Modified breastfeeding attrition prediction tool: prenatal and postpartum tests

Area of Science:

• Perinatal Health
• Maternal-Child Health
• Lactation Studies

Background:

• The Breastfeeding Attrition Prediction Tool (BAPT) previously showed predictive validity for breastfeeding cessation postpartum.
• Identifying women at risk for early breastfeeding discontinuation is crucial for effective interventions.

Purpose of the Study:

• To compare the effectiveness of a modified BAPT administered in the last trimester (BAPT1) versus postpartum (BAPT2) in predicting breastfeeding attrition.
• To identify factors associated with breastfeeding cessation at 8 weeks among women planning to breastfeed for at least 8 weeks.

Main Methods:

• 117 women planning to breastfeed completed a modified BAPT during late pregnancy and again at delivery.
• Breastfeeding status was assessed via phone call at 8 weeks postpartum.
• Statistical analyses were performed to determine the predictive validity of BAPT1 and BAPT2 and identify associated factors.

Main Results:

• Neither the prenatal (BAPT1) nor the postpartum (BAPT2) administration of the BAPT predicted breastfeeding attrition at 8 weeks.
• Higher levels of education and having a close relative who breastfed were significantly associated with continued breastfeeding.
• The study population's high commitment to breastfeeding, evidenced by class attendance, may have limited the BAPT's predictive power.

Conclusions:

• The modified BAPT was not predictive of breastfeeding cessation in this cohort.
• Education level and family breastfeeding history appear to be significant factors in sustained breastfeeding.
• A brief screening tool assessing education, family support, and preparation may aid perinatal educators in identifying at-risk mothers.