206737 Survey research on Mississippi obstetricians who are involved in breastfeeding education and support

Wednesday, November 11, 2009

Linda C. McGrath, PhD, CHES, IBCLC , Community Volunteer, Starkville, MS, Starkville, MS
Vincent R. McGrath, EdD , College of Education, Mississippi State University, Mississippi State, MS
The 2008 Breastfeeding Report Card compiled by the Centers for Disease Control and Prevention (CDC) reported Mississippi as one of the states with the lowest rates of breastfeeding. Mississippi scores indicated that there is need for improvement and collaboration between health care professionals must be strengthened. This survey research was conducted on Mississippi obstetricians and their involvement in breastfeeding education and support. One hundred sixteen obstetricians (59.2% response rate) participated which investigated their knowledge, awareness, and practices of the Ten Steps. One-way ANOVA indicated that there was a statistically significant difference among obstetricians based on years in practice in their agreement of the impact of discussing breastfeeding with patients as influential in their decision to choose breastfeeding, F (4,110) = 3.468, p < .05. Obstetricians (n=36) who have been practicing for 20+ years reported a higher level of agreement. One-way ANOVA showed that there was a statistically significant difference among obstetricians based on years in practice in their agreement that breastfed babies do not need water before six months of age, F(4,110) = 2.497, p < .05. Obstetricians (n=26) who have been practicing for 16-20 years reported a lower level of agreement. Although there were significant differences, overall the obstetrician (38/116) reported uncertainty for this item. The other demographic characteristics collected were gender, personal infant feeding choice, curriculum in medical school, and continuing education within the last three years. This statewide survey on practicing Mississippi obstetricians adds another dimension to the ongoing investigation of maternity care practices.

Learning Objectives:
1. Describe the demographics of practicing Mississippi obstetricians. 2. Discuss maternity care practices based on the Ten Steps to Successful Breastfeeding. 3. Explain possible causes for the low breastfeeding rates in Mississippi.

Keywords: Breastfeeding, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Unpublished dissertation "Mississippi obstetricians maternity care practice patterns related to breastfeeding education and support;" NCFR Family Focus article "The economics of infant nutrition - Why breastfeeding is better for babies, moms, and for managing family resources;" CHES 2005; IBCLC 1999; volunteer community health educator for a local family center (workshops); La Leche League leader since 1976
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.