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Prenatal Provider Support for Breastfeeding: Changes in Attitudes, Practices and Recommendations Over 22 Years
Casey Rosen-Carole1, Katherine Allen2, Julissa Thompson3
1Assistant Professor of Pediatrics and Obstetrics and Gynecology, Medical Director of Lactation Services and Programs, University of Rochester School of Medicine and Dentistry.
Summary
Prenatal care providers increasingly support breastfeeding, with fewer offering formula samples. However, their education on breastfeeding support needs improvement to better prepare them for patient care.
Area of Science:
- Maternal and Child Health
- Public Health
- Healthcare Provider Education
Background:
- Prenatal care providers significantly influence breastfeeding outcomes.
- A 1993 survey assessed obstetricians' breastfeeding support.
- This study replicated and expanded the survey in 2015 to assess changes over two decades.
Observation:
- A 2015 survey of prenatal care providers in Monroe County, NY, was conducted.
- 164 providers participated, achieving an 80% response rate.
- Data were collected via a 46-item online or paper questionnaire.
Findings:
- Breastfeeding discussion (97% vs. 86%) and recommendation (93% vs. 80%) increased significantly from 1993 to 2015.
- Infant formula sample distribution decreased from 34% to 10%.
- Breastfeeding support scores improved, with 98% of providers achieving high scores in 2015 compared to 87% in 1993.
Implications:
- Breastfeeding support from prenatal care providers has improved substantially over 20 years.
- Despite improved support, the quality and quantity of breastfeeding education for providers have not advanced.
- Enhanced education for prenatal care providers is crucial for optimizing future breastfeeding support.
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