Neonatal Eating Assessment Tool-Breastfeeding: Reference Values for Infants Less Than 7 Months old

Britt Frisk Pados1, Jinhee Park1, Suzanne M Thoyre2

  • 16019 Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA.

Insights

The Neonatal Eating Assessment Tool-Breastfeeding (NEAT-B) provides reference values for infant feeding behaviors. Scores indicate fewer problematic breastfeeding symptoms as infants age, aiding clinical assessment and intervention strategies.

Area of Science:

  • Pediatric feeding and nutrition
  • Infant development
  • Parent-reported outcomes

Background:

  • The Neonatal Eating Assessment Tool-Breastfeeding (NEAT-B) is a 62-item parent-report measure for problematic breastfeeding symptoms in infants under 7 months.
  • It is a validated and reliable tool for assessing infant feeding behaviors.

Purpose of the Study:

  • To establish normative data for the NEAT-B total and subscale scores in healthy, full-term infants.
  • To describe score variations across different infant age groups.

Main Methods:

  • A cross-sectional online survey was administered to parents of 475 healthy, full-term breastfeeding infants (<7 months).
  • Descriptive statistics were computed for NEAT-B total and subscale scores stratified by age groups (0-2, 2-4, 4-6, 6-7 months).

Main Results:

  • NEAT-B total scores, indicating more problematic symptoms, were highest in the 0-2 month age group and decreased with age.
  • Most subscale scores showed a downward trend, except 'Compelling Symptoms of Problematic Feeding,' which remained low.
  • The 'Infant Regulation' subscale scores were elevated for the first 6 months, then declined significantly.

Conclusions:

  • Reference values for the NEAT-B are now available, aiding in score interpretation and clinical decision-making.
  • These values support personalized intervention strategies and assessment of treatment efficacy.
  • The NEAT-B can be utilized in research to track breastfeeding development and evaluate intervention effectiveness.
Abstract

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