TABLE 1.

Behaviors Assessed by Telephone Interview, and Sample Questions Used to Identify Each

BehaviorSample Questions
1. Assess amount, adequacy of feeding*Did the doctor…
 … ask how many times a day your baby feeds?
 … ask about wet diapers?
 … check your baby’s weight?
2. Reassure the mother about adequacy of feeding*Have you been worried that your baby isn’t getting enough milk?
Did the doctor tell you signs that your baby is getting enough?
What did (s)he tell you?
3. Identify problems, if they existDid the doctor ask if you were having problems?
Do you have sore nipples? trouble with latch-on? a jaundiced baby?
Did the doctor talk to you about it?
4. Manage problems appropriately, if they exist and are identifiedWhat did the doctor tell you to do about…
 … jaundice?
 … sore nipples?
 … trouble with latch-on?
5. Give advice about maternal nutritionDid the doctor talk to you about what you should eat or drink while breastfeeding?
What did (s)he tell you?
6. Discuss maternal use of medicationsDid the doctor talk to you about taking medicines while you are breastfeeding?
What did (s)he tell you?
7. Discuss feasibility of breastfeeding after return to work/schoolAre you planning to go back to work or school?
Did the doctor talk to you about continuing breastfeeding when you do?
8. Encourage exclusive breastfeedingDid the doctor tell you not to give your baby other food or drink besides breast milk?
9. Encourage continued breastfeedingDid the doctor tell you to continue breastfeeding?
Did the doctor tell you breastfeeding is good for your baby?
  • * For behaviors that could be performed in >1 way, residents were given credit for performing the behavior if they addressed it in at least 1 accepted way.

  • For questions involving delivery of advice, residents were given credit if the advice they gave was correct, based on standard breastfeeding texts and resources.