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Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): A Study of Nurse-Mother Agreement
Abstract
Research on the development of preterm infant feeding behavior has focused mainly on bottlefeeding, using invasive methods or observations by professionals. In this study, a clinical method for observing breastfeeding was developed in collaboration between observers and mothers for the purpose of enabling neonatal personnel and mothers to describe developmental stages in preterm infant breastfeeding behavior. Tests of interobserver reliability resulted in acceptable agreement between observers, but a somewhat lower level of agreement between observers and mothers. The scale showed a good capacity to discriminate between infant gestational ages and can be used for helping mothers to identify their infants' emerging competence.
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The Preterm Infant Breastfeeding Behavior Scale (PIBBS), a 9-question validated tool, assessed feeding competency; scores <15 (out of 20) signified poor feeding competency.
“The Preterm Infant Breastfeeding Behavior Scale (PIBBS), a 9-question validated tool, assessed feeding competency based on direct feeding observation by trained study nurses measuring infant rooting efforts, latch effort, latch duration, sucking duration, and swallowing; scores <15 (out of 20) signified poor feeding competency [16].”
From Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania (2023) · cites this paper as [16]
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Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
Semrau, K. E. A., Mokhtar, R. R., Manji, K., Goudar, S. S., Mvalo, T., Sudfeld, C. R., Young, M. F., Caruso, B. A., Duggan, C. P., Somji, S. S., et al. (2023) · PLOS Global Public Health · doi:10.1371/journal.pgph.0001789 · Cited by 6
Metadata
- Authors
- Nyqvist, K. H., Rubertsson, C., Ewald, U., & Sjödén, P.-O.
- Affiliations
- Uppsala University Hospital (SE)
- Uppsala University (SE)
- Venue
- Journal of Human Lactation
- Publisher
- SAGE Publications
- Published
- 1996-09
- Volume
- 12
- Issue
- 3
- Pages
- 207-219
- ISSN
- 0890-3344 (ISSN-L)
- 1552-5732
- OpenAlex
- W2015003289
- Cited by
- 124
- References
- 1
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 8 · 2012: 4
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Lactation (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- preterm infants, breastfeeding behavior, inter-rater reliability, gestational age, neonatal nursing, infant competence
- MeSH terms
- Breast Feeding, Feeding Behavior, Female, Humans, Infant, Newborn, Infant, Premature, Mothers, Nursing Assessment, Nursing Staff, Hospital, Reproducibility of Results, Observer Variation, Discriminant Analysis
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