Knowledge of Future Doctors (Senior Students, Interns, Residents) on Breastfeeding: Cross-Sectional Study
https://doi.org/10.15690/vsp.v20i4.2285
Abstract
Background. The ratio of breasted children for more than six months increased from 33 to 40% in the period from 1991 to 2019 according to the Russian Federal State Statistics Service. This number has not changed in recent 12 years and remained on the level of 39-41%. Relatively low adherence to breastfeeding may be the consequence of the lack of training of future doctors in these issues.
Objective. The aim of the study was to analyse the knowledge (and its dynamics over the past decade) of medical students, interns and residents on breastfeeding support and promotion in Russian Federation.
Methods. We have conducted the survey among senior students, interns, and residents in 2009-2011 and 2018-2019. 8 medical universities participated in the study in 2009-2011, and 24 medical universities and one continuing education institute — in 2018-2019. Knowledge on breastfeeding support issues was estimated according to the results of future doctors’ responses to the proposed questionnaires.
Results. Sample of 2009-2011 has included 1088 students, interns, and residents, sample of 2018-2019 — 3694. There is still high level of mistakes in the breastfeedng issues due to the decline in knowledge of the WHO breastfeeding recommendations. The level of understanding of practical aspects has not changed significantly over the 10 years, and there is still a gap between theoretical knowledge and practice.
Conclusion. The necessity to improve quality of future doctors training in breastfeeding issues is shown.
About the Authors
Yakov Y. YakovlevRussian Federation
Novokuznetsk
Disclosure of interest:
Not declared
Farok K. Manerov
Russian Federation
Novokuznetsk
Disclosure of interest:
Not declared
Vladimir I. Furtsev
Russian Federation
Krasnoyarsk
Disclosure of interest:
Not declared
Vladimir A. Shcherbak
Russian Federation
Chita
Disclosure of interest:
Not declared
Natalya M. Shcherbak
Russian Federation
Chita
Disclosure of interest:
Not declared
Uri F. Lobanov
Russian Federation
Barnaul
Disclosure of interest:
Not declared
Lyudmila V. Ledyaykina
Russian Federation
Saransk
Disclosure of interest:
Not declared
Svetlana V. Garina
Russian Federation
Saransk
Disclosure of interest:
Not declared
Ekaterina A. Surovikina
Russian Federation
Novosibirsk
Disclosure of interest:
Not declared
Tatyana N. Yolkina
Russian Federation
Novosibirsk
Disclosure of interest:
Not declared
Irina L. Alimova
Russian Federation
Smolensk
Disclosure of interest:
Not declared
Tatiana A. Pleskachevskaya
Russian Federation
Smolensk
Disclosure of interest:
Not declared
Elena V. Popova
Russian Federation
Stavropol
Disclosure of interest:
Not declared
Larisa V. Pogorelova
Russian Federation
Stavropol
Disclosure of interest:
Not declared
Maria O. Revnova
Russian Federation
Saint Petersburg
Disclosure of interest:
Not declared
Irina M. Gaiduk
Russian Federation
Saint Petersburg
Disclosure of interest:
Not declared
Alla V. Burlutskaya
Russian Federation
Krasnodar
Disclosure of interest:
Not declared
Anastasia V. Statova
Russian Federation
Krasnodar
Disclosure of interest:
Not declared
Anvar A. Jumagaziev
Russian Federation
Astrakhan
Disclosure of interest:
Not declared
Elena I. Kashirskaya
Russian Federation
Astrakhan
Disclosure of interest:
Not declared
Sofya A. Tsarkova
Russian Federation
Ekaterinburg
Disclosure of interest:
Not declared
Yulia A. Trunova
Russian Federation
Ekaterinburg
Disclosure of interest:
Not declared
Nadezhda S. Koltsova
Russian Federation
Samara
Disclosure of interest:
Not declared
Dmitry V. Pechkurov
Russian Federation
Samara
Disclosure of interest:
Not declared
Elena P. Lazareva
Russian Federation
Nizhny Novgorod
Disclosure of interest:
Not declared
Elena F. Lukushkina
Russian Federation
Nizhny Novgorod
Disclosure of interest:
Not declared
Irina V. Neufeld
Russian Federation
Saratov
Disclosure of interest:
Not declared
Irina E. Rogozhina
Russian Federation
Saratov
Disclosure of interest:
Not declared
Valeria I. Makarova
Russian Federation
Arkhangelsk
Disclosure of interest:
Not declared
Ivan M. Petrov
Russian Federation
Tyumen
Disclosure of interest:
Not declared
Sergey P. Sakharov
Russian Federation
Tyumen
Disclosure of interest:
Not declared
Elena V. Shevchenko
Russian Federation
Irkutsk
Disclosure of interest:
Not declared
Zhanna L. Malakhova
Russian Federation
Kaliningrad
Disclosure of interest:
Not declared
Alexander I. Pashov
Russian Federation
Kaliningrad
Disclosure of interest:
Not declared
Yana A. Munkhalova
Russian Federation
Yakutsk
Disclosure of interest:
Not declared
Vera B. Egorova
Russian Federation
Yakutsk
Disclosure of interest:
Not declared
Nikolay N. Kaladze
Russian Federation
Simferopol
Disclosure of interest:
Not declared
Natalya A. Belykh
Russian Federation
Ryazan
Disclosure of interest:
