Intérêt du Breastfeeding Assessment Score pour la prédiction du sevrage précoce de l'allaitement maternel en France

Les mères confiantes en elles allaitent-elles plus longtemps leur nouveau-né ?

“…Les scores BSES-SF évalués à 1 semaine après l'accouchement étaient significativement plus élevés chez les mères poursuivant l'allaitement que chez celles ayant arrêté à 4 et 8 semaines. De plus, les mères allaitant de manière exclusive avaient un score BSES-SF Le BAS est un modèle clinique cherchant à prédire le risque de sevrage au 10 e jour de vie à l'aide de 8 items objectifs tels que l'âge maternel, l'intervalle entre les tétées ou le nombre de biberons donnés à la maternité [20,21]. Les valeurs du BAS étaient comprises entre À6 et +10.…”

Breastfeeding Assessment Score: Systematic Review and Meta-analysis

“…12 To prevent duplicate publication of data from the same study, 14 we analyzed the data for mothers enrolled during the postintervention study period in the present article. All enrolled mothers provided informed consent for participation and follow-up.…”

“…Differences in baseline early breastfeeding cessation rates between the original derivation (10.6%) and external validation (5.2%) samples might explain this observation. Yet, calibration could be easily improved by adjusting the 9 Laborde et al 2007 14 Mercer et al 2010 15 Zobbi et al 2011 16 Present original logistic regression intercept to mother-infant pairs in the validation sample (data not presented). Indeed only the calibration intercept differed from 0, whereas the calibration slope remained close to 1.…”

“…9,14,15 One a Seventy-five observations with a missing value for 1 or more clinical predictors comprising the BAS were discarded from the main analysis. b Calibration-in-the-large estimate is relevant only for external validation because there is a correspondence between the average predicted probability and observed frequency of the event of early breastfeeding cessation in the derivation cohort.…”

“…In the original derivation cohort, 9 the breastfeeding cessation rate by 10 days of age was 21% for mother-infant pairs with a BAS value lower than 8 compared with 5% for those with a BAS value equal to or higher than 8. Although the BAS has been adopted in various settings, [11][12][13] previous accuracy studies have revealed conflicting results, [14][15][16] and summary accuracy estimates are still lacking for this clinical prediction model.…”