{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:45:08Z","timestamp":1783921508626,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T00:00:00Z","timestamp":1547769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2019,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The United States has seen an increasing number of child-bearing women in medical training. We aimed to compare the prevalence of exclusive breastfeeding across varied specialties, whose trainees may face different obstacles to breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>An online survey querying the duration and barriers to breastfeeding was sent to Accreditation Council for Graduate Medical Education (ACGME) and American Osteopathic Association (AOA) programs. Female residents with at least one living child born during residency were eligible. We compared the prevalence of exclusive breastfeeding for 6 months between Obstetrics and Gynecology (OBGYN), nonsurgical, and non-OBGYN surgical specialties. A multiple regression model correcting for ethnicity, years lived in the United States, medical degree, year of residency at childbearing, geographical location, and clinical hours was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 708 completed surveys, including 561 nonsurgical, 73 OBGYN, and 74 non-OBGYN surgical residents. More OBGYN residents reported exclusive breastfeeding at 6 months (43\/73, 59%) than nonsurgical (217\/561, 39%) and non-OBGYN surgical residents (30\/74, 41%) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01). After adjusting for confounders, OBGYN trainees were twice as likely to breastfeed (adjusted odds ratio [AOR]\u2009=\u20092.18, 95% confidence interval [CI] 1.28\u20133.72) with no difference between non-OBGYN surgical and nonsurgical residents (AOR\u2009=\u20091.24, 95% CI 0.70\u20132.19). Less OBGYN residents reported the lack of breastfeeding facilities at work (2.7% versus 17.6%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and inadequate leave (4.1% versus 17.6%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01) than non-OBGYN surgical residents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this national survey of trainees in accredited programs, OBGYN residents were twice as likely to breastfeed and fewer OBGYN residents cited barriers to breastfeeding compared to other residents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2018.0140","type":"journal-article","created":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T16:27:28Z","timestamp":1540225648000},"page":"46-56","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Impact of Training Specialty on Breastfeeding Among Resident Physicians: A National Survey"],"prefix":"10.1177","volume":"14","author":[{"given":"Ankita","family":"Gupta","sequence":"first","affiliation":[{"name":"Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics &amp; Gynecology, University of Louisville School of Medicine, Louisville, Kentucky."},{"name":"Department of Obstetrics and Gynecology, Crozer Chester Medical Center, One Medical Center Boulevard, Upland, Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Meriwether","sequence":"additional","affiliation":[{"name":"Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics &amp; Gynecology, University of Louisville School of Medicine, Louisville, Kentucky."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Hewlett","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Crozer Chester Medical Center, One Medical Center Boulevard, Upland, Pennsylvania."},{"name":"Department of Obstetrics and Gynecology, Cooper University Hospital, Camden, New Jersey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001318"},{"key":"e_1_3_3_4_2","unstructured":"Centers for Disease control and Prevention. Breastfeeding Report Card Progressing Toward National Breastfeeding Goals United States 2016. National Center for Chronic Disease Prevention and Health Promotion; Division of Nutrition Physical Activity and Obesity: Centers for Disease Control and Prevention 2016."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334414568119"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.98.3.434"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.0153"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2011.0045"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2008.0132"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2015.0151"},{"issue":"1","key":"e_1_3_3_11_2","first-page":"948","article-title":"Duty hours and pregnancy outcome among residents in obstetrics and gynecology","volume":"102","author":"Gabbe SG","year":"2003","unstructured":"Gabbe SG, , Morgan MA, , Power ML, et al. Duty hours and pregnancy outcome among residents in obstetrics and gynecology. Obstet Gynecol, 2003; 102(Pt 1):948\u2013951.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_3_12_2","unstructured":"Association of American Medical Colleges. Medical Students Selected Years 1965\u20132015. 2016. Available at https:\/\/www.aamc.org\/members\/gwims\/statistics (accessed July20 2018)."},{"key":"e_1_3_3_13_2","unstructured":"Association of American Medical Colleges. Distribution of Residents by Speciality 2005 compared to 2015. 2016. 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Can Fam Physician, 2005; 51:990\u2013991.","journal-title":"Can Fam Physician"}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/bfm.2018.0140","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/bfm.2018.0140","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/bfm.2018.0140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:03:26Z","timestamp":1777381406000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/bfm.2018.0140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,18]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2,1]]}},"alternative-id":["10.1089\/bfm.2018.0140"],"URL":"https:\/\/doi.org\/10.1089\/bfm.2018.0140","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,18]]}}}