Department of Pediatrics and School of Health Sciences and Practice, New York Medical College, Valhalla, New York 10595, USA.
Acad Pediatr. 2011 Jan-Feb;11(1):75-9. doi: 10.1016/j.acap.2010.11.002.
The American Academy of Pediatrics (AAP) encourages pediatricians to support the practice of breastfeeding and residency educators to develop formal curricula in breastfeeding education. Few studies, however, describe breastfeeding education or support services currently provided to pediatric residents in the United States. The goals of this study were to investigate breastfeeding training offered during 3-year pediatric residency programs and to describe residency programs' policies and services for residents who breastfeed.
We conducted a cross-sectional study using a Web-based survey of pediatric program directors regarding breastfeeding education and support services for residents.
Seventy percent of program directors (132 of 189) completed the survey, with 77.3% of respondents (n = 102) estimating the amount of breastfeeding education offered to their pediatric residents. Residents are provided with a median total of 9.0 hours of breastfeeding training over 3 years, primarily in continuity clinic and in lectures and rounds with attendings. At the programs' primary teaching hospitals, breastfeeding residents are provided breastfeeding rooms (67.0%), breast pumps (75.3%), and breast milk storage facilities (87.6%). Only 10 programs reported having an official policy to accommodate breastfeeding residents.
Pediatric residents receive approximately 3 hours of breastfeeding training per year. In addition, there is less than universal implementation by residency programs of AAP recommendations for supporting breastfeeding in the workplace. Pediatric residency programs should find ways to improve and assess the quality of breastfeeding education and workplace support to better role model this advocacy standard.
美国儿科学会（AAP）鼓励儿科医生支持母乳喂养实践，并要求住院医师教育者制定母乳喂养教育的正式课程。然而，很少有研究描述美国儿科住院医师目前提供的母乳喂养教育或支持服务。本研究的目的是调查 3 年制儿科住院医师培训项目中提供的母乳喂养培训，并描述住院医师母乳喂养的政策和服务。
我们使用基于网络的调查，对儿科项目主任进行了横断面研究，内容涉及母乳喂养教育和对住院医师的支持服务。
70%的项目主任（189 名中的 132 名）完成了调查，77.3%的应答者（n=102）估计向儿科住院医师提供的母乳喂养教育数量。住院医师在 3 年内接受母乳喂养培训的中位数总时长为 9.0 小时，主要在连续性诊所、主治医生的讲座和查房中进行。在项目的主要教学医院，母乳喂养的住院医师可使用母乳喂养室（67.0%）、吸奶器（75.3%）和母乳储存设施（87.6%）。只有 10 个项目报告有正式政策来照顾母乳喂养的住院医师。
儿科住院医师每年接受约 3 小时的母乳喂养培训。此外，住院医师培训项目在工作场所支持母乳喂养方面的执行情况并不普遍符合 AAP 的建议。儿科住院医师培训项目应寻找方法来改善和评估母乳喂养教育和工作场所支持的质量，以更好地树立这一倡导标准。
