Using the Preterm Infant Breastfeeding Behavior Scale With Late Preterm Infants

Abstract

BackgroundFeeding effectiveness of late preterm infants may vary between feedings and over time creating confusion and frustration for parents and clinicians. An assessment tool for late preterm infants may assist mothers to recognize breastfeeding behavior more clearly. Although tools are available, none have been tested specifically with late preterm infants. We sought to determine the inter-rater reliability of the Preterm Infant Breastfeeding Behavior Scale scores for late preterm infants between mothers and a health professional. Methods: A one-group observational nonexperimental design assessed inter-raterreliability (24 hours [n =23] and 48 hours [n =11] after birth).ResultsThe scale’s six components were scored independently; agreement ranged from 81.8% to 100% for all components.ConclusionsThe tool was reliable and could be used to help clinicians and parents accurately understand feeding patterns and behaviors assisting with feeding decisions.

Tradução e adaptação para o português da Preterm Infant Breastfeeding Behaviour Scale

“…(6) Diversos estudos têm mostrado a escala PIBBS como um dos instrumentos confiáveis para avaliar o comportamento de amamentação em recém-nascidos pré-termo. (3,(9)(10)(11) Estudo piloto a fim de determinar a confiabilidade interavaliadores das pontuações de avaliação da PIBBS na observação do comportamento de recém- -nascidos entre 34 a 36 semanas de idade gestacional e entre mães e profissionais de saúde, mostrou que os seis componentes da escala PIBBS foram pontuados de forma independente e a concordância variou de 81.8% a 100% para todos os itens. (9) Com o objetivo de descrever a amamentação e deglutição de um recém-nascido de 42 semanas de idade gestacional com diagnóstico de encefalopatia hipóxia isquêmica leve, da admissão à alta hospitalar foi utilizada a escala PIBBS para monitorar o progresso da amamentação por mães e profissionais de saúde, do sexto ao décimo terceiro ao dia de vida.…”

Preterm infant cues during breastfeeding and its measurement: A scoping review

“…The PIBBS is a tool used to monitor six specific behaviors of breastfeeding infants: rooting, areolar grasp, latch-on, sucking, longest sucking burst, and swallowing. Inter-observer reliability tests have shown that the PIBBS is a reliable instrument (Lober et al, 2020 ), but proper training is required for observers to use it effectively. In addition, while PIBBS is equipped with a guideline for behavior coding, PIBBS does not include a tutorial video for new coders or real-time observation features.…”

Evolution of National Guidelines to Support the Development of Preterm Infants’ Feeding Competencies and Breastfeeding

“…We now assess the quality of the breastfeeding by using the Fleur de Lait", 1 a breastfeeding scale derived from the Premature Infant Breastfeeding Behaviour Scale (PIBBS). 2 To proceed safely and cautiously, we tested this new protocol first on stable late preterm infants. Of course, we help parents acquire progressive autonomy in the use of this method which works as follows:…”