Brodribb Wendy, Fallon Anthony B, Jackson Claire, Hegney Desley
The University of Queensland, School of Medicine, Herston Queensland.
Aust Fam Physician. 2009 Jan-Feb;38(1-2):26-9.
Breastfeeding is an important public health measure. General practitioners are in an ideal position to provide information, support and encouragement for breastfeeding women but require up to date knowledge and skills. Overseas studies indicate that doctors often have significant breastfeeding knowledge deficits. This article examines the sources of information about breastfeeding available to general practice registrars and the perceived adequacy of this knowledge for their work in the general practice setting.
A 90 item questionnaire covering demographics, breastfeeding training, knowledge, attitudes, confidence and effectiveness was distributed to 483 subsequent term general practice registrars between February and May 2007 via regional training providers.
The questionnaire response rate was 33%. The most common avenue for learning about breastfeeding was at medical school (49.4%), while the most useful source of breastfeeding information was personal breastfeeding experience for registrars who were parents (62.2%), and during hospital terms after graduation for registrars who were not parents (35.5%). Only 23.6% of the participants thought they did not require further breastfeeding information.
Breastfeeding training opportunities in medical schools and postgraduation are limited. There is a clear need for a breastfeeding training program for both general practice registrars and GPs.
母乳喂养是一项重要的公共卫生措施。全科医生处于为哺乳期妇女提供信息、支持和鼓励的理想位置，但需要最新的知识和技能。海外研究表明，医生往往在母乳喂养知识方面存在重大欠缺。本文探讨了全科实习医生可获得的母乳喂养信息来源，以及他们认为这些知识对其在全科医疗环境中工作的充分程度。
2007年2月至5月间，通过地区培训提供者向483名下一学期的全科实习医生发放了一份包含人口统计学、母乳喂养培训、知识、态度、信心和效果等90个项目的问卷。
问卷回复率为33%。了解母乳喂养最常见的途径是在医学院（49.4%），而对于为人父母的实习医生来说，最有用的母乳喂养信息来源是个人母乳喂养经历（62.2%），对于非父母的实习医生来说，则是毕业后在医院实习期间（35.5%）。只有23.6%的参与者认为他们不需要更多的母乳喂养信息。
医学院校和毕业后的母乳喂养培训机会有限。显然需要为全科实习医生和全科医生制定一个母乳喂养培训项目。
