Breastfeeding is well established in the literature as the best method of infant feeding.  While physicians agree breastfeeding is best for the infant, inadequate training or fear of inducing guilt among mothers makes some physicians hesitant to promote it.  Research indicates that if breastfeeding women are supported by their healthcare professionals, breastfeeding rates increase.  Physician support is believed to be strengthened by increasing breastfeeding knowledge of physicians who are involved with women who intend to breastfeed or are breastfeeding.  The purpose of this project is to design an evidence-based physician education program that supports the Baby Friendly Hospital Initiative and promotion of the benefits of breastfeeding to obstetricians and pediatricians.

Proposed change:

The synthesized evidence was used to develop a comprehensive, evidence-based, physician-focused, breastfeeding education program.  The education program is comprised of two parts: a (30-minute lunch and learn presentation and an interactive on-line learning module) utilize the “ten steps of successful breastfeeding” as outlined in the Baby Friendly Hospital Initiative.  During the lunch and learn session, an overview of the Baby Friendly Initiative, breastfeeding benefits and management and physicians role in supporting the breastfeeding women was reviewed.  The interactive on-line learning module provided case scenarios physicians may encounter when working with breastfeeding women.  An education resource manual was developed to supplement breastfeeding knowledge and identify and promote community resources to support pregnant and breastfeeding women.

Implementation, outcomes and evaluation: This program was offered to 60 physicians who work with expectant and breastfeeding women over a 4-month period at a hospital in south orange county, california.  The hospitals/maternity centers who partner with these physicians can anticipate improved health outcomes for mothers and babies and increased patient satisfaction and meet Joint Commission maternity care standards for exclusive breast milk feeding.  After completion of this education program, physicians should utilize their enhanced knowledge, skills and resources and become a Baby Friendly Office.  Further research is needed to determine which physician education techniques directly correlate with increased breastfeeding rates.  

Implications for nursing practice:

Physicians will have the opportunity to provide competent, “hands-on” family-centered care through utilization of their increased knowledge and attitudes regarding breastfeeding. 

Keywords:

breastfeeding; physician knowledge; Baby Friendly.