C Schelstraete

Publications (2)0.6 Total impact

• Article: [Performance of the Breastfeeding Assessment Score for the prediction of early weaning in France].

  L Laborde, J Fulcheri, N Gelbert-Baudino, C Schelstraete, M Mathieu, M Durand, F Baudino, F Vié Le Sage, I Gothie, F Roche, C Devoldere, C Salinier, J-P Gout, M Plasse, F-M Caron, P François, J Labarere
  [show abstract] [hide abstract]
  ABSTRACT: 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. To assess the accuracy of the BAS in a French validation cohort. 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. 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). 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.
  Archives de Pédiatrie 09/2007; 14(8):978-84. · 0.30 Impact Factor
• Article: [Initiation and duration of breastfeeding in obstetrical hospitals of Aix-Chambery (France)].

  J Labarère, C Dalla-Lana, C Schelstraete, A Rivier, M Callec, J F Polverelli, P François
  [show abstract] [hide abstract]
  ABSTRACT: Our objectives were to estimate duration of breastfeeding and to identify factors associated with initiation and weaning. A prospective study was carried out among 353 mothers delivering in three obstetric hospitals at Aix-Chambery (Savoie, France). Breastfeeding was considered as survival data with censored observations. Univariate and multivariate analyses were performed. Breastfeeding was initiated by 70.8% (66.1-75.5) (exclusive breastfeeding = 39.9% and complementary breastfeeding = 30.9%). Respectively, 58.1% (52.9-63.3) and 12.2% (8.3-16.1) were continuing some breastfeeding at one and six months. The median duration of breastfeeding was 13 weeks (11.6-14.4). Shorter duration was associated with contact beyond one hour from birth (adjusted Hazard Ratio [aHR] = 1.25 [1.03-1.52] and with contact beyond eight hours aHR = 1.78 [1.66-1.92]), pacifier use (aHR = 1.72 [1.19-2.47]), breastfeeding at fixed hours (aHR = 1.78 [1.29-2.45]), and decision to breastfeed during pregnancy or the postpartum period (aHR = 1.70 [1.45-2.00]). Breastfeeding initiation and duration were higher in maternity hospitals of Chambéry than estimations measured in the 1998 French perinatal survey and in other ad hoc surveys. Identified factors should be used in order to plan future programs designed to increase duration of breastfeeding.
  Archives de Pédiatrie 09/2001; 8(8):807-15. · 0.30 Impact Factor