Not declared
References
1. Global Strategy for Infant and Young Child Feeding. Geneva: World Health Organization; UNICEF; 2003. 34 p. (In Russ).
2. Message from the President to the Federal Assembly. 2020. (In Russ). Доступно по: http://www.kremlin.ru/events/president/transcripts/messages/62582. Ссылка активна на 07.04.2021.
3. Federal State Statistics Service. About providing information. Official letters 2019-2021. (In Russ).
4. Yakovlev YY, Manerov FK, Furtsev VI, et al. Breast feeding: results of a retrospective multicenter survey of a level of future doctor's education. Voprosy sovremennoi pediatrii — Current Pediatrics. 2011;10(5):10-16. (In Russ).
5. Kashirskaya EI, Kameneva OP, Cheremina NI, Polyanina EZ. To the issue of breastfeeding support: from theory to practice. Meditsinskiy sovet = Medical Council. 2020;(1):24-29. (In Russ). doi: 10.21518/2079-701X-2020-1-24-29
6. Yang SF, Salamonson Y, Burns E, Schmied V. Breastfeeding knowledge and attitudes of health professional students: a systematic review. Int Breastfeed J. 2018;13:8. doi: 10.1186/s13006-018-0153-1
7. Campbell SH, Bernardes NO, Tharmaratnam T, Mendonça FV. Educational Resources and Curriculum on Lactation for Health Undergraduate Students: A Scoping Review. J Hum Lact. 2020;890334420980693. doi: 10.1177/0890334420980693
8. Order of the Government of the Russian Federation dated July 19, 2012 No. 1286-р “Ob otnesenii k vedeniyu Minzdrava Rossii federal’nykh gosudarstvennykh uchrezhdenii" (In Russ). Доступно по: https://base.garant.ru/70206036. Ссылка активна на 04.10.2021.
9. Breastfeeding counselling: A training course: trainer's guide. Geneva: World Health Organization; 1993. 442 c. (In Russ).
10. Infant and Young Child Feeding Counselling: An Integrated Course: Participant's Manual. Geneva: World Health Organization; 2006. 251 p. (In Russ).
11. Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Geneva: World Health Organization; 2009. 99 p.
12. Combined course on growth assessment and IYCF counselling. Geneva: World Health Organization; 2012. 298 p.
13. Breastfeeding and the Use of Human Milk. Pediatrics. 2005;115(2):496-506. doi: 10.1542/peds.2004-2491
14. Breastfeeding and the Use of Human Milk. Pediatrics. 2012;129(3):e827-e841. doi: 10.1542/peds.2011-3552
15. Agostoni C, Braegger C, Decsi T, et al. ESPGHAN Committee on Nutrition: Breastfeeding: A Commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2009;49(1):112-125. doi: 10.1097/MPG.0b013e31819f1e05
16. Core Curriculum For Lactation Consultant Practice. International Lactation Consultant Association. 2nd ed. Sudbury, Mass: Jones & Bartlett Learning; 2007. 774 p.
17. Smith LJ. Comprehensive Lactation Consultant Exam Review. 2nd ed. London etc.: Jones and Bartlett Publishers; 2007. 429 p.
