RT Journal Article
T1 Preparation and validation of a predictive model of breastfeeding initiation in the first hour of life
A1 Ballesta Castillejos, Ana
A1 Rodríguez Almagro, Julián Javier
A1 Gómez Salgado, Juan
A1 Martínez Galiano, Juan Miguel
A1 Romero Blanco, Cristina
A1 Hernández Martínez, Antonio
AB Objective: The objective was to develop and validate a predictive model of initiation of breastfeeding in the firsthour after delivery.Methods: Retrospective cohort study on women who gave birth between 2013 and 2018 in Spain. For datacollection, an ad hoc questionnaire was designed to be filled in by the mothers, which was distributed to thedifferent Spanish breastfeeding associations which, in turn, shared it with their associate partners. The developmentof the predictive model was made on a cohort of 3218 women (2/3) and was validated on a cohort of1609 women (1/3). Mothers whose children were admitted to hospital at the time of birth were excluded. Amultivariate analysis was performed by means of logistic regression, and predictive ability was determined byareas under the ROC curve (AUC).Results: 81.0 % (2608) women started breastfeeding in the first hour in the derivation cohort, and 80.1 % (1289)in the validation cohort. The predictive factors in the final model were: the highest number of children and skinto-skin contact at birth as flattering factors, while dystocic delivery reduced the likelihood of the onset ofbreastfeeding. The predictive ability (ROC AUC) in the derivation cohort was 0.89 (CI 95 %: 0.87–0.90), while inthe validation cohort it was 0.89 (CI 95 %: 0.87–0.92).Conclusions: This three-variable predictive model has excellent predictive ability in both the derivation cohortand the validation cohort. This model can identify women who are at high risk of non-initiating breastfeedingwithin the first hour after delivery.
PB Elsevier
SN 0266-6138
SN 1532-3099 (electrónico)
YR 2024
FD 2024-05
LK https://hdl.handle.net/10272/23983
UL https://hdl.handle.net/10272/23983
LA eng
NO Ballesta-Castillejos, A., Rodríguez-Almagro, J., Gómez-Salgado, J., Martínez-Galiano, J. M., Romero-Blanco, C., & Hernández-Martínez, A. (2024). Preparation and validation of a predictive model of breastfeeding initiation in the first hour of life. In Midwifery (Vol. 134, p. 104019). Elsevier BV. https://doi.org/10.1016/j.midw.2024.104019
DS Repositorio Institucional de la Universidad de Huelva
RD 13 jun 2026