Adams D, Hewell S
School of Nursing, College of Health Sciences, Georgia State University, Atlanta, USA.
J Hum Lact. 1997 Dec;13(4):279-83. doi: 10.1177/089033449701300412.
This study explored the relationships among maternal and professional breastfeeding assessments and maternal reports of satisfaction with breastfeeding. Participants were 35 first-time breastfeeding mothers. The LATCH Breastfeeding Documentation Tool was used for data collection. This tool was used in its original version for professional assessment and in a modified version for maternal reporting. Results show high percentages (85.7 to 100) of agreement among lactation consultants using the LATCH tool which supports the reliability of the tool. Correlation coefficients between professional scores and maternal scores ranged from 0.18 for "A" (Audible swallowing) to 0.67 for "L" (Latch). It appears that, unlike lactation consultants, new mothers evaluate breastfeeding based upon their somatic experience rather than observation of infant behavior.
本研究探讨了产妇和专业母乳喂养评估之间的关系，以及产妇对母乳喂养满意度的报告。研究对象为35名首次进行母乳喂养的母亲。采用LATCH母乳喂养记录工具收集数据。该工具的原始版本用于专业评估，修改版本用于产妇报告。结果显示，使用LATCH工具的泌乳顾问之间的一致率很高（85.7%至100%），这支持了该工具的可靠性。专业评分与产妇评分之间的相关系数范围从“A”（可听见吞咽声）的0.18到“L”（含接情况）的0.67。与泌乳顾问不同，初为人母者似乎是根据自身身体感受而非对婴儿行为的观察来评估母乳喂养情况。
