Altuntas Nilgun, Turkyilmaz Canan, Yildiz Havva, Kulali Ferit, Hirfanoglu Ibrahim, Onal Esra, Ergenekon Ebru, Koç Esin, Atalay Yıldız
Department of Neonatology, Gazi University Medical Faculty , Beşevler, Ankara, Turkey .
Breastfeed Med. 2014 May;9(4):191-5. doi: 10.1089/bfm.2014.0018. Epub 2014 Mar 20.
We aimed to evaluate the validity and reliability of the Infant Breastfeeding Assessment Tool (IBFAT), the Mother Baby Assessment (MBA) Tool, and the LATCH scoring system.
Mothers who delivered healthy, full-term infants in the Obstetrics & Gynecology Service of Gazi University, Ankara, Turkey, between December 2013 and January 2014 and their infants were included in the study. Forty-six randomly selected breastfeeding sessions were monitored and scored simultaneously by three researchers (Raters 1, 2, and 3) using LATCH, IBFAT, and the MBA Tool. Researchers put the score sheets in an envelope in order to hide them from each other. The compatibility of the scores given by three researchers was assessed by statistical methods.
We found positive and significant correlation coefficients between 0.81 to 0.88 for the total MBA score, between 0.90 to 0.95 for the total IBFAT score, and between 0.85 to 0.91 for the total LATCH score. Correlation coefficients testing these three tools ranged from 0.71 to 0.88, with the minimum value being noted for the correlation between LATCH and IBFAT scores and the maximum value being noted for the correlation between LATCH and MBA scores.
We found positive and significant correlations between researchers' scores for 46 observations using the three assessment tools. This study showed that these above-mentioned tools were compatible for the assessment of the efficiency of breastfeeding.
我们旨在评估婴儿母乳喂养评估工具(IBFAT)、母婴评估(MBA)工具和LATCH评分系统的有效性和可靠性。
2013年12月至2014年1月期间在土耳其安卡拉加齐大学妇产科分娩健康足月婴儿的母亲及其婴儿被纳入研究。由三名研究人员(评分者1、2和3)同时使用LATCH、IBFAT和MBA工具对随机选择的46次母乳喂养过程进行监测和评分。研究人员将评分表放入信封中,以便相互隐瞒。采用统计学方法评估三名研究人员给出的评分的一致性。
我们发现,MBA总分的相关系数在0.81至0.88之间呈正且显著相关,IBFAT总分的相关系数在0.90至0.95之间,LATCH总分的相关系数在0.85至0.91之间。检验这三种工具的相关系数在0.71至0.88之间,其中LATCH与IBFAT评分之间的相关性最小值,LATCH与MBA评分之间的相关性最大值。
我们发现研究人员使用这三种评估工具对46次观察结果的评分之间呈正且显著相关。本研究表明,上述工具在评估母乳喂养效率方面具有兼容性。