Appendix A:

Provider Survey on Barriers and Ideas for Improvement

Barriers
    Q: Which of the following is a barrier to you discussing breastfeeding with your patients?*
        1. Not enough time
        2. Not my responsibility
        3. Does not make a difference in breastfeeding outcome
        4. Do not feel competent in managing breastfeeding issues
        5. Parent not interested
        6. Not reimbursable
        7. Other (text box provided to explain)
    Q: Which of the following is a barrier to infants being breastfed at the practice?*
        1. Families want to supplement with formula
        2. Medical providers in the hospitals recommend formula before discharge without medical reason
        3. Families are not well informed about the importance of breastfeeding
        4. Support staff (i.e. medical assistants/reception) are not encouraging breastfeeding
        5. Medical providers (physician/APN) are not encouraging breastfeeding
        6. Mothers are not receiving the help they need
        7. Inadequate lactation consultant staffing
        8. Other (text box provided to explain)
Practice Breastfeeding Support Current Practices and Suggestions:
If your patients are having breastfeeding difficulties beyond what you can address in the office visit, what do you do?
    A: Open ended question with text box to write in suggestions
What would help you provide better breastfeeding support to your patients?
    A: Open ended question with text box to write in suggestions
  • APN, advanced practice nurse.

  • * Adapted from “Surveying the Knowledge, Attitudes and Practices of District of Columbia ACOG Members Related to Breastfeeding” by Sims et al.29