Breastfeeding Latch Score

 

0

1

2

L

Latch

  • Too sleepy or reluctant
  • No Latch achieved
  • Repeated attempts
  • Hold nipple in mouth
  • Stimulate to suck
  • Grasps breast
  • Tongue down
  • Lips flanged
  • Rhythmic sucking

A

Audible Swallowing

  • None
  • A few with stimulation
  • Spontaneous and intermittent <24 hours old
  • Spontaneous and intermittent >24 hours old

T

Type of Nipple

  • Engorged
  • Cracked, bleeding, large blisters or bruises
  • Severe discomfort
  • Filling
  • Reddened/small blisters or bruises
  • Mild/moderate discomfort
  • Soft
  • Tender

C

Comfort

  • Inverted
  • Flat
  • Everted (after stimulation

H

Hold (positioning)

  • Baby requires wrapping
  • Pillow required for support
  • Mother learning skills
  • Minimal support required
  • Mother gaining confidence
  • No assist from staff
  • Mother able to position/hold infant
  • Mother and baby relaxed
  • Mother competent