Breastfeeding knowledge among Polish healthcare practitioners supporting breastfeeding mothers

Nehring-Gugulska, Magdalena; Nehring, Piotr; Królak‐Olejnik, Barbara

doi:10.1016/j.nepr.2015.03.011

Cited by 13 publications

(6 citation statements)

References 14 publications

(12 reference statements)

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“…Only four participants received a satisfactory test score, previously and arbitrarily set at > 70% [22,35]; These were two Med III-level interns each scoring 71.4%: one PGY2-level resident in pediatrics scoring 78.6% and one PGY5-level resident in OB/GYN scoring 78.6%. When stratified by level of training, test scores were normally distributed and mean test scores were significantly higher among residents than interns ( P = 0.009).…”

Section: Resultsmentioning

confidence: 99%

A case study on breastfeeding education in Lebanon’s public medical school: exploring the potential role of social networks in medical education

Moukarzel

Mamas

Warstadt

et al. 2018

Medical Education Online

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Background: Limited knowledge, negative beliefs, and lack of sufficient breastfeeding promotion and support by physicians contribute to global suboptimal breastfeeding rates. Formal medical education is well-known to influence future physicians’ knowledge, beliefs, and medical practice. However, less understood is the influence of social networks and processes on the exchange and diffusion of knowledge and practices related to breastfeeding. Objectives: We selected the underserved and under-supported public medical school in Lebanon to examine the social side of medical education. Our objectives were to assess knowledge, beliefs, and self-efficacy related to breastfeeding promotion and support among interns and residents. We also examined the social ecosystem surrounding these students concerning the exchange of breastfeeding knowledge. Design: All data were collected during one study visit per participant. First, an interview-administered structured survey was used to assess beliefs, perceived knowledge, basic breastfeeding knowledge, and self-efficacy related to breastfeeding among n = 70 medical interns and residents. Then, social network data were collected during a semi-structured interview and analyzed using an ego-network approach. All interviews were voice-recorded, transcribed, coded, and thematically analyzed. Descriptive statistics were used to analyze quantitative survey and social network results. Results: Although interns and residents had positive beliefs about breastfeeding benefits, they had limited knowledge and low self-efficacy related to the psychosocial and clinical aspects of breastfeeding promotion and support. They did not seem to have a well-connected professional network around breastfeeding knowledge and practices. Several tended to rely on their informal/non-professional network, such as their mothers, partners, and sisters, for knowledge and practice. Conclusions: Our work using breastfeeding as an exemplary case suggests there is a role for better attending to the beliefs of medical students as well as to the social side of medical education. Future studies can use social network theory to help identify and address influences on medical education outcomes.

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Section: Resultsmentioning

confidence: 99%

A case study on breastfeeding education in Lebanon’s public medical school: exploring the potential role of social networks in medical education

Moukarzel

Mamas

Warstadt

et al. 2018

Medical Education Online

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“…Lack of knowledge can result from the elective nature of completing extra training on lactation for physicians and midwives ( N = 1,679; Królak-Olejnik et al, 2017). In the curriculum of medical studies for physicians and midwives in Poland, only 2 hr are devoted to lactation, with 1 extra hr for specialized training ( N = 361; Nehring-Gugulska et al, 2015). Moreover, lactation counseling is not included in the services provided by the Polish National Health Service, which means that if a professional is interested in providing relevant support, they need to invest their own money for training and will need to work outside the system.…”

Section: Discussionmentioning

confidence: 99%

Extended Breastfeeding in Poland: Knowledge of Health Care Providers and Attitudes on Breastfeeding Beyond Infancy

Baranowska

Malinowska²,

Stanaszek

et al. 2018

J Hum Lact

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Background: Extended breastfeeding is rare in Poland, and lack of acceptance and understanding is often evident in public opinion. The ability to provide reliable information about breastfeeding beyond infancy depends on health professionals’ levels of knowledge and attitudes. They are considered by most parents in Poland to be authorities in the field of child nutrition. Research aims: To determine (1) the level of knowledge and the attitudes of Polish health professionals towards extended breastfeeding; (2) the relationship between personal breastfeeding experience and attitudes towards extended breastfeeding; and (3) the relationship between knowledge about breastfeeding beyond twelve months and attitudes towards breastfeeding beyond infancy. Methods: A one-group prospective, cross-sectional, self-report style survey was used. The convenience sample (N = 495) comprised gynaecologists, neonatologists and midwives. Data were collected via an online questionnaire and the results were analyzed with the use of descriptive statistics, a chi-square independence test, Fisher’s exact test, post-hoc testing, and two-part tables using SPSS. Results: Most of the respondents (76.7%; n = 384) had a low level of knowledge about the benefits of breastfeeding beyond twelve months and even emphasized that this nutritional choice could have negative impacts. There was a positive correlation (F = 105.847; p = < .01) between levels of knowledge and respondents’ attitudes towards breastfeeding beyond infancy. Attitudes were also influenced by the length of time respondents had breastfed. Conclusion: Healthcare providers have an insufficient level of knowledge about extended breastfeeding and need further education in this area.

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“… 18 There is a lack of obligatory lactation training for Polish medical staff, both doctors and midwives. 19 Therefore, breastfeeding counselling should be reimbursed by the Polish National Health Service.…”

Section: Discussionmentioning

confidence: 99%

Promotion of breastfeeding in Poland: the current situation

2017

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ObjectiveExclusive breastfeeding is safe and beneficial for healthy infants; it is the optimal feeding method during the first 6 months of life. Infants should be complementary fed in conjunction with breastfeeding until 12 months of age or longer. The aim of the present study was to analyse the duration of breastfeeding through 12 months of age.MethodsParticipants were 1679 women from 42 randomly selected hospitals in Poland. The data were obtained from surveys, including a paper and pencil interview that was conducted after mothers delivered in the hospital and before discharge. Computer aided telephone interviews were administered at 2, 4, 6 and 12 months.ResultsThere was a high rate of initiating breastfeeding after birth (97%), a rapid abandonment of exclusive breastfeeding (43.5% at 2 months, 28.9% at 4 months and 4% at 6 months) and an onset of formula feeding during the first days of life, which is contrary to current recommendations.ConclusionsIt is necessary re-educate mothers, medical staff who care for mothers and children during the perinatal period, and other specialists.

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Breastfeeding knowledge among Polish healthcare practitioners supporting breastfeeding mothers

Cited by 13 publications

References 14 publications

A case study on breastfeeding education in Lebanon’s public medical school: exploring the potential role of social networks in medical education

A case study on breastfeeding education in Lebanon’s public medical school: exploring the potential role of social networks in medical education

Extended Breastfeeding in Poland: Knowledge of Health Care Providers and Attitudes on Breastfeeding Beyond Infancy

Promotion of breastfeeding in Poland: the current situation

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