Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): A Study of Nurse-Mother Agreement

  title={Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): A Study of Nurse-Mother Agreement},
  author={Kerstin Hedberg Nyqvist and Christine Rubertsson and Uwe Ewald and Per Olow Sj{\"o}d{\'e}n},
  journal={Journal of Human Lactation},
  pages={207 - 219}
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… 

Using the Preterm Infant Breastfeeding Behavior Scale With Late Preterm Infants

The inter-rater reliability of the Preterm Infant Breastfeeding Behavior Scale scores for late preterm infants between mothers and a health professional was determined and could be used to help clinicians and parents accurately understand feeding patterns and behaviors assisting with feeding decisions.

Infant and maternal factors in the development of breastfeeding behaviour and breastfeeding outcome in preterm infants

Low gestational age at birth was associated with early emergence of efficient breastfeeding behaviour and a high incidence of full breastfeeding.

Mother-Infant Breastfeeding Progress Tool: a guide for education and support of the breastfeeding dyad.

The Mother-Infant Breastfeeding Progress Tool is useful as a checklist for assessing maternal and infant breastfeeding progress, though additional research is needed to support the validity of the tool.

The Beginning Breastfeeding Survey: measuring mothers' perceptions of breastfeeding effectiveness during the postpartum hospitalization.

Psychometric analysis of a new tool, the Beginning Breastfeeding Survey (BBS), in a multi-racial sample of 131 women revealed a coefficient alpha of .90, which demonstrated discriminant validity in known group analyses and convergent validity with breastfeeding self-efficacy and postpartum fatigue.

Breastfeeding the Preterm Infant

The current knowledge of breastfeeding the preterm infant is summarised in this chapter and it is looked forward to more research elucidating the most effective means of achieving and sustaining full breastfeeding in this population.

Assessment of preterm infants' readiness to commence breastfeeding

The results of this study indicate the importance of assessing behavioural cues as an indication of breastfeeding readiness in the preterm infant population, once an infant is deemed physiologically stable.

Breastfeeding Support in Neonatal Care: An Example of the Integration of International Evidence and Experience

Hospital policies and practices should include unrestricted parental visiting, care-by-parent guidelines, early frequent breast milk expression, breastfeeding observation and individualized breastfeeding support, cup instead of bottle feeding, the use of a nipple shield when indicated, and early introduction of semi-demand feeding.

Revision of the Beginning Breastfeeding Survey: A Cumulative Assessment of Breastfeeding

  • P. Mulder
  • Medicine, Psychology
    Journal of Nursing Measurement
  • 2013
In this sample, the revised Beginning Breastfeeding Survey-Cumulative had strong reliability and predictive validity and should be tested in a wider range of populations and settings.

Breastfeeding preterm infant from the delivery ward via nicu to home

Examination of how to support breastfeeding of preterm infants immediately after birth in the delivery ward, during their hospital stay in a neonatal intensive care unit (NICU), and at home after hospital discharge found an internet-based breastfeeding peer support intervention was feasible but additional research is needed.

Nonnutritive Sucking at the Mother's Breast Facilitates Oral Feeding Skills in Premature Infants: A Pilot Study

Early initiation of nonnutritive sucking at the mother's breast in very preterm infants is a safe and effective intervention to facilitate maturation of oral feeding and breastfeeding behavior.



The Mother-Baby Assessment (MBA): An "Apgar Score" for Breastfeeding

  • C. Mulford
  • Medicine
    Journal of human lactation : official journal of International Lactation Consultant Association
  • 1992
A "Mother-Baby Assessment (MBA) Score," a ten-point assessment of maternal and infant breastfeeding behavior, may be used to track the progress of a motherbaby pair as they learn how to breastfeed, and also may be useful in hospital charting, when making referrals, when practicing triage, or when conducting research.

The breastfeeding dyad: early assessment, documentation, and intervention.

An understanding of the mechanics of milk transfer serves as a foundation for developing interventions to be applied to the common breastfeeding challenges (including difficult latch-on, nipple trauma, and lack of nutritive suckling) that can jeopardize effective breastfeeding.

Functional assessment of infant breastfeeding patterns.

As breastfeeding rates have increased in the United States, the need has arisen for coordinated approaches to the assessment of normal and problem situations. Since some difficulties are related to

Assessment and Documentation of the Breastfeeding Couple by Health Care Professionals

  • B. Bono
  • Medicine
    Journal of human lactation : official journal of International Lactation Consultant Association
  • 1992
An in-service program oriented staff to the use of a breastfeeding assessment tool which systematized breastfeeding documentation and instructed staff in the techniques of completing such an assessment.

Neonatal Oral-Motor Assessment scale: a reliability study.

In an attempt to categorize the oral-motor patterns that underlie poor feeding in the neonatal period, a clinical assessment tool was devised that describes jaw and tongue function during nutritive sucking.

The infant's contribution to breastfeeding.

  • L. ShragoD. Bocar
  • Medicine
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 1990
Systematic assessment of the infant's breastfeeding behavior provides a framework for directing parent education, documenting correct breastfeeding techniques, recognizing problems early, and guiding interventions.

Toward a Research Instrument for the Assessment of Preterm Infants’ Behavior (APIB)

The nature of the outcome measurements should be broadened to include social, motivational, and personal qualities of the infant as well as more stable intellectual assessment, and predictions which do not take into account the ongoing transactions between child and environment are bound to be weak.


The purpose of this investigation was to quantify normal nutritive sucking, using a microcomputer‐based instrument which replicated the infant's customary bottle‐feeding routine, and provided an objective description of the patterns of normal nutritives sucking in infants to which abnormal sucking patterns may be compared.