Università degli Studi di Milano-Bicocca, Monza Brianza, Italy.
J Clin Nurs. 2011 Sep;20(17-18):2509-18. doi: 10.1111/j.1365-2702.2011.03767.x.
To assess the accuracy of a reduced Breastfeeding Assessment Score in a group of Italian women; the reduced Breastfeeding Assessment Score considers only five of the eight original Breastfeeding Assessment Score items studied, those not indicating a pathology.
The World Health Organization recommends exclusive breastfeeding for the first 6 months of life because of its many benefits. A prognostic approach that identifies mothers at increased risk of early breastfeeding cessation is needed to provide preventive support. The Breastfeeding Assessment Score is useful to this approach.
This is a descriptive, prospective study. This study involves two Italian hospitals.
We included healthy Italian mothers who gave birth from 7 July 2008-15 January 2009. The exclusion criteria on the convenience sample were: non-Italian nationality, birth under 36 weeks and twin birth. The authors calculated a reduced Breastfeeding Assessment Score ('reduced' because the original eight items studied by Hall, were reduced to five) 48 hours after birth. After 4 weeks a structured follow-up telephone interview was carried out: the primary outcome was breastfeeding cessation.
We recruited 386 women, with six lost during follow-up. Out of 380 women, 127 (33·4%) stopped breastfeeding. With a cut off point of 8, the reduced Breastfeeding Assessment Score sensitivity was 52·0%, which increased to 77·9% by using a cut-off point of 9. We also calculated a modified Breastfeeding Assessment Score with different age categories, which is adequate based on the Italian situation: in this case sensitivity was 70·1%. This study suggests that a reduced Breastfeeding Assessment Score with a different cut-off point or modified with a different age classification is useful in identifying Italian mothers who will discontinue breastfeeding, as in both cases sensitivity does increase.
Italian midwives could use this modified Breastfeeding Assessment Score to identify mothers at increased risk of early breastfeeding cessation.
评估简化母乳喂养评估量表在意大利女性群体中的准确性；简化母乳喂养评估量表仅考虑了原始母乳喂养评估量表中八项研究项目中的五项，即不表明存在病理的项目。
世界卫生组织建议在生命的前 6 个月进行纯母乳喂养，因为母乳喂养有许多好处。需要一种预测方法来识别有早期母乳喂养中断风险的母亲，以便提供预防性支持。母乳喂养评估量表对这种方法很有用。
这是一项描述性、前瞻性研究。这项研究涉及意大利的两家医院。
我们纳入了 2008 年 7 月 7 日至 2009 年 1 月 15 日期间在这两家意大利医院分娩的健康意大利母亲。便利抽样的排除标准是：非意大利国籍、出生孕周不足 36 周和双胞胎分娩。作者在出生后 48 小时计算简化母乳喂养评估量表（“简化”是因为 Hall 研究的原始八项内容被简化为五项）。在 4 周后进行了一项结构化的随访电话访谈：主要结局是母乳喂养停止。
我们招募了 386 名女性，其中 6 名在随访期间失访。在 380 名女性中，有 127 名（33.4%）停止母乳喂养。使用 8 作为截断点，简化母乳喂养评估量表的敏感性为 52.0%，使用 9 作为截断点时敏感性增加至 77.9%。我们还计算了不同年龄组别的改良母乳喂养评估量表，这在意大利的情况下是合适的：在这种情况下，敏感性为 70.1%。本研究表明，具有不同截断点的简化母乳喂养评估量表或具有不同年龄分类的改良量表在识别意大利母亲中是有用的，因为在这两种情况下，敏感性都会增加。
意大利助产士可以使用这种改良的母乳喂养评估量表来识别有早期母乳喂养中断风险的母亲。
