Appendix B:

Provider Breastfeeding Counseling/Training/Experience

Provider Breastfeeding Counseling:
    Q: How confident are you in your ability to manage common breastfeeding problems competently?
    A: Very confident, confident, fairly confident, not very confident, not at all confident.
    Q: How comfortable are you in evaluating whether a baby's latch is successful?
    A: Very confident, confident, fairly confident, not very confident, not at all confident.
    Q: How comfortable are you in assessing whether there is a good milk transfer from mother to baby during breastfeeding?
    A: Very confident, confident, fairly confident, not very confident, not at all confident.
    Q: How comfortable are you teaching mothers how to use a breast pump?
    A: Very confident, confident, fairly confident, not very confident, not at all confident.
    Q: How often do you ask patients how breastfeeding is going in the first year of their life?
    A: Never, sometimes, often, always
    Q: How often do you ask mothers to breastfeed in front of you so that you can assess the feeding?
    A: At least once with every breastfeeding mother; Only if mother voices concerns; Never; Almost never
Provider Breastfeeding Training/Experience:
    What is your specialty of practice?
    What percentage of your practice consists of children under 1 year of age?
    How many years have you been in practice?
    Are you a parent? A: Y/N
    Were your children breastfed? A: Y/N
    Was breastfeeding a positive experience for you/your partner? A: Y/N
    Q: Where did you learn about breastfeeding?3
    A: My own experience; Medical/Nursing school; Residency; Self-direct learning; Other
    Q: How well did your medical training prepare you to support breastfeeding mothers?4
    A: Very well; Somewhat well; Somewhat poorly, Very poorly
    Q. Do you hold a certification in breastfeeding support (e.g. the International Board of Lactation Consultants)? A: Y/N
  • *Q, survey question; A, answer choices, N, No; Y, Yes.

  • If no answer choices listed than question is an open ended question to write in text response. A: Y/N notation for Yes/No response.

  • Questions adapted from survey from Breastfeeding Knowledge, Confidence, Beliefs and Attitudes of Canadian Physicians study by Pound et al.28