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VALIDITY AND CLINICAL EFFECTIVENESS OF THE BREASTFEEDING HISTORY QUESTIONNAIRE
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  • AYSUN EKŞİOĞLU,
  • Emine Serap ÇAĞAN,
  • Ayşe Akyar,
  • Esin ÇEBER TURFAN,
  • Whitney BENDER
AYSUN EKŞİOĞLU
Ege Universitesi
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Emine Serap ÇAĞAN
Agri Ibrahim Cecen University

Corresponding Author:[email protected]

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Ayşe Akyar
İzmir Democracy University Buca Seyfi Demirsoy Education and Research Hospital
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Esin ÇEBER TURFAN
Ege University
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Whitney BENDER
Hospital of the University of Pennsylvania
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Abstract

The study was aimed testing the psychometric properties of the Breastfeeding History Questionnaire (BAP) and to evaluate clinic effectiveness in detecting the risk of in-hospital formula supplementation among multiparous women. The study is a cross-sectional study conducted in a mother-friendly tertiary health care facility in western Turkey, involving 358 women. First of all, expert opinion was obtained for content validity, then the risk of using formula was investigated cross-sectionally. Chi-square test and Student’s t-test and multivariate logistic regression analysis were used for data analysis. The sensitivity and the specificity of the BAP used for the prediction of formula supplement use in the hospital by those whose BAP score was ≤ 1 were 74.6% and 88.2%, respectively. In those with a BAP score of ≤1, while the positive predictive value was 78.22%, the negative predictive value was 85.89%. Of the multiparous women, those with a BAP score of ≤1were 12.8 times more likely to supplement formula during the postpartum hospital stay than were those with a BAP score of ≥2 (RR = 12.88, 95% CI [5.76-27.78]; p < .001). The BAP is a valid tool and it offers practical evaluation suitable for clinical use.