One Pump at a Time: A Wearable Lactation Pump Pilot for Graduate Medical Education Trainees.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2024-07-25 DOI:10.1089/bfm.2024.0134
Virginia Sheffield, Sarah Tomlinson, Harlan McCaffery, Amanda D McCormick
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Abstract

Background: Despite the known benefits of lactation, lactating graduate medical education (GME) trainees encounter difficulties when returning to work. Wearable lactation pumps are known to be beneficial in lactating physicians, but the benefit for GME trainees in clinical care and education has not been explored. Objectives: The objective of this study was to examine the benefits of wearable lactation pumps on education and clinical care for GME trainees. Methods: In 2022-2023, all lactating GME trainees at a large academic center were invited to participate in a wearable pump pilot. Participants completed six baseline surveys with questions on lactation practices and individuals' perceptions before receiving the pump, repeated the six surveys after receiving the pump, and completed a monthly survey for 6 months after receiving the pump. A linear mixed methods model was used to compare reported experiences before and after receiving the wearable pump. Results: Twelve trainees participated in the pilot, with 10 completing pre- and post-surveys. When compared with experiences before receiving the wearable pump, there was a significant decrease in the perceived impact of lactation on clinical care (p = 0.03), medical education (p = 0.004), and missed pumping sessions (p = 0.02) after using the wearable pump. All participants who used the wearable pumps reported that it helped them to meet lactation goals. Conclusions: Wearable pumps are beneficial to trainees and may decrease the barriers to education and clinical care. GME sponsored pump programs may better support lactating trainees on their return to work.

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一次一泵:针对医学研究生教育受训人员的可穿戴哺乳泵试点项目。
背景:尽管哺乳的好处众所周知,但哺乳期的医学教育(GME)研究生在重返工作岗位时仍会遇到困难。众所周知,可穿戴式哺乳泵对哺乳期的医生有益,但对医学研究生教育受训者在临床护理和教育方面的益处还没有进行过研究。研究目的本研究旨在探讨可穿戴式哺乳泵对 GME 受训人员的教育和临床护理的益处。研究方法2022-2023 年,一家大型学术中心邀请所有哺乳期的 GME 受训人员参加可穿戴泵试点项目。参与者在接受泵之前完成了六次基线调查,其中包括哺乳实践和个人感知等问题,接受泵后重复了六次调查,并在接受泵后的 6 个月内完成了一次月度调查。我们采用线性混合方法模型来比较使用可穿戴泵前后的体验报告。结果12 名学员参加了试点,其中 10 人完成了前后调查。与使用可穿戴泵前的体验相比,使用可穿戴泵后,学员对哺乳对临床护理的影响(p = 0.03)、医学教育(p = 0.004)和错过泵奶时间(p = 0.02)的感知显著下降。所有使用过可穿戴泵的参与者都表示,这有助于他们实现哺乳目标。结论可穿戴式泵对学员有益,可减少教育和临床护理的障碍。GME 赞助的泵计划可为哺乳期学员重返工作岗位提供更好的支持。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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