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Journal of Human Lactation
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*Breast Feeding
*Premature Babies
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Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): A Study of Nurse-Mother Agreement

Kerstin Hedberg Nyqvist, RN, MS

Neonatal Intensive Care Unit 95 F, University Children's Hospital, 751 85 Uppsala, Sweden.

Christine Rubertsson, RN, BSN

University Hospital.

Uwe Ewald, MD, PhD

University Children's Hospital NICU, and lecturer in pediatrics, Department of Pediatrics, Uppsala University.

Per-Olow Sjödén, PhD

Uppsala University.

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.

Key Words: breastfeeding • preterm infant • mother • nurse • observation

Journal of Human Lactation, Vol. 12, No. 3, 207-219 (1996)
DOI: 10.1177/089033449601200318
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This article has been cited by other articles:


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 J Hum LactHome page
L. Furman and N. M. Minich
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J Hum Lact, May 1, 2006; 22(2): 175 - 181.
[Abstract] [PDF]

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 J Hum LactHome page
K. Wambach, S. H. Campbell, S. L. Gill, J. E. Dodgson, T. C. Abiona, and M. J. Heinig
Clinical Lactation Practice: 20 Years of Evidence
J Hum Lact, August 1, 2005; 21(3): 245 - 258.
[Abstract] [PDF]