18. Westerfield KL, Koenig K, Oh R. Breastfeeding: Common Questions and Answers. Am Fam Physician. 2018;98(6):368-373.
19. Berens P, Brodribb W. ABM Clinical Protocol #20: Engorgement, Revised 2016. Breastfeed Med. 2016;11(4):159-163. doi: 10.1089/bfm.2016.29008.pjb
20. Breastfeeding and Human Lactation. Riordan J, ed. Sudbury, Mass: Jones & Bartlett Learning; 2005. 819 p.
21. Lawrence RA, Lawrence RM. Breastfeeding: A Guide for the Medical Profession. 6th ed. St. Louis: Mosby; 2005. 976 p.
22. Baranov AA, Tutel'yan AV, Chumakova OV, et al. Natsional’naya programma optimizatsii vskarmlivaniya detei pervogo goda zhizni v Rossiiskoi Federatsii. Moscow; 2009. 67 p. (In Russ).
23. Baranov AA, Tutel'yan AV, Chumakova OV, et al. Programma optimizatsii vskarmlivaniya detei pervogo goda zhizni v Rossiiskoi Federatsii: Guidelines. Moscow; 2019. 160 p. (In Russ).
24. Wambach K, Riordan J. Breastfeeding and Human Lactation, Enhanced. 5th ed. Jones & Bartlett Publishers; 2016. 966 p.
25. Lawrence RA, Lawrence RM. Breastfeeding: A Guide for the Medical Profession. 8th ed. Philadelphia, PA: Elsevier; 2015. 992 p.
26. Smith LJ. Comprehensive Lactation Consultant Exam Review. 4th ed. Burlington, MA : Jones & Bartlett Learning; 2017. 362 p.
27. Core Curriculum For Lactation Consultant Practice. International Lactation Consultant Association. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2012. 903 p.
28. Rebrova OYu. Statisticheskii analiz meditsinskikh dannykh. Primenenie paketa prikladnykh programm STATISTICA. Moscow: Media Sfera; 2006. 312 p. (In Russ).
29. Zakar R, Zakar MZ, Zaheer L, Fischer F. Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan. Int Breastfeed J. 2018;13:24. doi: 10.1186/s13006-018-0171-z
30. Seema N, Saboohi E, Kazi U, et al. Perception of medical students regarding breast feeding at Al Tibri Medical College and Hospital: a comparative study. Int J Res Med Sci. 2019;7(11):4171-4176. doi: 10.18203/2320-6012.ijrms20194987
31. Vorontsov IM, Mazurin AV. Propedevtika detskikh boleznei. Moscow: Meditsina; 2009. 1008 p. (In Russ).
32. Vorontsov IM, Fateeva EM. Estestvennoe vskarmlivanie detei. Ego znachenie ipodderzhka. St. Petersburg: IKF “Foliant”; 1998. 272 p. (In Russ).
33. Yakovlev YaYa, Manerov FK, Kotovich MM, et al. Assessment of the actual nutritional state of pregnant and lactating women. Mother and Baby in Kuzbass. Кузбассе. 2020;(4):12-18. (In Russ). doi: 10.24411/26867338202010043
Review
For citations:
Yakovlev Ya.Y., Manerov F.K., Furtsev V.I., Shcherbak V.A., Shcherbak N.M., Lobanov U.F., Ledyaykina L.V., Garina S.V., Surovikina E.A., Yolkina T.N., Alimova I.L., Pleskachevskaya T.A., Popova E.V., Pogorelova L.V., Revnova M.O., Gaiduk I.M., Burlutskaya A.V., Statova A.V., Jumagaziev A.A., Kashirskaya E.I., Tsarkova S.A., Trunova Yu.A., Koltsova N.S., Pechkurov D.V., Lazareva E.P., Lukushkina E.F., Neufeld I.V., Rogozhina I.E., Makarova V.I., Petrov I.M., Sakharov S.P., Shevchenko E.V., Malakhova Zh.L., Pashov A.I., Munkhalova Ya.A., Egorova V.B., Kaladze N.N., Belykh N.A. Knowledge of Future Doctors (Senior Students, Interns, Residents) on Breastfeeding: Cross-Sectional Study. Current Pediatrics. 2021;20(4):292-309. https://doi.org/10.15690/vsp.v20i4.2285