Characterizing Exclusively Breastfed Infant Stool via a Novel Infant Stool Scale
Related Experiment Video
Updated: Feb 3, 2026

P50 Sensory Gating in Infants
Published on: December 26, 2013
Jennifer Gustin1, Roger Gibb1, Dianna Kenneally1
1Procter & Gamble Company, Cincinnati, Ohio, USA.
Insights
A new stool scale for exclusively breastfed infants has been developed. This tool offers improved accuracy in observing and recording infant stool characteristics, potentially aiding in diagnostics.
Area of Science:
- Pediatrics
- Gastroenterology
- Infant Health
Background:
- Stool analysis is a key diagnostic method in various conditions.
- Current tools like the Bristol Stool Scale and Amsterdam Infant Stool Scale have limitations for exclusively breastfed infants.
- Existing scales are not sufficiently specific for age or stool consistency in this population.
Purpose of the Study:
- To develop a novel stool scale tailored to the unique characteristics of exclusively breastfed infant stools.
- To improve the accuracy of observing and documenting stool output in this demographic.
- To potentially enhance diagnostic capabilities through better stool assessment.
Main Methods:
- Development of a new stool scale based on a detailed understanding of exclusively breastfed infant stool properties.
- Evaluation of the new scale's applicability in clinical observation and recording.
- Comparison with existing stool scales (Bristol Stool Scale, Amsterdam Infant Stool Scale) for suitability.
Main Results:
- The newly developed stool scale demonstrates a better capacity to cover the broad range of stool consistencies observed in exclusively breastfed infants.
- The scale is designed to be age-appropriate for non-toilet-trained infants.
- It provides a more accurate method for recording stool characteristics compared to existing tools.
Conclusions:
- The proposed stool scale offers a more precise tool for assessing exclusively breastfed infant stool.
- This improved assessment may lead to enhanced diagnostic accuracy in pediatric care.
- Further validation and clinical implementation are suggested for this specialized infant stool scale.
Abstract:
Analysis of stool has long been a diagnostic tool across a number of disease states. Currently, there are two stool scales in clinical use, the Bristol Stool Scale and the Amsterdam Infant Stool Scale. However, the existing categorizations for stool may not sufficiently cover the broad range of stool output for exclusively breastfed infants. The Bristol Stool Scale is not age specific to cover children who are not toilet trained and the Amsterdam Infant Stool Scale, though developed for children who are not toilet trained, does not sufficiently cover the wide variety of consistencies of exclusively breastfed infant stools. Through a robust understanding of exclusively breastfed infant stool characteristics, a new stool scale has been developed. It is proposed that this stool scale may better assist in observing and recording exclusively breastfed infant stool in a more accurate manner, which may aid in diagnostic capabilities.
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