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Research ArticleResearch

Physicians as mothers

Breastfeeding practices of physician-mothers in Newfoundland and Labrador

Pauline S. Duke, Wanda L. Parsons, Pamela A. Snow and Alison C. Edwards
Canadian Family Physician May 2007; 53 (5) 887-891;
Pauline S. Duke
Family doctors and faculty in the Discipline of Family Medicine at Memorial University of Newfoundland in St John’s
MD FCFP
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  • For correspondence: pduke@mun.ca
Wanda L. Parsons
Family doctors and faculty in the Discipline of Family Medicine at Memorial University of Newfoundland in St John’s
MD FCFP
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Pamela A. Snow
Family doctors and faculty in the Discipline of Family Medicine at Memorial University of Newfoundland in St John’s
MD CCFP
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Alison C. Edwards
Division of Community Health and Humanities in the Faculty of Medicine at Memorial University of Newfoundland
MSc
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Article Figures & Data

Tables

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    Table 1

    Sociodemographic and practice-related characteristics of the study sample (N = 89)*

    VARIABLERESPONDENTS N (%)
    SOCIODEMOGRAPHIC CHARACTERISTICS
    Age
     • 40 y or younger37 (41.6)
      • Older than 40 y52 (58.4)
    Decade of graduation
      • 1980 or later62 (69.7)
      • 1979 or earlier27 (30.3)
    Income
      • Less than $100 00020 (23.0)
      • $100 000 to $150 00038 (43.7)
      • More than $150 00029 (33.3)
    Parental leave taken
      • Yes84 (95.5)
      • No4 (4.5)
    Duration of breastfeeding
      • 6 mo or less†40 (45.5)
      • 7 mo or more48 (54.5)
    Partner’s hours worked
      • Full-time (≥40 h/wk)65 (84.4)
      • Part-time (<40 h/wk)12 (15.6)
    PRACTICE-RELATED CHARACTERISTICS
    Specialty
      • Specialists31 (34.8)
      • Family doctors58 (65.2)
    Leave benefits
      • No parental leave benefits58 (65.2)
      • Parental leave benefits31 (34.8)
    Hours worked
      • Full-time (≥40 h/wk)71 (79.8)
      • Part-time (<40 h/wk)18 (20.2)
    Location of work
      • Urban practice63 (70.8)
      • Rural practice26 (29.2)
    Type of practice
      • Solo practice15 (18.8)
      • Group practice65 (81.3)
    Type of remuneration
      • Fee-for-service60 (69.0)
      • Salaried27 (31.0)
    • ↵* N does not always equal 89 owing to missing data.

    • ↵† Includes 3 respondents who did not breastfeed any of their children.

    • View popup
    Table 2

    Effect of sociodemographic and practice-related variables on breastfeeding duration (N = 88*)

    VARIABLEBREASTFED6 MO OR LESS N (%)BREASTFED7 MO OR MORE N (%)P VALUE
    SOCIODEMOGRAPHIC VARIABLES
    Age
      • 40 y or younger13 (36.1)23 (63.9)NS
      • Older than 40 y27 (51.9)25 (48.1)
    Decade of graduation
      • 1980 or later22 (36.1)39 (63.9).008
      • 1979 or earlier18 (66.7)9 (33.3)
    Income
      • Less than $100 0005 (25.0)15 (75.0)NS
      • $100 000 to $150 00020 (52.6)18 (47.4)
      • More than $150 00014 (50.0)14 (50.0)
    Parental leave taken
      • Yes36 (43.4)47 (56.6)NS
      • No3 (75.0)1 (25.0)
    Partner’s hours worked
      • Full-time (≥40 h/wk)32 (49.2)33 (50.8).037
      • Part-time (<40 h/wk)2 (16.7)10 (83.3)
    PRACTICE-RELATED VARIABLES
    Specialty
      • Specialists20 (66.7)10 (33.3).004
      • Family doctors20 (34.5)38 (65.5)
    Leave benefits
      • No parental leave benefits23 (39.7)35 (60.3)NS
      • Parental leave benefits17 (56.7)13 (43.3)
    Hours worked
      • Full-time (≥40 h/wk)35 (50.0)35 (50.0)NS
      • Part-time (<40 h/wk)5 (27.8)13 (72.2)
    Location of work
      • Urban practice32 (51.6)30 (48.4)NS
      • Rural practice8 (30.8)18 (69.2)
    Type of practice
      • Solo practice8 (53.3)7 (46.7)NS
      • Group practice27 (42.2)37 (57.8)
    Type of remuneration
      • Fee-for-service25 (41.7)35 (58.3)NS
      • Salaried14 (53.8)12 (46.2)
    • NS—non-significant.

    • ↵* One respondent was breastfeeding her first child at the time of the survey so was not included in the analysis of duration of breastfeeding.

    • View popup
    Table 3

    Multiple logistic regression analysis predicting whether female physicians breastfed their babies for 7 months or more (N = 88)

    VARIABLEODDS RATIO95% CONFIDENCE INTERVALP VALUE
    Graduation year
    • 1979 or earlier(Reference category)

    • 1980 or later

    3.281.08–9.99.037
    Specialty
    • Specialist(Reference category)

    • Family doctor

    2.230.78–6.37.135
    Partner’s hours worked
    • Full-time (≥40 h/wk) (Reference category)

    • Part-time (<40 h/wk)

    3.490.66–18.31.140
    • View popup
    Table 4

    Reasons for ending breastfeeding

    Personal issues (51%)
    • ”Maternal health and birth complications”

    • ”Time constraints”

    • ”Another pregnancy”

    • ”Weight loss”

    • ”Fatigue”

    • ”Personal choice”

    • ”Twins”

    • ”Pressure to stop by parents and in-laws”

    • ”Sharps injury”

    • ”Father sharing feeding”

    • ”Milk supply decreased when back to work”

    • ”Timing was right to end”

    • ”On medication not compatible with breastfeeding”

    • ”Tired of being ‘tied up’”

    • ”Burden of other child care”

    Baby issues (38%)
    • “Baby losing interest”

    • ”Feeding problems”

    • ”Baby biting”

    • ”Baby ill or hospitalized”

    • ”Other child starting school”

    • ”Not enough milk”

    • “Baby older”

    • ”Chronic mastitis”

    • ”Colicky baby”

    Practice issues (33%)
    • ”Return to work”

    • “Heavy call commitments”

    • ”No flexibility at work to allow breastfeeding”

    • ”Felt pressure from colleagues and patients to return to work”

    Medical school and residency issues (4%)
    • ”Baby born 6 weeks before [Royal College of Physicians and Surgeons fellowship examination]”

    • ”Too stressed in medical school”

    • ”In university full-time”

    Societal issues (1%)
    • ”Societal pressure”

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Canadian Family Physician: 53 (5)
Canadian Family Physician
Vol. 53, Issue 5
1 May 2007
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Physicians as mothers
Pauline S. Duke, Wanda L. Parsons, Pamela A. Snow, Alison C. Edwards
Canadian Family Physician May 2007, 53 (5) 887-891;

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Pauline S. Duke, Wanda L. Parsons, Pamela A. Snow, Alison C. Edwards
Canadian Family Physician May 2007, 53 (5) 887-891;
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