背景:合床很常见,但美国儿科学会建议不要。尚不清楚母乳喂养的医生是否比普通人群多或少。
目的:为了确定医生共用床的患病率,他们同床与否的原因,以及同床是否与更长的母乳喂养时间有关。
方法:一项在线调查是根据疾病控制和预防中心的调查改编的。这项调查是针对从2020年10月到2021年8月生下孩子的医生和医学生进行的。受访者被要求报告单胎出生情况,围绕睡眠习惯和母乳喂养的问题。生存分析用于检查同床和母乳喂养持续时间之间的关联。
结果:在546名拥有共享床位数据的受访者中,68%的人报告了一些共享床上用品的历史,77%的专业涉及照顾孕妇和/或婴儿。同床的人比从未同床的人平均多母乳喂养四个月(18.08个月对14.08个月p<0.001)。与未同床的人相比,同床的人停止母乳喂养的调整风险明显较低(危害比0.57,95%置信区间0.45,0.71)。同床的主要原因是母乳喂养(73%);不同床的主要原因是安全问题(92%)。在同床的人中(n=373),52%的人没有通知他们孩子的医疗保健提供者。
结论:在我们的主要母乳喂养医生样本中,同床是常见的,包括照顾孕妇和/或婴儿的人。它还与更长的母乳喂养时间有关,这对人口健康有影响。练习共享床上用品意味着认知上的分歧,并可能影响医生对共享床上用品的建议。此外,缺乏公开共享床上用品的做法会影响有关进行公开的非判断性对话的实际指导,并且可能会错失提供共享床上用品安全咨询的机会。
BACKGROUND: Bedsharing is common but advised against by the American Academy of Pediatrics. It is unknown if breastfeeding physicians bedshare more or less than the general population.
OBJECTIVE: To determine the prevalence of bedsharing among physicians, their reasons for bedsharing or not, and whether bedsharing was associated with a longer duration of breastfeeding.
METHODS: An online survey was adapted from surveys administered by the Centers for Disease Control and Prevention. The survey was administered to physicians and medical students who birthed children from October 2020 through August 2021. Respondents were asked to report on a singleton birth, and questions centered around sleep practices and breastfeeding. Survival analysis was used to examine the association between bedsharing and breastfeeding duration.
RESULTS: Of 546 respondents with bedsharing data, 68% reported some history of bedsharing, and 77% were in specialties that involved caring for pregnant people and/or infants. Those who bedshared breastfed an average of four months longer than those who never bedshared (18.08 versus 14.08 months p<0.001). The adjusted risk of breastfeeding cessation was markedly lower for those who bedshared compared to those who did not (Hazard Ratio 0.57, 95% Confidence Interval 0.45, 0.71). The primary reason for bedsharing was to breastfeed (73%); the primary reason for not bedsharing was safety concerns (92%). Among those who bedshared (n = 373), 52% did not inform their child\'s healthcare provider.
CONCLUSIONS: Bedsharing is common among our sample of mainly breastfeeding physicians, including those who care for pregnant people and/or infants. It is also associated with a longer duration of breastfeeding, which has implications for population health. Practicing bedsharing implies cognitive dissidence and may affect how physicians counsel about bedsharing. Additionally, lack of disclosure of bedsharing practices has implications for practical guidance about having open non-judgmental conversations and may be a missed opportunity to counsel on bedsharing safety.