Al-Imari Lina, Hum Susan, Krueger Paul, Dunn Sheila
Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Women's College Hospital Family Practice Health Centre, Toronto, ON, Canada.
Fam Med. 2019 Jul;51(7):587-592. doi: 10.22454/FamMed.2019.759632.
Canadian residents' breastfeeding experiences have only been reported in studies that broadly explored pregnancy and parenthood. We sought to fully explore Canadian family medicine resident mothers' breastfeeding experiences, and identify strategies to support workplace breastfeeding for future trainees.
Using an online survey, University of Toronto family medicine residents who gave birth from 2010 through 2016 were queried about their exclusive and overall breastfeeding duration, barriers, and facilitators to workplace breastfeeding, and strategies to improve the breastfeeding experience for future resident mothers. Data were downloaded from Qualtrics software and descriptive statistical analyses were conducted using IBM SPSS Statistics v.24.0. Subjective comments were examined and linked to quantitative findings.
Fifty-six of 179 eligible residents completed the survey (31% response rate). More than three-quarters of residents were on maternity leave for 7 to 12 months. All initiated breastfeeding, and 54% breastfed exclusively for 6 months. The median breastfeeding duration was 10 to 12 months. Almost two-thirds of residents were breastfeeding upon return to work, and all experienced barriers to workplace breastfeeding including lack of time, private space, and refrigeration for expressed milk. Lack of a workplace breastfeeding policy and inadequate support from supervisors or program directors were additional barriers. Peer mentorship and more breastfeeding education were identified as strategies to support future residents' breastfeeding goals.
Addressing long-standing barriers to workplace breastfeeding, and providing peer and educational supports were identified as strategies that could inform program policies to support future trainees' breastfeeding goals and experiences.
加拿大居民的母乳喂养经历仅在广泛探讨怀孕和为人父母情况的研究中有过报道。我们试图全面探究加拿大家庭医学住院医师母亲的母乳喂养经历，并确定支持未来实习生职场母乳喂养的策略。
通过在线调查，询问了2010年至2016年期间在多伦多大学分娩的家庭医学住院医师关于她们的纯母乳喂养和总体母乳喂养时长、职场母乳喂养的障碍和促进因素，以及改善未来住院医师母亲母乳喂养体验的策略。数据从Qualtrics软件下载，并使用IBM SPSS Statistics v.24.0进行描述性统计分析。对主观评论进行了审查，并与定量结果相关联。
179名符合条件的住院医师中有56人完成了调查（回复率为31%）。超过四分之三的住院医师休产假7至12个月。所有人都开始了母乳喂养，54%的人纯母乳喂养了6个月。母乳喂养的中位时长为10至12个月。近三分之二的住院医师在重返工作岗位时仍在母乳喂养，所有人都经历了职场母乳喂养的障碍，包括时间不足、私人空间不足以及母乳储存缺乏冷藏条件。缺乏职场母乳喂养政策以及上级或项目主任支持不足是额外的障碍。同伴指导和更多的母乳喂养教育被确定为支持未来住院医师母乳喂养目标的策略。
解决职场母乳喂养的长期障碍，并提供同伴和教育支持被确定为可以为项目政策提供参考的策略，以支持未来实习生的母乳喂养目标和体验。
