Attitudes and Knowledge About Breastfeeding Among Obstetrics and Gynecology Residents

INTRODUCTION: Breastfeeding is the preferred method of infant nutrition as a result of the multiple known health benefits to both the infant and mother. Existing literature has shown that implementation of a breastfeeding curriculum among residents increases both resident knowledge as well as breastfeeding rates in their patient populations. These data are limited, however, among obstetrics–gynecology residents. This study was designed to assess knowledge, attitudes, and educational experiences among obstetrics–gynecology residents in regard to breastfeeding. METHODS: A 23-question web-based survey was distributed to all residents from U.S. obstetrics–gynecology residencies. RESULTS: Three hundred fifty-one residents completed the survey showing that although 93% of survey participants agree that breastfeeding education was an important use of their time, poor knowledge regarding breastfeeding was found across all levels of training. Personal or spousal experience with breastfeeding played a significant role in a resident's ability to teach a mother how to breastfeed or how to use a breast pump (P<.001). Only 27% of fourth-year residents report ever having hands-on or simulation training on breastfeeding during their residency, and only 37% believe they have had adequate teaching in breastfeeding. CONCLUSIONS: Whereas obstetrics–gynecology residents are highly supportive of breastfeeding, the majority of graduating residents feel that their training curriculum was deficient in the core concepts of this topic. Stronger efforts are needed in residency programs to make breastfeeding education a priority to benefit both the residents and their patients.