Журнал беременности и здоровья детей

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Resident and Physician Breastfeeding: Barriers, Challenges, and Issues in Modern Medical Practice

Amber N Edinoff, Natalie W Wu, John M La Forge BS, Natalie M Domingue, Lauren A Linquest BS, Nicholas A Orlando, Elyse M Cornett, Mila Shah Bruce, Alan D Kaye

Throughout centuries, populations have appreciated that breastfeeding helps infant survival. The World Health Organization [WHO], American Academy of Pediatrics [AAP], and American Academy of Family Physicians [AAFP] all recommend exclusively breastfeeding for the first six months of life to achieve optimal growth and nutrition. Professional support from physicians trained in lactation support and counseling promotes prolonged breastfeeding. In a survey by Nakar over 90% of physicians agreed that breastfeeding women need encouragement, and physicians must provide encouragement for women to breastfeed. Physician mothers face many barriers preventing sustained breastfeeding rates, including time, an inconsistent and unpredictable work schedule, and an appropriate space to breastfeed or pump while at work. Intense, unpredictable work schedules, limited support in the clinic and hospital workspaces for pumping, minimal time for maternity leave, and intense pressure between career development and childcare responsibilities pose risks to early, unintentional weaning of their infants. Inadequate time and space for breastfeeding were high among most papers that reported barriers to breastfeeding. As the number of female physicians in the US continues to increase, creating a culture of support in the medical community for breastfeeding physicians will be a critical component of physician wellness. This manuscript reviews the literature regarding barriers that female physicians may face should they choose to breastfeed.