The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns

Nilgün Altuntaş; Yıldız Atalay; Canan Türkyılmaz; Esin Koç

doi:10.21601/ortadogutipdergisi.372028

ORTADOĞU TIP DERGİSİ - ORTADOGU MEDICAL JOURNAL

The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns

Emzirme değerlendirme araçlarının yenidoğanlarda aşırı kilo kaybını tahmin etmede kullanımı

Nilgün Altuntaş ¹ ^* , Yıldız Atalay ², Canan Türkyılmaz ², Esin Koç ²

More Detail

Ortadogu Tıp Derg, Volume 10, Issue 3, pp. 368-373

https://doi.org/10.21601/ortadogutipdergisi.372028

OPEN ACCESS

Download Full Text (PDF)

Abstract

Aim: Postnatal weight loss is a major issue of concern to pediatricians. We aimed to determine whether the LATCH tool, Infant Breastfeeding Assessment Tool (IBFAT) and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) are useful in predicting postnatal excess weight loss.
Material and Method: One hundred fifty one mother infant dyads’ breastfeeding sessions were monitored and scored simultaneously by using the LATCH and IBFAT assessment tools during the postnatal first feeding and at 12, 24 and 48 hours. Maternal confidence in breastfeeding was assessed using BSES-SF at the same breastfeeding sessions. Infants were followed until they reached their birth weights after discharge. Comparisons were made between infants with ≥10% weight loss and infants with <10% weight loss during following.
Results: IBFAT, LATCH and BSES-SF scores were significantly higher in infants with <10% weight loss than those with ≥10% weight loss (p<0.05). According to ROC analysis including all tools’ scores, AUC values were close to 0.70. These results indicate that these assessment tools can be used to predict the risk of excessive weight loss of the newborns.
Conclusions: Mother/infant dyads that achieve higher scores in these tests can be discharged earlier, avoiding unnecessary hospitalization.

Keywords: Breastfeeding assessment, LATCH, IBFAT, BSES-SF, excess weight loss

Öz

Amaç: Yenidoğan bebeklerde postnatal ilk günlerde aşırı kilo kaybı önemli bir sorundur. Biz bu çalışmada emzirmeyi değerlendirme araçlarından LATCH, IBFAT ve BSES-SF’in postnatal erken dönemde aşırı kilo kaybının tahmininde kullanışlı olup olmayacağını araştırmak istedik.
Gereç ve Yöntem: Doğumdan sonra 150 anne ve bebek çifti emzirme sırasında izlendi ve emzirme başarıları doğumda, 12, 24 ve 48.saatlerde LATCH, IBFAT emzirme araçları ile değerlendirildi. Eş zamanlı olarak annelerin emzirme özgüven skorları belirlendi. Postnatal dönemde bebeklerin kiloları doğum ağırlığına ulaşana kadar izlendi ve %10’dan fazla ve %10’dan az kilo kaybeden bebeklerin emzirme skorları karşılaştırıldı.
Bulgular: IBFAT, LATCH ve BSES-SF skorları %10’dan fazla kilo kaybeden bebeklerde %10’dan az kilo kaybeden bebeklere göre anlamlı derecede düşüktü(p<0,05). ROC analizine gore AUC değerleri 0,7’ye yakındı. Bu sonuçlar bu emzirmeyi değerlendirme araçlarının aşırı kilo kaybının tahmininde kullanılabileceğini göstermektedir.
Sonuç: Yüksek skorlara sahip anne bebek çiftleri daha erken taburcu edilebilir. Böylece gereksiz hastanede yatıştan kaçınılabilir.

