Holtzman Orit, Usherwood Tim
Department of General Practice, Sydney Medical School Westmead, The University of Sydney, Sydney, NSW, Australia.
Hornsby Ku-ring-gai Hospital, Hornsby, NSW, Australia.
PLoS One. 2018 Feb 28;13(2):e0191854. doi: 10.1371/journal.pone.0191854. eCollection 2018.
The aim of this study was to explore the knowledge, attitudes and practices of established general practitioners (GPs) in relation to breastfeeding. 10 GPs in the Australian Nepean Blue Mountains Health District were interviewed and the interviews transcribed and analyzed thematically. Emergent themes from each interview were identified and then compared between and across the 10 interviews. Five themes emerged following the analysis: breastfeeding knowledge and training; attitudes towards breastfeeding; GPs' role in relation to breast feeding; GPs' practices; influence of male gender. All the GPs interviewed had positive attitudes towards breastfeeding, however they were often lacking in knowledge and conviction to be able to provide strong support to women during their breastfeeding journey. Some reported ambivalence in their encouragement of breastfeeding due to their desire to maintain a good relationship with women who chose not to feed this way. Nine of the GPs had little or no formal breastfeeding training and relied mainly on personal experience. Their clinics did not provide formal breastfeeding support including a written breastfeeding friendly policy and most GPs were not proactive in creating such an environment. We hope that the results from this study will assist in developing breastfeeding policies and professional education to support GPs in this role.
本研究的目的是探讨执业全科医生（GP）在母乳喂养方面的知识、态度和行为。对澳大利亚内佩恩蓝山健康区的10名全科医生进行了访谈，并将访谈内容转录下来进行主题分析。确定了每次访谈中出现的主题，然后在这10次访谈之间及相互之间进行比较。分析后出现了五个主题：母乳喂养知识与培训；对母乳喂养的态度；全科医生在母乳喂养方面的作用；全科医生的行为；男性性别影响。所有接受访谈的全科医生对母乳喂养都持积极态度，但他们往往缺乏知识和信念，无法在女性的母乳喂养过程中提供有力支持。一些人表示，由于希望与选择不进行母乳喂养的女性保持良好关系，他们在鼓励母乳喂养方面存在矛盾心理。9名全科医生几乎没有或没有接受过正式的母乳喂养培训，主要依靠个人经验。他们的诊所没有提供正式的母乳喂养支持，包括书面的母乳喂养友好政策，而且大多数全科医生在营造这样的环境方面并不积极。我们希望这项研究的结果将有助于制定母乳喂养政策和专业教育，以支持全科医生发挥这一作用。
