Knowledge About Breastfeeding Among a Group of Primary Care Physicians and Residents in Puerto Rico

Leavitt, Gloria; Martínez, Silma; Ortiz, Nerian; García, Lourdes

doi:10.1007/s10900-008-9122-8

Cited by 31 publications

(25 citation statements)

References 4 publications

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“…Similar influences by physicians have been reported in a study in Turkey [11]. A study in Puerto Rico showed that as many as 26% of primary care physicians did not encourage exclusive breastfeeding [12]. A study in France showed that trained primary care physicians were effective in increasing breastfeeding duration [13].…”

Section: Discussionsupporting

confidence: 53%

Reasons given by mothers for discontinuing breastfeeding in Iran

et al. 2012

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BackgroundWe have previously shown that in Iran, only 28% of infants were exclusively breastfed at six months, despite a high prevalence of breastfeeding at two years of age. The primary aim of this study was to investigate the reasons women discontinued exclusive breastfeeding.MethodThis retrospective study was based on questionnaires and interviews with 63,071 mothers of infants up to 24 months of age, divided into two populations: infants younger than six months and six months or older. The data were collected in 2005–2006 from all 30 provinces of Iran.ResultsOnly 5.3% of infants less than six months of age stopped breastfeeding (mean age of 3.2 months); more commonly in urban than rural areas. The most frequently cited reasons mothers gave for discontinuing exclusive breastfeeding were physicians’ recommendation (54%) and insufficient breast milk (self-perceived or true, 28%). Breastfeeding was common after six months of age: only 11% of infants discontinued breastfeeding, at a mean of 13.8 months. The most common reason for discontinuation at this age was insufficient breast milk (self-perceived or true, 45%). Maternal illness or medication (10%), infant illness (6%), and return to work (3%) were uncommon causes. Use of a pacifier was correlated with breastfeeding discontinuation. Maternal age and education was not associated with duration of breastfeeding. Multivariate analysis showed that using a pacifier and formula or other bottle feeding increased the risk of early cessation of breastfeeding.ConclusionsPhysicians and other health professionals have an important role to play in encouraging and supporting mothers to maintain breastfeeding.

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Section: Discussionsupporting

confidence: 53%

Reasons given by mothers for discontinuing breastfeeding in Iran

et al. 2012

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“…A large cohort study undertaken in rural Ghana concluded that 22% of neonatal deaths could be prevented if all infants were put to the breast within the first hour of birth [14]. …”

Section: Introductionmentioning

confidence: 99%

Breastfeeding practice and associated factors among female nurses and midwives at North Gondar Zone, Northwest Ethiopia: a cross-sectional institution based study

Dachew

Bifftu

2014

Int Breastfeed J

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BackgroundHealth care workers have a duty to promote and support breastfeeding among their clients. Although their ability to do this may be influenced by their knowledge and personal experience; little is known about breastfeeding practices and the perceived barriers. The objective of this study was to assess the breastfeeding practices and the associated factors among female nurses and midwives in North Gondar Zone; Northwest Ethiopia.MethodsAn institution based cross-sectional study design was conducted in 2013 among 178 nurses and midwives. In this study exclusive breastfeeding refers to breastfeeding exclusively for the first six months of a child’s life. Bivariate and multivariate logistic regressions were performed to identify the presence and strength of association. Odds ratios with 95% confidence interval were computed to determine the level of significance.ResultsExclusive breastfeeding rate among respondents was found to be 35.9%. Nearly half (49.4%) of the respondents exclusively breastfed for only 3 months or less. The mean duration exclusive breastfeeding was 4.1 ± 1.7 months. Older women (AOR = 2.8; 95% CI 2.16, 3.24), rural residence (AOR = 3.01; 95% CI 2.65, 3.84), being midwife (AOR = 2.01; 95% CI 1.83, 2.56), a women who gave birth through vaginal delivery (AOR = 2.0; 95% CI 1.68, 2.87), multiparous women (AOR = 2.20; 95% CI 1.74, 2.67) and resumption of work after 3 months (AOR = 1.61; 95% CI 1.24, 2.35) were independently associated with exclusive breastfeeding.ConclusionThough respondents had adequate knowledge on breastfeeding, the practice of exclusive breastfeeding was low. Maternal age, place of residence, profession, mode of delivery, parity and the time before resuming work were factors associated with exclusive breastfeeding. Appropriate education concerning breastfeeding, directed at nurses and midwives is required to enhance exclusive breastfeeding and duration of breastfeeding.

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“…Despite such endorsements, studies have shown that physician knowledge on breastfeeding is far from ideal [3-8], as they receive relatively little formal training on breastfeeding [5], and often fail to follow evidence-based medicine (EBM) guidelines [9]. However, it can be difficult for physicians to keep up-to-date with the high volume of constantly changing, sometimes conflicting, information.…”

Section: Introductionmentioning

confidence: 99%

Enquiry analysis and user opinion of the Drugs in Breastmilk Helpline: a prospective study

Rutter

Jones²

2012

Int Breastfeed J

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BackgroundSince breastfeeding is universally recognised as the ideal way to feed infants, it is understandable, and at times inevitable, that breastfeeding mothers will want, or be required, to take medication. To meet the information demands of breastfeeding mothers and healthcare professionals, a UK charity, The Breastfeeding Network, established a free telephone helpline to answer queries on medicines in breastmilk. This study reports on the enquiries received by the Drugs in Breastmilk Helpline and user opinion of the service.MethodsAll enquirers to the Helpline between December 2010 and January 2011 were asked if they could be contacted in 2 to 4 weeks to provide more information on their experience of using the service. A combination of telephone semi-structured interviews and email surveys were used depending on whether the enquiry originated via telephone or email.ResultsInformation was gained from 101 participants; 77 women and 24 healthcare professionals. Women reported high levels of service satisfaction (94%, n = 72/77) and healthcare professionals found the information provided useful (92%, n = 22/24). Women used the service for reassurance or because they had received conflicting information or distrusted healthcare professional advice. Healthcare professionals often could not answer questions or took a cautious approach to recommendation (i.e. advised avoidance of medicines whilst breastfeeding); this was often at odds to advice given by staff from the Helpline. Healthcare professionals did not routinely access resources to answer questions, but when they did, showed a lack of confidence in data interpretation.ConclusionsThe Breastfeeding Networks’ Drugs in Breastmilk Helpline provides an important service to breastfeeding women and healthcare staff to make informed decisions on medicine taking whilst breastfeeding. Healthcare professional uncertainty and incorrect advice given to breastfeeding women suggests that healthcare professional education needs improving and that greater use of specialist services should be encouraged.

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Knowledge About Breastfeeding Among a Group of Primary Care Physicians and Residents in Puerto Rico

Cited by 31 publications

References 4 publications

Reasons given by mothers for discontinuing breastfeeding in Iran

Reasons given by mothers for discontinuing breastfeeding in Iran

Breastfeeding practice and associated factors among female nurses and midwives at North Gondar Zone, Northwest Ethiopia: a cross-sectional institution based study

Enquiry analysis and user opinion of the Drugs in Breastmilk Helpline: a prospective study

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