Faculty of Medicine and Pharmacy, Department of Pharmaceutical and Pharmacological Sciences, Vrije Universiteit Brussel, Laerbeeklaan 103, 1090 Jette, Belgium.
Faculty of Medicine and Pharmacy, Department of Pharmaceutical and Pharmacological Sciences, In Vitro Toxicology and Dermato-Cosmetology, Vrije Universiteit Brussel, Laerbeeklaan 103, 1090 Jette, Belgium.
Int J Environ Res Public Health. 2023 Feb 15;20(4):3379. doi: 10.3390/ijerph20043379.
Many guidelines offer recommendations to support the continuation of breastfeeding and the choice of medication when a mother undergoes a surgical procedure. The aim of this study is to investigate health care providers' (HCPs) current practices and knowledge about peri-surgical medication and practices in breastfeeding women. We performed a cross-sectional study in Flanders (Belgium) assessing demographics, beliefs about breastfeeding and its health benefits, current practices concerning breastfeeding women undergoing (surgical) procedures and specific knowledge about the use of medication during breastfeeding. Two hundred and ninety-one (291) participants completed the online questionnaire. Many participants considered their knowledge about breastfeeding to be good, and almost all participants acknowledged the superiority of breastfeeding and the importance of its continuation. Very few participants were, however, familiar with the available protocols concerning surgical procedures in breastfeeding women. Less than half of the participants routinely advised the recommended practices to protect breastfeeding. For most of the peri-surgical medication, participants needed to look-up information about the compatibility with breastfeeding. We conclude that there is a knowledge gap and recommend the development of a comprehensive guideline as well as implementation of this information in basic and post-academic training.
许多指南提供了支持母乳喂养的持续和母亲接受手术时药物选择的建议。本研究旨在调查医护人员（HCPs）在围手术期药物和母乳喂养女性实践方面的现行做法和知识。我们在比利时佛兰德斯进行了一项横断面研究，评估人口统计学、对母乳喂养及其健康益处的信念、正在进行（手术）程序的母乳喂养女性的当前做法以及关于哺乳期使用药物的具体知识。291 名参与者完成了在线问卷。许多参与者认为他们对母乳喂养的了解是好的，几乎所有参与者都承认母乳喂养的优越性和继续母乳喂养的重要性。然而，很少有参与者熟悉有关母乳喂养女性手术程序的现有方案。不到一半的参与者经常建议采取保护母乳喂养的推荐做法。对于大多数围手术期药物，参与者需要查找有关与母乳喂养兼容性的信息。我们得出结论，存在知识差距，并建议制定全面的指南，并在基础和学术后培训中实施这些信息。
