Neonatal Med.  2022 Feb;29(1):28-35. 10.5385/nm.2022.29.1.28.

A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Affiliations
  • 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea
  • 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea
  • 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea
  • 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea
  • 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea
  • 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea
  • 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea
  • 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea

Abstract

Purpose
Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents.
Methods
Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention.
Results
A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001).
Conclusion
In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeeding in Korea.

Keyword

Breast feeding; Education; Resident training

Figure

  • Figure 1. Survey questionnaires comparisons before and after breastfeeding education. There was one significant difference in ‘g’ questionnaire between the course (P=0.008). Chi-square test was used. *Statistically significant.

  • Figure 2. Confidence survey. There were statistically significant differences in the comparison of confidence before and after the education. Chi-square test was used. *Statistically significant.


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