CAP Sant Ildefons, Cornellà de Llobregat, Barcelona, Spain.
Txurdinagako Osasun Zentroa, Bilbao, Spain.
An Pediatr (Engl Ed). 2022 Jan;96(1):51-58. doi: 10.1016/j.anpede.2020.12.018. Epub 2021 Dec 24.
The most widely used tool for assessing breastfeeding self-efficacy is the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). This study assesses the relationship between the BSES-SF score and the risk of breastfeeding (BF) cessation and determines the cut-off point in the scale score that optimizes detection of this risk in primary health care pediatric consultations.
Secondary data analysis of the LAyDI study. Cohort study carried out through a research network of primary care pediatricians (PAPenRed). A newborn was recruited every month for one year by 210 pediatricians. The cohort was followed for 24 months. Mothers responded to the BSES-SF at the first visit. General pregnancy and delivery data were collected and assessed to determine whether breastfeeding was exclusive or supplemented during the first 6 months.
N = 1845. The Area Under the ROC Curve for the exclusive BF was 0.790 (0.765-0.815) the first month and 0.760 (0.734-0.786) the second month. For 4 and 6 months, as well as for any age in mothers who give supplemented BF, the Area Under the Curve was less than 0.75 and its predictive capacity was not considered to be good. For a sensitivity of 80% in detecting mothers at risk of BF cessation with the BSES-SF, the cut-off score was 58.
Mothers with a BSES-SF score below 58 points in primary health care, are at risk of early withdrawal of exclusive BF within two months.
评估母乳喂养自我效能的最常用工具是母乳喂养自我效能量表-短式（BSES-SF）。本研究评估了 BSES-SF 评分与母乳喂养（BF）停止风险之间的关系，并确定了在初级保健儿科咨询中优化该风险检测的量表评分临界点。
LAyDI 研究的二次数据分析。通过初级保健儿科医生（PAPenRed）研究网络进行的队列研究。210 名儿科医生每月招募一名新生儿，持续 1 年。该队列随访 24 个月。母亲在第一次就诊时回答 BSES-SF。收集并评估一般妊娠和分娩数据，以确定在头 6 个月内是否进行纯母乳喂养或补充喂养。
N=1845。第一个月纯 BF 的 ROC 曲线下面积为 0.790（0.765-0.815），第二个月为 0.760（0.734-0.786）。对于 4 个月和 6 个月，以及对于给予补充 BF 的母亲的任何年龄，曲线下面积均小于 0.75，其预测能力被认为不佳。为了以 80%的灵敏度检测 BSES-SF 中存在 BF 停止风险的母亲，临界点得分为 58。
在初级保健中，BSES-SF 评分低于 58 分的母亲，在两个月内有过早停止纯 BF 的风险。
