Dégrange M, Delebarre M, Turck D, Mestdagh B, Storme L, Deruelle P, Rakza T
Service de pédiatrie et néonatologie, hôpital de Tourcoing, 59200 Tourcoing, France.
Service des urgences pédiatriques, hôpital Roger-Salengro, CHRU de Lille, 59000 Lille, France.
Arch Pediatr. 2015 Jul;22(7):708-17. doi: 10.1016/j.arcped.2015.04.008. Epub 2015 May 29.
Maternal self-confidence and self-efficacy in breastfeeding are recognized as factors positively associated with the initiation and duration of breastfeeding.
To evaluate the importance of this association using the Breast Feeding Self-Efficacy Scale (BSES).
This prospective study was conducted in 2012 in the Jeanne-de-Flandre maternity department in the Lille University Hospital (France). During their time in the maternity department, breastfeeding mothers who participated in the study completed the BSES, a brief self-assessment of their feelings of self-efficacy relating to breastfeeding. They then received follow-up telephone interviews at 1 and 3 months postpartum.
One hundred and forty-nine mothers were included in the study. Breastfeeding rates were 86.5% at 1 month and 60% at 3 months. The BSES score of mothers who continued to breastfeed at 1 and 3 months was significantly higher than the score of mothers who had already weaned their children, with an AUROC of 0.72 at 3 months. This confirmed the reliability of the BSES for predicting adherence to breastfeeding. The BSES score of mothers who had previously breastfed was significantly higher than for those breastfeeding for the first time. The threshold score for the BSES was determined as 116/165.
It is important that mothers who lack confidence in their ability to breastfeed be identified early, whether on the maternity ward or even before this point. The value of BSES-based breastfeeding support intervention needs to be evaluated through randomized trials.
母乳喂养中母亲的自信和自我效能被认为是与母乳喂养开始及持续时间呈正相关的因素。
使用母乳喂养自我效能量表（BSES）评估这种关联的重要性。
这项前瞻性研究于2012年在法国里尔大学医院的让娜 - 德 - 弗朗德产科进行。在产科期间，参与研究的母乳喂养母亲完成了BSES，这是一份对她们与母乳喂养相关的自我效能感的简短自我评估。然后在产后1个月和3个月对她们进行随访电话访谈。
149名母亲纳入研究。1个月时母乳喂养率为86.5%，3个月时为60%。在1个月和3个月时继续母乳喂养的母亲的BSES得分显著高于已经断奶的母亲，3个月时的受试者工作特征曲线下面积（AUROC）为0.72。这证实了BSES在预测母乳喂养坚持情况方面的可靠性。曾母乳喂养过的母亲的BSES得分显著高于首次母乳喂养的母亲。BSES的阈值分数确定为116/165。
无论是在产科病房还是在此之前，尽早识别出对自己母乳喂养能力缺乏信心的母亲很重要。基于BSES的母乳喂养支持干预的价值需要通过随机试验来评估。
