Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.
Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Ann Emerg Med. 2020 Jun;75(6):681-690. doi: 10.1016/j.annemergmed.2020.01.012. Epub 2020 Mar 12.
Lactation benefits both lactating individuals and their infants. Despite high rates of breastfeeding initiation, physicians are a high-risk group for early cessation. Barriers to meeting lactation goals for physicians include lack of protected time, dedicated space, and collegial support. The emergency department (ED) is a uniquely challenging setting for lactating emergency physicians, given the high-stress, high-acuity environment that lacks predictability or scheduled breaks. This article presents an overview of relevant lactation physiology and evidence for specific strategies that the lactating emergency physician, colleagues, and ED leadership can implement to overcome barriers and facilitate meeting lactation goals.
母乳喂养对哺乳者及其婴儿都有益处。尽管母乳喂养的初始率很高,但医生是早期停止母乳喂养的高风险人群。妨碍医生实现母乳喂养目标的因素包括缺乏受保护的时间、专用空间和同事支持。鉴于急诊环境具有高压力和高紧迫性,缺乏可预测性或规定的休息时间,对于哺乳期的急诊医生来说,这是一个极具挑战性的环境。本文概述了相关的哺乳生理学知识,并介绍了哺乳期急诊医生、同事和急诊部门领导可以实施的具体策略,以克服障碍并促进实现母乳喂养目标。