title: [Performance of the Breastfeeding Assessment Score for the prediction of early weaning in France].
abstract: BACKGROUND
  The Breastfeeding Assessment Score (BAS) was derived to help identify mothers at increased risk of early weaning in United States. Data are currently lacking on the accuracy of the BAS for French mother-infant pairs.
  
  
  OBJECTIVE
  To assess the accuracy of the BAS in a French validation cohort.
  
  
  METHODS
  We used the original data from a prospective cohort study of 488 mothers who were breastfeeding at discharge in 9 maternity wards in 2005. The outcome measures were assessed using structured follow-up telephone interviews at 4 and 26 weeks.
  
  
  RESULTS
  The weaning rate was 3% at 14 days of infant age. The corresponding area under ROC curve was 0.73 [0.60-0.85] and was comparable to that observed in the derivation cohort (0.75). For a cut point of 8 recommended by the authors of the BAS, 43% of mother-infant pairs were categorized at high risk and the weaning rate in this subgroup was 5%. The mother-infant pairs with a score lower than 8 had a shorter median breastfeeding duration (18 versus 20 weeks, P=0.02), were more likely to report breastfeeding difficulties after discharge (63% versus 53%, P=0.03), and were less likely to be "very satisfied" with breastfeeding experience (66% versus 77%, P=0.007).
  
  
  CONCLUSIONS
  The intrinsic properties of the BAS are robust. However, its use would be of limited interest in France because of the relatively low rate of early weaning. Randomized trials are needed before recommending routine use of BAS-based breastfeeding support intervention.
authors.affiliation: Unité d'évaluation médicale, centre hospitalier universitaire, 38043 Grenoble cedex 09, France.
authors.forename: L
authors.initials: L
authors.lastname: Laborde
authors.forename: J
authors.initials: J
authors.lastname: Fulcheri
authors.forename: N
authors.initials: N
authors.lastname: Gelbert-Baudino
authors.forename: C
authors.initials: C
authors.lastname: Schelstraete
authors.forename: M
authors.initials: M
authors.lastname: Mathieu
authors.forename: M
authors.initials: M
authors.lastname: Durand
authors.forename: F
authors.initials: F
authors.lastname: Baudino
authors.forename: F
authors.initials: F
authors.lastname: Vié Le Sage
authors.forename: I
authors.initials: I
authors.lastname: Gothie
authors.forename: F
authors.initials: F
authors.lastname: Roche
authors.forename: C
authors.initials: C
authors.lastname: Devoldere
authors.forename: C
authors.initials: C
authors.lastname: Salinier
authors.forename: J-P
authors.initials: JP
authors.lastname: Gout
authors.forename: M
authors.initials: M
authors.lastname: Plasse
authors.forename: F-M
authors.initials: FM
authors.lastname: Caron
authors.forename: P
authors.initials: P
authors.lastname: François
authors.forename: J
authors.initials: J
authors.lastname: Labarere
mesh_terms: D000328:Adult; D001942:Breast Feeding; D005260:Female; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007407:Interviews as Topic; D017060:Patient Satisfaction; D011446:Prospective Studies; D012372:ROC Curve; D018570:Risk Assessment; D013997:Time Factors; D014886:Weaning