Missed Opportunities in the Outpatient Pediatric Setting to Support Breastfeeding: Results From a Mixed-Methods Study.

Document Type

Article

Publication Date

1-1-2019

Abstract

INTRODUCTION: Outpatient pediatric providers play a crucial role in the promotion of breastfeeding. We conducted a mixed methods study to measure provider knowledge, attitudes, and current practices around breastfeeding counseling.

METHOD: In New Mexico in 2016 and 2017, we conducted a knowledge, attitudes, and practice survey of outpatient pediatric providers (i.e., nurse practitioners, physicians, and physician assistants) and conducted focus groups with outpatient pediatric providers.

RESULTS: Seventy-seven providers responded to the survey, and 17 participated in three focus groups. Fewer than half of providers surveyed reported asking how long mothers plan to breastfeed at initial well-baby examinations. One quarter of participants (28.2%) erroneously reported that hepatitis C was an absolute contraindication to breastfeeding. Just half of respondents had received continuing education within the past 3 years about managing common breastfeeding problems.

DISCUSSION: We identified missed opportunities for outpatient pediatric providers to support breastfeeding and a need for continuing provider education.

Publication Title

Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

ISSN

1532-656X

Volume

33

Issue

1

First Page

64

Last Page

71

DOI

10.1016/j.pedhc.2018.06.004

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