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促进母乳喂养支持:支持母乳喂养放射科医生的挑战和解决方案。

Promoting Lactation Support: Challenges and Solutions to Supporting Breastfeeding Radiologists.

机构信息

Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114.

Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114.

出版信息

Acad Radiol. 2022 Feb;29(2):175-180. doi: 10.1016/j.acra.2020.11.009. Epub 2020 Dec 5.

DOI:10.1016/j.acra.2020.11.009
PMID:33293255
Abstract

RATIONALE AND OBJECTIVES

Although the evidence for the benefits of breastfeeding is strong, parents are often unable to continue breastfeeding upon returning from maternity leave for a variety of reasons. Breastfeeding parents in medicine face unique challenges upon returning to the workforce after maternity leave. Current research on breastfeeding radiologists is limited. The objective of this research is to evaluate breastfeeding barriers and identify potential solutions to help radiologists reach their breastfeeding goals.

MATERIALS AND METHODS

A 17-question survey was developed from validated surveys and pilot tested using focus groups. The survey was emailed to members of the American Association for Women in Radiology and promoted through social media. Bivariate analyses were performed using chi-square tests. p values <0.05 were considered statistically significant. Institutional review board deemed that this anonymous voluntary survey met criteria for exemption.

RESULTS

50 respondents met criteria for study inclusion (estimated response rate 42%). Of the respondents, 60% were trainees, 80% practiced in academic institutions and 92% were full-time. 100% intended to breastfeed, of whom 56% met personal breastfeeding goals (12-month median duration). Available lactation facilities included: Dedicated lactation room (38%), private space (58%), hospital grade pump (30%), refrigerator (46%), dedicated PACS (8%). Cited workplace challenges included lack of time (82%), lack of space (34%), and unsupportive work culture (42%). Having adequate time was associated with meeting breastfeeding goals (p = 0.028). No other factors were statistically significant (p > 0.05).

CONCLUSION

Almost half of breastfeeding radiologists (44%) did not meet breastfeeding goals, citing a variety of facility-based and institutional barriers. Among these, having sufficient time to pump/breastfeed was associated with achieving breastfeeding goals. Given the barriers faced by breastfeeding radiologists, there is an opportunity to make structural and cultural changes to provide lactation support at work.

摘要

背景与目的

尽管母乳喂养的益处有充分的证据支持,但由于各种原因,父母在休完产假返回工作岗位时往往无法继续母乳喂养。医学领域的母乳喂养父母在休完产假返回工作岗位后面临着独特的挑战。目前针对哺乳期放射科医生的研究有限。本研究旨在评估母乳喂养障碍,并确定潜在的解决方案,以帮助放射科医生实现母乳喂养目标。

材料与方法

从已验证的调查中开发了一份包含 17 个问题的调查问卷,并通过焦点小组进行了试点测试。该调查通过电子邮件发送给美国女性放射学家协会的成员,并通过社交媒体进行宣传。使用卡方检验进行了双变量分析。p 值 <0.05 被认为具有统计学意义。机构审查委员会认为,这项匿名自愿调查符合豁免标准。

结果

50 名符合研究纳入标准的受访者(估计响应率为 42%)。在受访者中,60%为受训者,80%在学术机构工作,92%为全职工作。100%的受访者计划母乳喂养,其中 56%达到了个人母乳喂养目标(中位持续时间为 12 个月)。可用的哺乳设施包括:专用哺乳室(38%)、私人空间(58%)、医院级别的吸奶器(30%)、冰箱(46%)、专用 PACS(8%)。受访者提到的工作场所挑战包括缺乏时间(82%)、缺乏空间(34%)和缺乏支持的工作文化(42%)。有足够的时间与实现母乳喂养目标相关(p=0.028)。其他因素均无统计学意义(p>0.05)。

结论

近一半的母乳喂养放射科医生(44%)没有达到母乳喂养目标,他们提到了各种基于设施和机构的障碍。在这些障碍中,有足够的时间吸奶/哺乳与实现母乳喂养目标相关。鉴于哺乳期放射科医生面临的障碍,有机会在工作场所进行结构和文化变革,以提供母乳喂养支持。

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