Validation of a tool to evaluate women's satisfaction with breastfeeding for the Brazilian population

Senna, Ana Júlia Teixeira; Giugliani, Camila; Lago, Juliana C.A.; Bizon, A.; Martins, Ana Cláudia Magnus; Oliveira, Ceres A.V.; Giugliani, Elsa Regina Justo

doi:10.1016/j.jped.2018.08.008

Cited by 7 publications

(4 citation statements)

References 20 publications

(56 reference statements)

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“…La escala MBFES ha sido traducida a otros idiomas como el japonés 29 o el brasileño 30 obteniendo valores de consistencia interna inferiores a los observados en el contexto español (alfa de Cronbrach de 0,78 en Japón y alfa de Cronbach de 0,88 en Brasil).…”

Section: Discussionunclassified

Versión en español de la escala Maternal Breastfeeding Evaluation Scale: Análisis de fiabilidad y validez

et al. 2022

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Fundamento: Es necesario el desarrollo de herramientas válidas que midan la satisfacción en la lactancia materna para analizar los comportamientos de lactancia materna y evaluar la efectividad de las intervenciones. El cuestionario Maternal Breastfeeding Evaluation Scale (MBFES) es uno de los más utilizados, pero carece de versión en español. El objetivo de este trabajo es traducir el cuestionario al español y evaluar sus propiedades psicométricas. Métodos: Para su traducción se utilizó el método de traducción-retrotraducción con estudio piloto. A través de una muestra de 136 madres de un Hospital Área V de Murcia, España, se realizó la validación del cuestionario evaluando comprensión, fiabilidad y viabilidad del cuestionario. Para conocer la estructura dimensional de la escala se realizó un análisis factorial exploratorio con rotación Varimax. Resultados: Se detectaron las mismas tres escalas que fueron observadas en la versión original. El alfa de Cronbach fue de 0.925 para la escala general y de 0.92, 0.923 y 0.926 para las subescalas, indicando una consistencia interna aceptable entre los elementos de la escala. Conclusiones: El análisis realizado muestra la validez y fiabilidad de la traducción propuesta lo que respaldaría su uso clínico en el ámbito español.

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Section: Discussionunclassified

Versión en español de la escala Maternal Breastfeeding Evaluation Scale: Análisis de fiabilidad y validez

et al. 2022

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“…The outcome "maternal satisfaction with breastfeeding" was measured using the Maternal Breastfeeding Evaluation Scale (MBFES), designed by Leff et al [21] and validated for use in Brazil [22]. The original instrument comprises 30 questions and includes three subscales: pleasure and fulfillment of the maternal role; child satisfaction and growth; and maternal lifestyle and body image.…”

Section: Methodsmentioning

confidence: 99%

Association between maternal satisfaction with breastfeeding and postpartum depression symptoms

et al. 2020

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Background Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth. Methods This cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated. Results The prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01–2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant’s father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems. Conclusions The findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding.

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“…type of feeding. Maternal satisfaction with breastfeeding was measured using the Maternal Breastfeeding Evaluation Scale (MBFES), adapted and validated for use in the Brazilian population [12]. The adapted instrument contains 29 questions on positive and negative experiences and emotions related to breastfeeding, measured using a five-point Likert-type scale ranging from "totally disagree" (1 point) to "totally agree" (5 points); for negative experiences, the scoring system is inverted.…”

Section: Methodsmentioning

confidence: 99%

Maternal satisfaction with breastfeeding in the first month postpartum and associated factors

et al. 2020

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Background: Breastfeeding success has been measured based on its duration, disregarding satisfaction with the maternal experience. Studies to investigate maternal satisfaction with breastfeeding are rare, especially in Brazil, and little is known about their determinants. The aim of this study was to measure the level of satisfaction with breastfeeding in a group of women in the first month of their child's life, and to identify factors associated with higher maternal satisfaction. Methods: A cross-sectional study nested within a cohort was conducted with 287 women recruited at two (one public, one private) maternity services in the city of Porto Alegre, southern Brazil, from January to July 2016. Women residing in the municipality who had given birth to a healthy singleton born at term, were rooming in, and had initiated breastfeeding were randomly included. During the week after the child was 30 days old, women were interviewed at their homes to measure the level of maternal satisfaction with breastfeeding, using the Maternal Breastfeeding Evaluation Scale (MBFES), validated for use in the Brazilian population. Associations between maternal satisfaction and explanatory variables were estimated using multivariate Poisson regression with robust variance in a four-level hierarchical approach. Satisfaction level was categorized using as cutoff point the median score obtained with the MBFES. Women with scores equal to or above the median were considered to have higher levels of satisfaction, whereas those scoring below the median were considered to be less satisfied. Results: Maternal satisfaction with breastfeeding in the first month postpartum was high, with a median score of 124 on MBFES, close to the maximum score (145 points). The prevalence of more elevated levels of satisfaction with breastfeeding was higher among women with brown (pardo) and black skin color (prevalence ratio [PR] 1.33, 95%CI 1.05;1.69), those who lived with the partner (PR 1.75, 95%CI 1.05;2.94), who planned to breastfeed for 12 months or more (PR 1.48, 95%CI 1.02;2.17), and who did not report low milk supply (PR 1.47, 95%CI 1.03;2.10) or cracked nipples (PR 1.29, 95%CI 1.01;1.65). Conclusions: The factors associated with maternal satisfaction with breastfeeding in the first month postpartum include individual factors and maternal expectations, family constitution, as well as breastfeeding-related problems.

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Validation of a tool to evaluate women's satisfaction with breastfeeding for the Brazilian population

Cited by 7 publications

References 20 publications

Versión en español de la escala Maternal Breastfeeding Evaluation Scale: Análisis de fiabilidad y validez

Versión en español de la escala Maternal Breastfeeding Evaluation Scale: Análisis de fiabilidad y validez

Association between maternal satisfaction with breastfeeding and postpartum depression symptoms

Maternal satisfaction with breastfeeding in the first month postpartum and associated factors

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