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Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration

Easy to use screening tools to identify mothers in risk of early breastfeeding cessation are needed. The purpose was to validate a revised version of the breastfeeding score, consisting of four questions addressing completed education, earlier breastfeeding duration, self-efficacy, and sense of secu...

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Detalles Bibliográficos
Autores principales: Kronborg, Hanne, Væth, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950692/
https://www.ncbi.nlm.nih.gov/pubmed/31766388
http://dx.doi.org/10.3390/nu11122852
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author Kronborg, Hanne
Væth, Michael
author_facet Kronborg, Hanne
Væth, Michael
author_sort Kronborg, Hanne
collection PubMed
description Easy to use screening tools to identify mothers in risk of early breastfeeding cessation are needed. The purpose was to validate a revised version of the breastfeeding score, consisting of four questions addressing completed education, earlier breastfeeding duration, self-efficacy, and sense of security not knowing the exact amount of milk the baby ingests. We used two cohorts from 2004 (n = 633) and 2017 (n = 579) to explore the predictive validity of the breastfeeding score to identify mothers at risk of breastfeeding cessation within the first 17 weeks postpartum. The analyses included sensitivity and specificity, clinically relevant cut-points, and calibrations plots. A cut-point ≥5 points identified 61% of first-time and 42% of multiparous mothers in the validation cohort 2017 to be at risk of early breastfeeding cessation with a sensitivity and specificity of 80% and 60% for first-time, and 69% and 82% for multiparous, respectively. The corresponding numbers in the 2004 cohort were almost identical. The area under the receiver operating characteristic (ROC) curves were 0.77 and 0.78 and the calibration plots showed good agreement for the two cohorts. The breastfeeding score indicated good ability to discriminate between mothers at risk of early exclusive breastfeeding cessation. The simple form of the tool makes it easy to use in daily practice.
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spelling pubmed-69506922020-01-16 Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration Kronborg, Hanne Væth, Michael Nutrients Article Easy to use screening tools to identify mothers in risk of early breastfeeding cessation are needed. The purpose was to validate a revised version of the breastfeeding score, consisting of four questions addressing completed education, earlier breastfeeding duration, self-efficacy, and sense of security not knowing the exact amount of milk the baby ingests. We used two cohorts from 2004 (n = 633) and 2017 (n = 579) to explore the predictive validity of the breastfeeding score to identify mothers at risk of breastfeeding cessation within the first 17 weeks postpartum. The analyses included sensitivity and specificity, clinically relevant cut-points, and calibrations plots. A cut-point ≥5 points identified 61% of first-time and 42% of multiparous mothers in the validation cohort 2017 to be at risk of early breastfeeding cessation with a sensitivity and specificity of 80% and 60% for first-time, and 69% and 82% for multiparous, respectively. The corresponding numbers in the 2004 cohort were almost identical. The area under the receiver operating characteristic (ROC) curves were 0.77 and 0.78 and the calibration plots showed good agreement for the two cohorts. The breastfeeding score indicated good ability to discriminate between mothers at risk of early exclusive breastfeeding cessation. The simple form of the tool makes it easy to use in daily practice. MDPI 2019-11-21 /pmc/articles/PMC6950692/ /pubmed/31766388 http://dx.doi.org/10.3390/nu11122852 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kronborg, Hanne
Væth, Michael
Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration
title Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration
title_full Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration
title_fullStr Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration
title_full_unstemmed Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration
title_short Validation of the Breastfeeding Score—A Simple Screening Tool to Predict Breastfeeding Duration
title_sort validation of the breastfeeding score—a simple screening tool to predict breastfeeding duration
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950692/
https://www.ncbi.nlm.nih.gov/pubmed/31766388
http://dx.doi.org/10.3390/nu11122852
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