Introduction The World Health Organization recommends exclusive breastfeeding for the first 6 months of life because of the numerous benefits of breastfeeding for the mother and the child 2,3. A prognostic approach to identify the mothers at risk of early breastfeeding cessation is needed to provide preventive support to these women. The BAS1, elaborate in Kansas, is a score useful for this approach. Aim of the study To assess the accuracy of the BAS1, in an Italian validation cohort of women. Methods This is a bicentric, prospective study. Italian and healthy mothers who gave birth to a single child from 25th June 2008 to 15th January 2009, with a gestational age of at least 35 weeks, were included. Exclusion criteria, on the convenience sample, were: mothers with a non-Italian background, preterm delivery (<35 weeks) or twin birth.The authors have calculated the BAS on 386 women just before hospital discharge, at least 48 hours post-delivery age, in Mangiagalli and in S. Gerardo hospitals. The primary outcome measured was how many women stopped the breastfeeding, and it was assessed using structured follow-up telephone interviews after 4 weeks. The predictive value of the BAS1 is ok, if it identifies the 80% of the women that stop to breastfeed. This study was carried out from 25th June 2008 to 15th February 2009. Results For a cut point of 8, recommended by the authors of the BAS1, 119 mother-infant pairs were categorized at high risk to early breastfeeding cessation, with a RR 5,24. The BAS has a sensibility of 0.69, a specificity of 0.79, a positive predictive value of 43% and a negative predictive value of 91%. Conclusions / discussion The intrinsic properties of the BAS1 are strong, but the study cannot validate this score because in the studied population, there is a low sensibility versus the authors expectation. Practical relevance Italian midwives need to individualize the mothers at risk of early breastfeeding cessation, for a special support. Research implications This study confirms the necessity to identify a score for the Italian population.

Early breastfeeding cessation: validation of Breastfeeding Assessement Score (BAS) on an Italian validation cohort of women / P.A. Mauri, V. Zobbi. ((Intervento presentato al 10. convegno European Doctoral Conference in Nursing Science tenutosi a Graz nel 2009.

Early breastfeeding cessation: validation of Breastfeeding Assessement Score (BAS) on an Italian validation cohort of women

P.A. Mauri
Primo
;
2009

Abstract

Introduction The World Health Organization recommends exclusive breastfeeding for the first 6 months of life because of the numerous benefits of breastfeeding for the mother and the child 2,3. A prognostic approach to identify the mothers at risk of early breastfeeding cessation is needed to provide preventive support to these women. The BAS1, elaborate in Kansas, is a score useful for this approach. Aim of the study To assess the accuracy of the BAS1, in an Italian validation cohort of women. Methods This is a bicentric, prospective study. Italian and healthy mothers who gave birth to a single child from 25th June 2008 to 15th January 2009, with a gestational age of at least 35 weeks, were included. Exclusion criteria, on the convenience sample, were: mothers with a non-Italian background, preterm delivery (<35 weeks) or twin birth.The authors have calculated the BAS on 386 women just before hospital discharge, at least 48 hours post-delivery age, in Mangiagalli and in S. Gerardo hospitals. The primary outcome measured was how many women stopped the breastfeeding, and it was assessed using structured follow-up telephone interviews after 4 weeks. The predictive value of the BAS1 is ok, if it identifies the 80% of the women that stop to breastfeed. This study was carried out from 25th June 2008 to 15th February 2009. Results For a cut point of 8, recommended by the authors of the BAS1, 119 mother-infant pairs were categorized at high risk to early breastfeeding cessation, with a RR 5,24. The BAS has a sensibility of 0.69, a specificity of 0.79, a positive predictive value of 43% and a negative predictive value of 91%. Conclusions / discussion The intrinsic properties of the BAS1 are strong, but the study cannot validate this score because in the studied population, there is a low sensibility versus the authors expectation. Practical relevance Italian midwives need to individualize the mothers at risk of early breastfeeding cessation, for a special support. Research implications This study confirms the necessity to identify a score for the Italian population.
18-set-2009
Breasfeeding ; early cessation breastfeeding
Settore MED/47 - Scienze Infermieristiche Ostetrico-Ginecologiche
Early breastfeeding cessation: validation of Breastfeeding Assessement Score (BAS) on an Italian validation cohort of women / P.A. Mauri, V. Zobbi. ((Intervento presentato al 10. convegno European Doctoral Conference in Nursing Science tenutosi a Graz nel 2009.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/139912
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