Keywords: Emzirme değerlendirilmesi, LATCH, IBFAT, BSES-SF, aşırı kilo kaybı

References

Olguner M, Hakguder G, Ates O, Caglar M, Ozer E, Akgur FM. Urinary trypsin inhibitor present in fetal urine prevents intraamniotic meconium-induced intestinal damage in gastroschisis. J Pediatr Surg 2006; 41: 1407-12.
Livingstone VH, Willis CE, Abdel-Wareth LO, Thiessen P, Lockitch G. Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey. CMAJ 2000; 162: 647-52
Cohn A. A simple method for assessing if weight loss is greater or less than 10%.Arch Dis Child 2005 Jan; 90: 88.
Laing IA, Wong CM. Hypernatraemia in the first few days: is the incidence rising? Arch Dis Child Fetal Neonatal Ed 2002 Nov; 87: F158–F162.
Manganaro R, Mamì C, Marrone T, Marseglia L, Gemelli MJ. Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J Pediatr 2001 Nov; 139: 673-5.
Oddie S, Richmond S, Coulthard M. Hypernatraemic dehydration and breast feeding: a population study. Arch Dis Child 2001 Oct; 85: 318-20.
Gabriel Konetzny & Hans Ulrich Bucher & Romaine Arlettaz. Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing. Eur J Pediatr 2009; 168: 815–8
Iyer NP, Srinivasan R, Evans K, Ward L, Cheung WY, Matthes J. Impact of an early weighing policy on neonatal hypernatremic dehydration and breast feeding. Arch Dis Child. 2008; 93: 297-9.
Bhat SR, Lewis P, David A, Liza SM. Dehydration and hypernatremia in breast-fed term healthy neonates. Indian J Pediatr 2006; 73: 39-41.
Tarcan A, Tiker F, Vatandaş NS, Haberal A, Gürakan B. Weight loss and hypernatremia in breast-fed babies: frequency in neonates with non-hemolytic jaundice. J Paediatr Child Health 2005 Sep-Oct; 41:484-7.
Kumar SP, Mooney R, Wieser LJ, Havstad S. The LATCH scoring system and prediction of breastfeeding duration. J Hum Lact 2006; 22: 391-7.
Davanzo R, Cannioto Z, Ronfani L, Monasta L, Demarini S. Breastfeeding and neonatal weight loss in healthy term infants. J Hum Lact 2013 ;29: 45-53.
Chantry CJ, Nommsen-Rivers LA, Peerson JM, Cohen RJ, Dewey KG. Excess weight loss in first-born breastfed newborns relates to maternal intrapartum fluid balance. Pediatrics 2011; 127: 171-9.
Matthews MK. Developing an instrument to assess infant breastfeeding behaviour in the early neonatal period. Midwifery 1988; 4: 154-65.
Adams D, Hewell S. Maternal and professional assessment of breastfeeding. J Hum Lact 1997; 13: 279-83.
Riordan JM, Koehn M. Reliability and validity testing of three breastfeeding assessment tools. J Obstet Gynecol Neonatal Nurs 1997;26:181-7.
Riordan J, Bibb D, Miller M, Rawlins T. Predicting breastfeeding duration using the LATCH breastfeeding assessment tool. J Hum Lact 2001; 17: 20-3.
Altuntas N, Turkyilmaz C, Yildiz H, et al. Validity and reliability of the infant breastfeeding assessment tool, the mother baby assessment tool, and the LATCH scoring system. Breastfeed Med 2014; 9: 191-5.
Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self–Efficacy Scale. Res Nurs Health 1999; 22: 399-409.
Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003; 32: 734-44.
Aluş Tokat M, Okumuş H, Dennis CL. Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal woman in Turkey. Midwifery 2010; 26: 101-8.
Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs 1994; 23: 27-32.
Rowland TW, Zori RT, Lafleur WR, Reiter EO. Malnutrition and hypernatremic dehydration in breast-fed infants. JAMA 1982; 247: 1016-7.
Smith RG. Severe hypernatremic dehydration in a newborn infant. Paediatr Child Health 1998; 3: 413-5.
Kaplan JA, Siegler RW, Schmunk GA. Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. Am J Forensic Med Pathol 1998; 19: 19-22.
Konetzny G, Bucher HU, Arlettaz R. Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing. Eur J Pediatr 2009; 168: 815-8.
Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev 1999; 7: 5-16.

Citation

Altuntaş N, Atalay Y, Türkyılmaz C, Koç E. The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns. Ortadogu Tıp Derg. 2018;10(3):368-73. https://doi.org/10.21601/ortadogutipdergisi.372028

Altuntaş, N., Atalay, Y., Türkyılmaz, C., & Koç, E. (2018). The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns. Ortadoğu Tıp Dergisi, 10(3), 368-373. https://doi.org/10.21601/ortadogutipdergisi.372028

Altuntaş, N., Atalay, Y., Türkyılmaz, C., and Koç, E. (2018). The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns. Ortadoğu Tıp Dergisi, 10(3), pp. 368-373. https://doi.org/10.21601/ortadogutipdergisi.372028

Altuntaş N, Atalay Y, Türkyılmaz C, Koç E. The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns. Ortadogu Tıp Derg. 2018;10(3), 368-373. https://doi.org/10.21601/ortadogutipdergisi.372028

Altuntaş, Nilgün, Yıldız Atalay, Canan Türkyılmaz, and Esin Koç. "The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns". Ortadoğu Tıp Dergisi 2018 10 no. 3 (2018): 368-373. https://doi.org/10.21601/ortadogutipdergisi.372028

Altuntaş, Nilgün et al. "The use of breastfeeding assessment tools to predict the excess weight loss risk in newborns". Ortadoğu Tıp Dergisi, vol. 10, no. 3, 2018, pp. 368-373. https://doi.org/10.21601/ortadogutipdergisi.372028