Effectiveness of Combining LATCH and Bristol Breastfeeding Assessment Scales in Predicting Exclusive Breastfeeding

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dc.contributor.authorSay, Birgul Livaoglu
dc.contributor.authorKaya, Fatma Erva
dc.contributor.authorHatipoglu, Halil Ugur
dc.date.accessioned2026-01-24T12:29:09Z
dc.date.available2026-01-24T12:29:09Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground: Early identification of breastfeeding difficulties is crucial for targeted interventions. However, the comparative effectiveness of these assessment tools remains unclear. Objective: To compare the predictive validity of the LATCH and Bristol Breastfeeding Assessment Tool (BBAT) scores measured at 24 hours and day 7 postpartum for exclusive breastfeeding at 42 days and to evaluate their combined predictive performance. Methods: This prospective cohort study included 157 mother-infant dyads (September 2024-March 2025) at a university hospital in Turkey. LATCH and BBAT scores were assessed at 24 hours and on day 7 postpartum. The primary outcome was exclusive breastfeeding at 42 days. Receiver operating characteristic (ROC) analysis was used to determine the optimal cut-off values and predictive performance. Results: The rate of exclusive breastfeeding (EBF) was 83.4% (n = 132) in the first 24 hours and 68.8% (n = 108) on day 42 of life. The LATCH score in the first week showed the highest specificity for predicting EBF on day 42. (cut-off value >= 10: area under the curve [AUC] 0.671 (95% CI: 0.582-0.760; p < 0.001), sensitivity 55.6%, specificity 72.3%, false positive rate 27.7%). A multiple ROC analysis was conducted to determine which of the four scores was better at predicting EBF on the 42nd day. The cutoff values were 8 for the first-week Bristol score alone, 10 for the first-week LATCH score, 5 for the first 24-hour Bristol score, and 7 for the first 24-hour LATCH score. Conclusions: Combined early assessment using LATCH and BBAT scores provides a superior prediction of EBF at 42 days compared with single indicators. The implementation of systematic screening using these tools may facilitate targeted lactation support for at-risk dyads.
dc.identifier.doi10.1177/15568253251404483
dc.identifier.issn1556-8253
dc.identifier.issn1556-8342
dc.identifier.pmid41391916
dc.identifier.urihttps://doi.org/10.1177/15568253251404483
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5147
dc.identifier.wosWOS:001638921900001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofBreastfeeding Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectbreastfeeding
dc.subjectLATCH score
dc.subjectBristol Breastfeeding Assessment Tool
dc.subjectexclusive breastfeeding
dc.subjectassessment scales
dc.titleEffectiveness of Combining LATCH and Bristol Breastfeeding Assessment Scales in Predicting Exclusive Breastfeeding
dc.typeArticle

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