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Updated: Aug 18, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

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Published on: August 25, 2014

Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): a study of nurse-mother agreement

K H Nyqvist1, C Rubertsson, U Ewald

  • 1University Children's Hospital Neonatal Intensive Care Unit, Uppsala, Sweden.

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
|September 1, 1996
PubMed

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, but a somewhat lower level of agreement between observers and mothers. The scale showed a good capacity to discriminate between infant gestational ages and can be used for helping mothers to identify their infants' emerging competence.

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