Evidence map›Paper›PMID 37023140›Full record

ArticlePloS one2023

Knowledge, attitudes, and practices of pediatricians in relation to breastfeeding support: A national survey in Lebanon.

Hiba Al Rifai, Hiba Shatila, Lara Nasreddine, Nadine Yazbeck, Tamar Kabakian-Khasholian, Leila Itani, Farah Naja

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. English Translation of the Breastfeeding Knowledge Survey for Pediatricians.Journal of human lactation : official journal of International Lactation Consultant Association · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hiba Al RifaiFaculty of Agricultural and Food Sciences, Department of Nutrition and Food Science, American University of Beirut, Beirut, Lebanon.
Hiba ShatilaHuman Nutrition Department, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.
Lara NasreddineFaculty of Agricultural and Food Sciences, Department of Nutrition and Food Science, American University of Beirut, Beirut, Lebanon.
Nadine YazbeckDepartment of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Tamar Kabakian-KhasholianFaculty of Health Sciences, Health Promotion and Community Health Department, American University of Beirut, Beirut, Lebanon.
Leila ItaniFaculty of Health Sciences, Department of Nutrition and Dietetics, Beirut Arab University, Beirut, Lebanon.
Farah NajaDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates.ORCID 0000-0002-8861-3498

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of breastfeeding (BF) remain suboptimal despite overwhelming evidence for its benefits to the mother and child. Pediatricians play an important role in supporting breastfeeding (BF). In Lebanon, the rates of both exclusive and continued BF are critically low. The objective of this study is to examine the knowledge, attitudes and practices (KAP) of Lebanese pediatricians in relation to supporting BF.

methodsA national survey of Lebanese pediatricians was conducted through Lime Survey (n = 100, response rate 9.5%). The list of pediatricians' emails was obtained from the Lebanese Order of Physicians (LOP). Participants completed a questionnaire covering, in addition to sociodemographic characteristics, the KAP, related to supporting BF. Descriptive statistics and logistic regressions were used in data analysis.

resultsThe most prevalent gaps in knowledge were related to the positioning of the baby during BF (71.9%) and the association between the mother's fluid intake and her milk production (67.4%). With regards to attitudes, 34% of participants reported unfavorable attitudes towards BF in public and BF while working (25%). As for practices, more than 40% of pediatricians kept formula samples and 21% had formula-related advertising in their clinics. Half of the pediatricians reported rarely/never referring mothers to lactation consultants. After adjustment, both being a female pediatrician and having done the residency in Lebanon were significant predictors of better knowledge (OR = 4.51 (95%CI: 1.72-11.85) and OR = 3.93 (95%CI: 1.38,11.19) respectively.

conclusionThis study revealed important gaps in the KAP related to BF support among Lebanese pediatricians. Coordinated efforts ought to be exerted to educate and equip pediatricians with needed knowledge and skills to support BF.

Indexed as

Breast FeedingHealth Knowledge, Attitudes, PracticePediatriciansFemaleHumansInfantLebanonMothers

Identifiers

PMID37023140
PMCPMC10079043

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.