Outpatient Breastfeeding Champion Program: Breastfeeding Support in Primary Care

Author ORCID Identifier

Julie Patterson:https://orcid.org/0000-0003-0835-9774

Publication Title

Breastfeeding Medicine

ISSN

15568253

E-ISSN

15568342

Document Type

Article

Abstract

Breastfeeding support offered by trained professionals can increase breastfeeding success. The Outpatient Breastfeeding Champion (OBC) program creates a network of Breastfeeding Champions (typically nurses) who are trained to identify and resolve common breastfeeding issues and refer to lactation professionals as needed. The objective of this study was to evaluate the impact the OBC program on nurses' attitudes toward breastfeeding and self-confidence in providing breastfeeding care. Materials and Methods: The OBC program was implemented in 11 medical offices within a health care system. Nurses were surveyed before (n = 9) and immediately after (n = 9) participating in OBC training sessions, and 6 months following the implementation of the OBC training (n = 15). Data were collected on their breastfeeding attitude and self-confidence in providing breastfeeding care, and the responses at the different time points were compared using Wilcoxon Rank-Sum tests. Results: Nurses' attitudes toward breastfeeding (p = 0.049) and self-confidence in managing breastfeeding position and attachment (p = 0.09) were higher immediately after completion of the OBC training than they were before training. There was no significant difference in either response between immediately after completion and 6 months following training. Conclusion: This study presents a model of breastfeeding care that extends the reach of an International Board Certified Lactation Consultant to improve breastfeeding support in the primary care setting. Nurses' more positive breastfeeding attitudes and self-confidence in providing breastfeeding care following training suggest that the use of a breastfeeding training program may improve the breastfeeding support provided by nurses, which could be sustained over time.

First Page

44

Last Page

48

Publication Date

1-1-2020

DOI

10.1089/bfm.2019.0108

PubMed ID

31397581

Keywords

breastfeeding and health care, breastfeeding in primary care, breastfeeding support, nurse breastfeeding training program, outpatient breastfeeding model

Department

School of Health Studies

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