Methods and outcomes of breastfeeding instruction for nursing students.

Support from nurses can influence breastfeeding rates, but many nurses are not well-informed about breastfeeding topics. Surveys were used to assess the breastfeeding instruction provided in five nursing programs. Most students attended breastfeeding lectures, but only one-fourth received breastfeeding information during clinical activities. After completing their maternity rotation, less than 25 percent had as many as three clinical opportunities to teach breastfeeding techniques or counsel about lactation problems. Completion of maternity rotation did not improve student's knowledge of breastfeeding health benefits or clinical advice. Previous personal breastfeeding experience was associated with more accurate clinical advice and rating breastfeeding instruction as inadequate. We conclude that nursing education may not prepare students for effective breastfeeding promotion, and we suggest solutions for lactation consultants.