Lena Lincke, Lisa Ulbrich, Olaf Reis, Elisa Wandinger, Elmar Brähler, Alexander Dück, Michael Kölch
Attitudes toward innovative mental health treatment approaches in Germany: E-mental health and home treatment
Frontiers in psychiatry
study aimed characterize practice patterns neurologists obstetricians breastfeeding bf counseling women epilepsy wwe explore factors may influence physician counseling behaviors conducted crosssectional study neurologists obstetricians via anonymous survey september 2021 november 2021 survey developed explore following areas wwe current physicians bf counseling patterns physicianspecific factors affecting bf counseling patientspecific factors impact bf counseling descriptive statistics generated survey question responses neurologists obstetricians compared odds ratios confidence intervals ci calculated assess factors influence bf counseling wwe total 185 physicians participated study consisted 91 492 neurologists 83 448 obstetricians 11 6 participants specialties ninetyfour percent 94 neurologists 92 obstetricians indicated provide bf safety counseling wwe primarily preconception occasionally pregnancy fiftysix percent obstetricians reported comfortable bf counseling wwe compared 68 neurologists groups rated research clinical practice guidelines two factors major impact bf counseling however less half 45 neurologists familiar current literature quarter 24 obstetricians familiar current literature regarding safety bf wwe regarding barriers bf counseling relative neurologists obstetricians believe delivery conflicting opinions among medical specialists bf safety barrier may impede effective bf counseling wwe 278 95 ci 130595 adjusted p value p 0008 variable knowledge current literature bf wwe low comfort levels bf counseling among various specialists well perceived inadequate data clinical practice guidelines may contribute suboptimal bf counseling impact health outcomes wwe children