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Mother-Infant Breastfeeding Progress Tool: A Guide for Education and Support of the Breastfeeding Dyad

Authors

  • Teresa S. Johnson,

    Corresponding author
    1. Teresa S. Johnson, PhD, RN, is an associate professor in the College of Nursing at the University of Wisconsin—Milwaukee, WI, and a nurse research consultant/clinical nurse specialist in the Wheaton Franciscan Healthcare—All Saints, Racine, WI.
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  • Pamela J. Mulder,

    1. Pamela J. Mulder, BSN, RN, is a doctoral student at the University of Wisconsin—Milwaukee, WI.
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  • Karen Strube

    1. Karen Strube, RN, IBCLC, is a lactation consultant in the Wheaton Franciscan Healthcare—All Saints, Racine, WI.
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Teresa S. Johnson, PhD, RN, College of Nursing, University of Wisconsin—Milwaukee, P.O. Box 413, Milwaukee, WI 53201. E-mail: tsj@uwm.edu.

Abstract

Objective:  To describe the development of the Mother-Infant Breastfeeding Progress Tool to be used at the bedside by nurses to guide ongoing support and education for the mother-baby dyad.

Design:  Cross-sectional study.

Setting:  Community hospital in a Midwestern city.

Participants:  Sixty-two English-speaking mother-infant dyads.

Methods:  Three nurse raters (two per session) independently scored the eight characteristics on the Mother-Infant Breastfeeding Progress Tool during 81 breastfeeding sessions.

Main outcome measure:  Percent agreement between raters and suggested modifications for the Mother-Infant Breastfeeding Progress Tool.

Results:  The results support the use of the tool as a checklist for assessment of the breastfeeding mother-infant dyad to guide education and support.

Conclusions:  The interrater agreement was high for individual items of the Mother-Infant Breastfeeding Progress Tool. The Mother-Infant Breastfeeding Progress Tool is useful as a checklist for assessing maternal and infant breastfeeding progress, though additional research is needed to support the validity of the tool. JOGNN, 36, 319-327; 2007. DOI: 10.1111/J.1552-6909.2007.00165.x

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