Liz - if only they would put their show on the road! Hopefully some of
these citations can be helpful.
ks
Burglehaus M, Smith L, Sheps S, and Green L. Physicians and breastfeeding:
Beliefs, knowledge, self-efficacy and counseling practices. Can J Public
Health 88 (6):383-387, 1997.
Freed GL, Clark SJ, Lohr JA, and Sorenson JR. Pediatrician involvement in
breastfeeding promotion. A national study of residents and pracititioners.
Pediatrics 96:490-494, 1995.
Hally MR, Bond J, Crawley J, and et al. Factors influencing the feeding of
first-born infants. Acta Paediatr Scand 73:33-39, 1984.
Jenner S. The influence of additional information, advice and support on the
success of breastfeeding in working-class primaparae. Child Care Health Dev
14:319-328, 1988.
Kuan LW, Britto M, Decolongon J, Schoettker PJ, Atherton HD, and Kotagal UR.
Health system factors contributing to breastfeeding success. Pediatrics 104
(Article e28):http://www.pediatrics.org/cgi/content/full/104-3/e28, 1999.
Lawrence RA. Practices and attitudes toward breast-feeding among medical
professionals. Pediatrics 70:912-920, 1982.
Lu M, Lange L, Slusser W, Hamilton J, and Halfon N. Provider encouragement
of breast-feeding: Evidence from a national survey. Obstetrics & Gynecology
97 (2):290-295, 2001.
Rajan L. The contribution of professional support, information and
consistent correct advice to successful breastfeeding. Midwifery 9:197-209,
1993.
Winikoff B and Baer EC. The obstetrician's opportunity: translating "breast
is best" from theory to practice. Am J Obstet Gynecol 138:105-117, 1980.
Katherine Shealy
------------------------------
Date: Thu, 22 May 2003 09:37:11 -0400
From: Liz Brooks <[log in to unmask]>
Subject: studies: prenatal BF promotion by doctors
Help an addled Lactnetter. My search of the archives and Medline gives me
lots of interesting stuff ... but not the nugget I yearn for.
Where is "the study" that tells us that promotion/ support of BF in the
prenatal days, *BY THE DOCTORS/NURSES*, increases the likelihood that mom
will happily BF?
Background: I attended yesterday (as an observer) a 60-minute BF
presentation by a resident to the other doctors on the staff at our
hospital's local family practice clinic. It would have brought tears to the
eyes of just about any IBCLC to hear the caliber of the presentation, and of
the questions/comments posed by the staff. These guys *get it.* I could
not correct a thing that was said. Well .... there was the diagram of the
grape-cluster-lactiferous-sinuses, but I didn't go into it.
I did tell these docs that they are in a unique position: because they see
moms prenatally *and* after the baby is born, they are specially poised to
positively influence mom's decision to BF. Even something so quick and
simple as asking "What have you done to get ready to breastfeed?" (versus
"Do you plan to breast- or bottle-feed?") can have a positive impact.
One of the doctors said she'd like to see a study done that shows such
prenatal contacts by a medical professional really does have a positive
impact on BF ... esp. when the population (like theirs) has many young
(teen) and low-income patients.
I smugly said, "Why, it's already been done! Let me get that for you!" And
now, I can't seem to find "it."
Are any of you better nugget-finders than I?
Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA
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