Volume 14 Issue 4
Jul.  2023
Turn off MathJax
Article Contents
XU Xiaohan, ZHANG Jiao, YU Xuerong, LI Xu, HUANG Yuguang. Occupational Factors Associated with Breastfeeding Continuation after Maternity Leave Among Female Anesthesia Residents in China[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 820-825. doi: 10.12290/xhyxzz.2023-0165
Citation: XU Xiaohan, ZHANG Jiao, YU Xuerong, LI Xu, HUANG Yuguang. Occupational Factors Associated with Breastfeeding Continuation after Maternity Leave Among Female Anesthesia Residents in China[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 820-825. doi: 10.12290/xhyxzz.2023-0165

Occupational Factors Associated with Breastfeeding Continuation after Maternity Leave Among Female Anesthesia Residents in China

doi: 10.12290/xhyxzz.2023-0165
Funds:

Natural Science Foundation of Beijing 7194313

More Information
  • Corresponding author: LI Xu, E-mail: lixupumch@163.com
  • Received Date: 2023-03-30
  • Accepted Date: 2023-06-27
  • Publish Date: 2023-07-30
  •   Objective  To analyze the current status and occupational factors associated with breastfeeding continuation after maternity leave among female anesthesia residents in China.  Methods  Our study was based on a nationwide survey "Breastfeeding and Work/Family Balance Among Female Anesthesiologists" conducted by Chinese Society of Anesthesiology, which was targeted to female anesthesia residents giving birthsince January 1, 2015.An anonymous online questionnaire was developed to collect basic information, breastfeeding practices and workload.The inclusion variables were screened using the akaike information criterion (AIC), with the event defined as "termination of breastfeeding".Occupational factors that may affect breastfeeding were included as explanatory variables and non-occupational related factors that may affect breastfeeding were also included in the model to adjust for potential confounding effects.Schoenfeld were used to assess whether the variables were satisfied for each explanatory variable, and for those that were not, the time-dependent covariate for that variable was added to the model, occupational factors affecting breastfeeding duration were analyzed using stepwise Cox regression.  Results  A total of 436 anesthesia residents from 29 provinces were included.According to the survey, 372(85.3%, 372/436) terminated breastfeeding, of which 268(72.0%, 268/372) ended breastfeeding early due to work, 419(96.1%, 419/436) significantly reduced breast milk after work, and 133(30.5%, 133/436) had no opportunity to breastfeed at work.Their median breastfeeding duration was 10(8, 12) months.Longer work experience at childbirth was associated with a higher risk of discontinuing breastfeeding (HR=1.09, 95% CI: 1.03-1.15, P=0.004).The following occupational factors were associated with a longer breastfeeding duration: prolonged maternity leave (HR=0.85, 95% CI: 0.78-0.93, P < 0.001), tertiary hospital (HR=0.56, 95% CI: 0.43-0.73, P < 0.001), more opportunities for breast pumping during worktime (HR=0.02, 95% CI: 0-0.08, P < 0.001) and reduced workload during the breastfeeding period (HR=0.47, 95% CI: 0.26-0.86, P=0.014).  Conclusion  Hospital administrators can make efforts to offer prolonged maternity leave, modified rotation plan, breastfeeding rooms, and breastfeeding breaks, which are beneficial to both maternal and fetal health.
  • loading
  • [1] Boquien CY. Human Milk: An Ideal Food for Nutrition of Preterm Newborn[J]. Front Pediatr, 2018, 6: 295. doi:  10.3389/fped.2018.00295
    [2] Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect[J]. Lancet, 2016, 387: 475-490. doi:  10.1016/S0140-6736(15)01024-7
    [3] World Health Organization. The World Health Report. 2005: Make Every Mother and Child Count[M]. New York, WHO Press, 2005: 2-3.
    [4] Cantu RM, Gowen MS, Tang X, et al. Barriers to Breastfeeding in Female Physicians[J]. Breastfeed Med, 2018, 13: 341-345. doi:  10.1089/bfm.2018.0022
    [5] Ersen G, Kasim I, Agadayi E, et al. Factors Affecting the Behavior and Duration of Breastfeeding Among Physician Mothers[J]. J Hum Lact, 2020, 36: 471-477. doi:  10.1177/0890334419892257
    [6] Melnitchouk N, Scully RE, Davids JS. Barriers to Breastfeeding for US Physicians Who Are Mothers[J]. JAMA Intern Med, 2018, 178: 1130-1132. doi:  10.1001/jamainternmed.2018.0320
    [7] Juengst SB, Royston A, Huang I, et al. Family Leave and Return-to-Work Experiences of Physician Mothers[J]. JAMA Netw Open, 2019, 2: e1913054. doi:  10.1001/jamanetworkopen.2019.13054
    [8] Pearson ACS, Dodd SE, Kraus MB, et al. Pilot Survey of Female Anesthesiologists' Childbearing and Parental Leave Experiences[J]. Anesth Analg, 2019, 128: e109-e112. doi:  10.1213/ANE.0000000000003802
    [9] Peters GW, Kuczmarska-Haas A, Holliday EB, et al. Lactation challenges of resident physicians- results of a national survey[J]. BMC Pregnancy Childbirth, 2020, 20: 762. doi:  10.1186/s12884-020-03436-3
    [10] Kraus MB, Thomson HM, Dexter F, et al. Pregnancy and Motherhood for Trainees in Anesthesiology: A Survey of the American Society of Anesthesiologists[J]. J Educ Perioper Med, 2021, 23: E656.
    [11] Titler SS, Pearson ACS. Supporting Lactation Within an Academic Anesthesia Department: Obstacles and Opportunities[J]. Anesth Analg, 2020, 131: 1304-1307. doi:  10.1213/ANE.0000000000004899
    [12] Garcia-Marcinkiewicz AG, Titler SS. Lactation in Anesthesiology[J]. Anesthesiol Clin, 2022, 40: 235-243. doi:  10.1016/j.anclin.2022.01.014
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (95) PDF downloads(45) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return