs. 79% [60/76], p < .001) and anticipated training extensions due to parental leave (36% vs. 13% men, p = .009). Breastfeeding was associated with significantly higher PSS scores (p = .017). Twenty‐four percent of breastfeeding parents (22/93) felt that their program/institution did not support their breastfeeding goals; lack of perceived support was associated with significantly higher PSS scores (63.6 ± 13.1 vs. 38.6 ± 8.7, p < .001). Trainees experiencing unreliable childcare had significantly higher PSS scores (p = .005). Forty percent (64/159) changed their career plans after becoming parents. Conclusions Physician trainee parents experience high stress, with women bearing disproportionate burdens in the domains of parental leave and breastfeeding. These results should inform policies promoting trainee wellness and gender equity.

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Section: Discussionsupporting

confidence: 39%

Section: Discussionmentioning

confidence: 99%

Parent‐in‐training: Resident and fellow experiences from pregnancy to parenthood

Sharp

Nicholson²,

Taft

et al. 2022

Journal of Hospital Medicine

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“…Medical providers receive limited breastfeeding education and might benefit from more lactation education to help them feel confident providing direct assistance and support in managing common breastfeeding challenges. [27][28][29] This could significantly help mothers reach their breastfeeding goals, as women in our study who formula fed or breastfed for less than a month stated that teaching from medical providers and more help with problems with breastfeeding would have helped them breastfeed or breastfeed longer.…”

Section: Discussionmentioning

confidence: 86%

Reasons for Infant Feeding Decisions in Low-Income Families in Washington, DC

Oniwon

Tender

et al. 2016

J Hum Lact

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“…A survey of pediatric program directors in 2006 to 2007 concluded that pediatric residents received an average of only 3 hours of breastfeeding training per year. 16 The respondents reported that 67% of the pediatric residents have access to breastfeeding rooms, but only 10 programs had an official policy on breastfeeding accommodations for residents. Feldman-Winter et al 17 previously documented that the implementation of a breastfeeding curriculum improved breastfeeding knowledge, practice, and confidence.…”

mentioning

confidence: 99%