Background

Doctors have an important role to play in supporting mothers who are breastfeeding, through providing encouragement, accurate information and signposting to sources of specialist and peer support. Their impact can be significant because doctors and their advice are held in such high regard, and this is particularly important in the UK, where a mother’s intention to breastfeed can so easily be undermined.

There are doctors who have made themselves really knowledgeable but sadly the UK universal standards for pre-registration medical training in breastfeeding have significant gaps, as shown by Indicator 5 of the WBTi 2016 report (see Part 1 for the summary table below, and Part 2 for the details of standards for different health professions)

Curriculum developments

However, there have been some positive changes since the publication of the WBTi UK report.

Paediatrician training

Level 2 of the RCPCH general curriculum for paediatricians (section Capabilities in Health Promotion and Illness Prevention) has been revised and lists more breastfeeding topics (https://www.rcpch.ac.uk/sites/default/files/2018-03/rcpch_progress_curriculum_level_2_generic_syllabus_for_use_from_1_aug_2018.pdf).

GP training

GP training has also been revised by the RCGP with more mentions of breastfeeding/ infant feeding in the topic guides on Children and Young People and Maternity and Reproductive Health (https://www.rcgp.org.uk/-/media/Files/GP-training-and-exams/Curriculum-2019/Curriculum-Topic-Guides-300819.ashx?la=en).

The WBTi UK team contributed to both curriculum consultations.

GP Infant Feeding Network and Hospital Infant Feeding Network

Dr. Louise Santhanam founded the GP Infant Feeding Network (GPIFN) in 2016 and in 2019 Drs Vicky Thomas and Ilana Levene launched the Hospital Infant Feeding Network (HIFN), which are valuable resources for medical professionals. See our series of three guest blogs from HIFN: Launch of HIFN, #DontStopLookItUp campaign on prescribing for breastfeeding women, and free posters on breastfeeding issues in the hospital setting.

New learning outcomes published by Unicef UK Baby Friendly Initiative

Doctors have a long training so there needs to be input at different stages of training and also encouragement for already qualified doctors to update. A group looking at this was initiated by the WBTi team and went on to be led by Unicef UK Baby Friendly Initiative, and chaired by paediatrician Charlotte Wright. Unicef UK Baby Friendly launched the resulting infant feeding learning outcomes in World Breastfeeding Week, with accompanying resources expected to follow soon (see our August 2019 blog). These are intended as a guide for training for various health professions from undergraduate courses through to the point of qualification.

New online book for trainee doctors

My book, Supporting mothers who breastfeed: a guide for trainee and qualified doctors, is primarily for trainee doctors but relevant to qualified doctors too. At the trainee stage they have specialised and are working clinically. The book provides a combination of factual knowledge about breastfeeding and an insight into mothers’ experiences. It includes some examples of good practice in responding to common situations and ends with a short quiz. It is available on the WBTi website (https://ukbreastfeeding.org/supporting-mothers-who-breastfeed-a-guide-for-trainee-and-qualified-doctors/) as a free PDF. Being electronic, it is easy to click on links to be taken to references and sources of further information, and can be updated more readily than a paper book. 

I am very grateful to Charlotte Wright, who is Professor of Community Child Health at the University of Glasgow and a consultant paediatrician, for writing the foreword.

If you know any trainees or qualified doctors, perhaps you would pass the weblink to them.

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Patricia Wise is an NCT Breastfeeding Counsellor and tutor, and a member of the WBTi UK Steering Group

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