Rodriguez Lien Elizabeth, Shattuck Karen
1 Department of Pediatrics, University of Texas Medical Branch , Galveston, Texas.
2 Division of Neonatology, Department of Pediatrics, University of Texas Medical Branch , Galveston, Texas.
Breastfeed Med. 2017 Nov;12(9):548-553. doi: 10.1089/bfm.2017.0014. Epub 2017 Jul 31.
Breastfeeding education is known to be insufficient in pediatric (PEDS) training and is, in part, responsible for suboptimal rates of breastfeeding. No recent studies about the level of education provided to family medicine (FM) and obstetrics-gynecology (OB) residency trainees are available.
This study was conducted to investigate breastfeeding education and support services provided to FM and OB residents in the United States. The results were compared with a 2011 study of PEDS residents.
A cross-sectional study was conducted using a web-based survey emailed to program directors (PDs) of FM and OB residency programs in the United States.
Eighteen percent of PDs (95 of 515) completed the survey. Of these, 88% answered questions regarding education and support services provided. A median of 23 hours of breastfeeding education is provided to OB residents (4-year program) and 8 hours provided to FM residents (3-year program). In comparison, PEDS programs reported a median of 9 hours. The most commonly used settings included lectures with faculty and lactation consultants, similar to the PEDS study. Approximately 75% of respondents cited barriers to educating residents, with limited resident time being the most common. Eighty-one percent of respondents identified breastfeeding rooms as the service most frequently provided to residents who breastfeed.
FM and PEDS residents are provided similar amounts of breastfeeding education, while OB programs provide more education, but in different settings. Reported barriers to this education are similar in all specialties. Support services are more commonly provided in PEDS programs.
众所周知，儿科（PEDS）培训中的母乳喂养教育不足，这在一定程度上导致了母乳喂养率不理想。目前尚无关于为家庭医学（FM）和妇产科（OB）住院医师培训学员提供的教育水平的近期研究。
本研究旨在调查美国为FM和OB住院医师提供的母乳喂养教育和支持服务。将结果与2011年对PEDS住院医师的研究进行比较。
采用横断面研究，通过电子邮件向美国FM和OB住院医师培训项目的项目主任（PDs）发送基于网络的调查问卷。
18%的PDs（515人中的95人）完成了调查。其中，88%回答了关于提供的教育和支持服务的问题。为OB住院医师（4年制项目）提供的母乳喂养教育中位数为23小时，为FM住院医师（3年制项目）提供的为8小时。相比之下，PEDS项目报告的中位数为9小时。最常用的方式包括由教员和哺乳顾问授课，这与PEDS研究类似。约75%的受访者提到了教育住院医师的障碍，住院医师时间有限是最常见的障碍。81%的受访者认为母乳喂养室是最常为母乳喂养的住院医师提供的服务。
FM和PEDS住院医师接受的母乳喂养教育量相似，而OB项目提供的教育更多，但方式不同。所有专业报告的这种教育的障碍相似。PEDS项目更常提供支持服务。
