A critical analysis of the content of the tools that measure breast-feeding interaction

Morán, Victoria Hall; Dinwoodie, Kate; Bramwell, Ros; Dykes, Fiona

doi:10.1054/midw.2000.0216

Cited by 23 publications

(22 citation statements)

References 15 publications

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“…Researchers who measured ‘effective suckling’ as an outcome may not have used reliable tools and their definitions need more clarity for observer agreement [62,63]. Published tools designed to observe effective breastfeeding have also been criticised as subjective [64,65]. Observations in this study concur with descriptors commonly documented by midwives and provide clear definitions of effective suckling for clinical application and future research.…”

Section: Discussionsupporting

confidence: 55%

Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

Cantrill

Creedy

Cooke

et al. 2014

BMC Pregnancy Childbirth

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BackgroundBest practice guidelines to promote breastfeeding suggest that (i) mothers hold their babies in naked body contact immediately after birth, (ii) babies remain undisturbed for at least one hour and (iii) breastfeeding assistance be offered during this period. Few studies have closely observed the implementation of these guidelines in practice. We sought to evaluate these practices on suckling achievement within the first hour after birth.MethodsObservations of seventy-eight mother-baby dyads recorded newborn feeding behaviours, the help received by mothers and birthing room practices each minute, for sixty minutes.ResultsDuration of naked body contact between mothers and their newborn babies varied widely from 1 to 60 minutes, as did commencement of suckling (range = 10 to 60 minutes). Naked maternal-infant body contact immediately after birth, uninterrupted for at least thirty minutes did not predict effective suckling within the first hour of birth. Newborns were four times more likely to sustain deep rhythmical suckling when their chin made contact with their mother’s breast as they approached the nipple (OR 3.8; CI 1.03 - 14) and if their mothers had given birth previously (OR 6.7; CI 1.35 - 33). Infants who had any naso-oropharyngeal suctioning administered at birth were six times less likely to suckle effectively (OR .176; CI .04 - .9).ConclusionEffective suckling within the first hour of life was associated with a collection of practices including infants positioned so their chin can instinctively nudge the underside of their mother’s breast as they approach to grasp the nipple and attach to suckle. The best type of assistance provided in the birthing room that enables newborns to sustain an effective latch was paying attention to newborn feeding behaviours and not administering naso-oropharyngeal suction routinely.

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Section: Discussionsupporting

confidence: 55%

Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

Cantrill

Creedy

Cooke

et al. 2014

BMC Pregnancy Childbirth

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“…Although many structured tools have been developed to assess breastfeeding, they vary widely in purpose, concept, and targeted respondent (Mulder & Johnson, 2010). Despite this variety of tools, clinicians and researchers report that these tools have little in common with each other (Moran, Dinwoodie, Bramwell, & Dykes, 2000), and are either clinically unreliable (Riordan & Koehn, 1997) or require clinical testing and refinement in more diverse populations (Ho & McGrath, 2010). Furthermore, none of the existing tools reliably and validly measure the mother’s perception of breastfeeding effectiveness during the postpartum hospitalization (Mulder & Johnson, 2010).…”

Section: Introductionmentioning

confidence: 99%

Revision of the Beginning Breastfeeding Survey: A Cumulative Assessment of Breastfeeding

Mulder

2013

J Nurs Meas

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Background and Purpose Women use their cumulative breastfeeding experiences, in combination with other factors, to make their infant feeding decisions. This pilot study assessed the reliability and predictive validity of the revised Beginning Breastfeeding Survey-Cumulative (BBS-C). Methods 25 women were recruited prenatally from a university hospital. The BBS-C was completed before hospital discharge. Infant feeding outcomes were measured at 1 and 3 months postpartum. Results Participants were 17–40 years old, mostly married, Whites, and well-educated. Coefficient alpha was .92–.94. The BBS-C predicted an infant not receiving breast milk, not feeding from the breast, and receiving infant formula feedings. Conclusions In this sample, the BBS-C had strong reliability and predictive validity. Further testing should assess reliability and predictive validity in a wider range of populations and settings.

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“…1 This may be due to potential differences in infants' ages. 6 As noted by Moran and colleagues, 21 there is wide variation in lactation assessment tool components and the variability of scientific evidence to support each component. If our infants were younger, our findings may reflect IBCLC difficulty in scoring swallowing and immature suckling patterns during the first few days of life.…”

Section: Discussionmentioning

confidence: 99%

Reliability of Lactation Assessment Tools Applied to Overweight and Obese Women

et al. 2015

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A critical analysis of the content of the tools that measure breast-feeding interaction

Cited by 23 publications

References 15 publications

Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

Revision of the Beginning Breastfeeding Survey: A Cumulative Assessment of Breastfeeding

Reliability of Lactation Assessment Tools Applied to Overweight and Obese Women

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