Development of a breast-feeding prediction scale and inspection of the utility

我们开发了一种工具来预测分娩后母乳喂养的持续性，并已验证了其实用性。（BFPS：母乳喂养预测量表）预测分娩后一个月母乳喂养率显著下降的时间点是否继续母乳喂养，由三个区域21个项目组成，BFPS从21分到84分不等，本研究中受试者的评分范围为23至57。总体平均评分为41.4±8.2。第一次月检时，母乳喂养组的平均得分为37.5±7.2，混合/人工母乳喂养组的平均得分为46.1±6.7，差异有显著性（p<0.0001）。当分娩后一个月预测混合/人工母乳喂养的截止分数设定为42分或更高时，因此，BFPS可筛检产后一个月后出院时仍难以继续母乳哺育的母亲，以协助个别持续的支援，未来，我们计划开发一种工具，预测产后四个月和产后一个月的育儿模式，并开发一种工具，进一步预测母乳喂养的持续性。

We developed a tool to predict the continuation of breast-feeding after childbirth and have verified its usefulness.This scale (BFPS : Breast-Feeding Prediction Scale) predicts the continuation of breast-feeding at a point of time one month after childbirth when the breast-feeding rate significantly decreases, consisting of three areas with 21 items.BFPS ranges from 21 to 84 points, and scores for subjects in this study ranged from 23 to 57. The mean score overall was 41.4±8.2. The mean score at the first monthly checkup were 37.5±7.2 for the breast-feeding group and 46.1±6.7 for the mixed/artificial milk-feeding group, with a significant difference (p<0.0001) seen between the two groups.When the cut-off score at which mixed/artificial milk-feeding was predicted one month after childbirth was set at 42 points or higher, sensitivity was 74.4% and specificity was 76.1%.As a result, the BFPS can screen mothers who find it difficult to continue breast-feeding one month after childbirth upon discharge from hospital in order to facilitate individual continued support.In the future, we plan to develop a tool to predict child-raising patterns at both four months after childbirth and one month after childbirth, and a tool to further predict the continuation of breast-feeding.