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The Cronbach's α coefficients for the total scale and the 4 factors were 0.970, 0.960, 0.940, 0.822 and 0.931. The split-half reliability of the BCS was 0.894 and 0.890. CFA model showed that the 4-factor model fits the data well. The BCS is a new valid and reliable instrument for assessing the breastfeeding competency of pregnant women in the third trimester. The BCS is a new valid and reliable instrument for assessing the breastfeeding competency of pregnant women in the third trimester. Liver metastasis is an imp