title: Use of electronic communication by physician breastfeeding experts for support of the breastfeeding mother.
abstract: BACKGROUND
  Breastfeeding initiation and duration increase because of physician encouragement. However, many physicians have not received education on breastfeeding, and some may not have a supportive attitude or commitment to breastfeeding. Patients identify dissatisfaction with their current provider as a motivating factor in seeking health information on the Internet. This survey was performed to determine how many physicians with an interest and expertise in breastfeeding are being contacted for breastfeeding information over the Internet and to examine physicians' attitudes to these requests.
  
  
  METHODS
  An e-mail describing the survey, inviting participation, and containing a link to the online questionnaire was posted on the Web site of the Academy of Breastfeeding Medicine and as well as on the Listserv of the American Academy of Pediatrics-Section on Breastfeeding. Information collected included physician training, successes and challenges related to providing breastfeeding medicine support by e-mail, and current level of e-mail communication with patients regarding breastfeeding issues.
  
  
  RESULTS
  One-fourth of physicians in our survey receive e-mails with questions about breastfeeding issues from patients with whom they have no preexisting relationships. More receive e-mail from known patients. This suggests that breastfeeding mothers seek expert information on the Internet. Over half of the physicians replied to e-mails individually and without any financial reimbursement.
  
  
  CONCLUSIONS
  Many breastfeeding mothers reach out to breastfeeding experts over the Internet. Our findings suggest that physicians who provide care to breastfeeding mothers need further education on breastfeeding to provide adequate support to their own patients.
authors.affiliation: Lakeshore Medical Clinic, Franklin, Wisconsin 53132, USA. drjen4kids@gmail.com
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Thomas
authors.forename: Ulfat
authors.initials: U
authors.lastname: Shaikh
mesh_terms: D001291:Attitude of Health Personnel; D001942:Breast Feeding; D002983:Clinical Competence; D004501:Education, Medical; D005260:Female; D058006:General Practice; D019538:Health Care Surveys; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians'; D019114:Remote Consultation; D012944:Social Support; D014481:United States