ASSESSING BARRIERS TO SUCCESSFUL BREASTFEEDING AMONG FEMALE POSTGRADUATE MEDICAL TRAINEES: IMPLICATIONS FOR SUPPORTING WORK-LIFE BALANCE

Authors

  • Fazilat Jamala Northwest School of Medicine and Northwest General Hospital and Research Centre
  • Sidra Jabbar Khan Northwest School of Medicine and Northwest General Hospital and Research Centre
  • Saima Ayub Northwest School of Medicine and Northwest General Hospital and Research Centre
  • Dur e Nayab Tahir Northwest School of Medicine and Northwest General Hospital and Research Centre
  • Almas Fasih Northwest School of Medicine and Northwest General Hospital and Research Centre
  • Bushra Haider Northwest General Hospital and Research Centre
  • Khushbakht Hussam Northwest School of Medicine and Northwest General Hospital and Research Centre

DOI:

https://doi.org/10.37762/jgmds.12-4.701

Keywords:

Breastfeeding, Maternity Leave, Lactation Facilities, Barriers, Workplace

Abstract

OBJECTIVES

This study aimed to explore the barriers to successful breastfeeding among female postgraduate medical trainees in Peshawar, Pakistan.

METHODOLOGY
 A web-based descriptive, cross-sectional study was conducted in Northwest General Hospital and Research Center, Peshawar, Pakistan, from Oct 2023 to Dec 2023. The inclusion criteria were: A married female with an age ranging from 26 to 40 years, a postgraduate medical resident registered with the College of Physicians and Surgeons Pakistan (CPSP) between 2012 and 2022, and a female who has completed their training or is a current resident in all specialties. Those women who are married but have not given birth to a baby yet were excluded from the study. The questionnaire was distributed online to postgraduate medical trainees. This questionnaire included demographics, questions about breastfeeding practices, work hours, and access to pumping spaces. The data were analyzed using SPSS (Statistical Package for Social Sciences) version 25.

RESULTS
The 109 residents (mean age 30.25 years), predominantly specializing in obstetrics/gynecology (50.5%). Maternity leave patterns varied significantly, with 22.9% not utilizing it. Reports of guilt and discomfort were noted towards co-residents (27.5%) and faculty (20.2%). Despite high breastfeeding intentions, barriers like lactation room unavailability (78.9%) and complications (e.g., diminished milk supply, 42.2%) were observed. Challenges in pumping, influenced by procedural factors, clinic visits, and operating theater duties, led to premature breastfeeding cessation (70.6%). Despite challenges, 67.9% did not regret their breastfeeding decisions.

CONCLUSION

In conclusion, the survey highlights the diverse maternity leave patterns, interpersonal dynamics, and challenges faced by female postgraduate medical residents in breastfeeding. While intentions to breastfeed are high, significant infrastructure challenges and professional pressures contribute to premature cessation. The study  underscores the need for supportive workplace environments, improved lactation facilities, and targeted interventions to enhance the overall breastfeeding experiences of female medical residents during their training.

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Author Biographies

Fazilat Jamala, Northwest School of Medicine and Northwest General Hospital and Research Centre

Associate Professor,
Obstetrics and Gynaecology,
Northwest School of Medicine and Northwest General Hospital and Research Centre

Sidra Jabbar Khan, Northwest School of Medicine and Northwest General Hospital and Research Centre

Professor,
Obstetrics and Gynaecology,
Northwest School of Medicine and Northwest General Hospital and Research Centre

Saima Ayub , Northwest School of Medicine and Northwest General Hospital and Research Centre

Assistant Professor,
Obstetrics and Gynaecology,
Northwest School of Medicine and Northwest General Hospital and Research Centre

Dur e Nayab Tahir , Northwest School of Medicine and Northwest General Hospital and Research Centre

Senior Registrar,
Obstetrics and Gynaecology,
Northwest School of Medicine and Northwest General Hospital and Research Centre

Almas Fasih, Northwest School of Medicine and Northwest General Hospital and Research Centre

Associate Professor,
Community Medicine Department,
Northwest School of Medicine and Northwest General Hospital and Research Centre

Bushra Haider, Northwest General Hospital and Research Centre

Research Officer,
Medical Professional Education Department,
Northwest General Hospital and Research Centre

Khushbakht Hussam , Northwest School of Medicine and Northwest General Hospital and Research Centre

Senior Registrar,
Obstetrics and Gynaecology,
Northwest School of Medicine and Northwest General Hospital and Research Centre

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Published

2025-09-30

How to Cite

Fazilat Jamala, Jabbar Khan, S., Saima Ayub, Dur e Nayab Tahir, Almas Fasih, Bushra Haider, & Khushbakht Hussam. (2025). ASSESSING BARRIERS TO SUCCESSFUL BREASTFEEDING AMONG FEMALE POSTGRADUATE MEDICAL TRAINEES: IMPLICATIONS FOR SUPPORTING WORK-LIFE BALANCE. Journal of Gandhara Medical and Dental Science, 12(4), 33–38. https://doi.org/10.37762/jgmds.12-4.701