Sattari Maryam, Levine David M, Mramba Lazarus K, Pina Monica, Raukas Reet, Rouw Elien, Serwint Janet R
Division of General Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Breastfeed Med. 2020 May;15(5):312-320. doi: 10.1089/bfm.2019.0193. Epub 2020 Mar 17.
To explore infant-feeding intentions and behavior of physician mothers as well as their breastfeeding enablers and obstacles. A cross-sectional online survey was conducted among female physicians with at least one biological child recruited through the Academy of Breastfeeding Medicine. The main outcomes were duration of exclusive breastfeeding (EBF) and duration of any breastfeeding (BFD). We determined predictors of EBF and BFD. The 570 participants reported intention to breastfeed at least 12 months in 78.1% of cases. Breastfeeding rates were 97.8%, 85.5%, and 55.4% at birth, 6, and 12 months. EBF rates were 88.5%, 76.3%, and 40.9% at birth, 3, and 6 months. Younger participant age, breastfeeding discontinuation not due to work-related demands, and heightened maternal satisfaction with BFD were associated with longer EBF and BFD. EBF at birth, less maternal stress, availability of time to express milk, and collegial support were associated with longer EBF. Longer maternal BFD goal, longer maternity leave, existence of laws or regulations to support breastfeeding among working mothers, later child order, and lower level of maternal depression were associated with longer BFD. Maternal infant-feeding intentions and work-related factors both play important roles in physician mothers' infant-feeding behavior. Longer maternity leave, regulations to support breastfeeding among working mothers, and workplace support might significantly improve physician mothers' BFD.
探讨医生母亲的婴儿喂养意愿和行为，以及她们母乳喂养的促进因素和障碍。通过母乳喂养医学学会招募了至少有一个亲生孩子的女医生，进行了一项横断面在线调查。主要结果是纯母乳喂养（EBF）持续时间和任何形式母乳喂养（BFD）持续时间。我们确定了EBF和BFD的预测因素。570名参与者报告说，在78.1%的情况下，她们打算母乳喂养至少12个月。出生时、6个月和12个月时的母乳喂养率分别为97.8%、85.5%和55.4%。出生时、3个月和6个月时的纯母乳喂养率分别为88.5%、76.3%和40.9%。参与者年龄较小、非因工作需求而停止母乳喂养以及母亲对BFD的满意度较高与EBF和BFD持续时间较长有关。出生时纯母乳喂养、母亲压力较小、有时间挤奶以及同事支持与EBF持续时间较长有关。母亲的BFD目标较长、产假较长、存在支持职业母亲母乳喂养的法律法规、孩子排行靠后以及母亲抑郁程度较低与BFD持续时间较长有关。母亲的婴儿喂养意愿和与工作相关的因素在医生母亲的婴儿喂养行为中都起着重要作用。较长的产假、支持职业母亲母乳喂养的法规以及工作场所的支持可能会显著提高医生母亲的BFD。
