Mary M. Ramos, Assistant Professor, Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM..
Rachel A. Sebastian, Medical Sociologist, Child Policy Research Consulting, LLC, Fort Wright, KY.
J Pediatr Health Care. 2019 Jan;33(1):64-71. doi: 10.1016/j.pedhc.2018.06.004. Epub 2018 Sep 12.
Outpatient pediatric providers play a crucial role in the promotion of breastfeeding. We conducted a mixed methods study to measure provider knowledge, attitudes, and current practices around breastfeeding counseling.
In New Mexico in 2016 and 2017, we conducted a knowledge, attitudes, and practice survey of outpatient pediatric providers (i.e., nurse practitioners, physicians, and physician assistants) and conducted focus groups with outpatient pediatric providers.
Seventy-seven providers responded to the survey, and 17 participated in three focus groups. Fewer than half of providers surveyed reported asking how long mothers plan to breastfeed at initial well-baby examinations. One quarter of participants (28.2%) erroneously reported that hepatitis C was an absolute contraindication to breastfeeding. Just half of respondents had received continuing education within the past 3 years about managing common breastfeeding problems.
We identified missed opportunities for outpatient pediatric providers to support breastfeeding and a need for continuing provider education.
儿科门诊医生在促进母乳喂养方面起着至关重要的作用。我们进行了一项混合方法研究，以衡量有关母乳喂养咨询的提供者知识、态度和当前做法。
在 2016 年和 2017 年，我们对儿科门诊医生（即护士、医生和医生助理）进行了知识、态度和实践调查，并与儿科门诊医生进行了焦点小组讨论。
77 名提供者对调查做出了回应，17 人参加了三个焦点小组。接受调查的医生中，不到一半的人报告说在最初的婴儿健康检查时询问母亲计划母乳喂养多久。四分之一的参与者（28.2%）错误地报告说丙型肝炎是母乳喂养的绝对禁忌症。只有一半的受访者在过去 3 年内接受过有关管理常见母乳喂养问题的继续教育。
我们发现儿科门诊医生在支持母乳喂养方面错过了机会，需要继续对提供者进行教育。
