Correct responses to items | Evidence |
---|---|
1. A normal full term infant is born with instinctive reflex ability to breastfeed effectively | [40] |
2. Newborns will develop predictable, coordinated feeding behaviors within minutes of birth | [38, 39] |
3. Newborns can instinctively find the nipple without help and attach correctly to the breast | [35] |
4. Newborns will be guided to the nipple by their sense of smell | [37] |
5. Skin-to-skin contact is important to help stabilize newborn breathing | [58, 59] |
6. A newborn's heart rate is stabilized by skin-to-skin contact | [60] |
7. Skin-to-skin contact is important to prevent heat loss in newborn babies | [61, 62] |
8. A newborn's blood sugar levels are stabilized by skin-to-skin contact | [62, 63] |
9. Skin-to-skin contact helps the flow of colostrum after birth | [64] |
10. Uninterrupted skin-to-skin contact immediately after birth is important for newborn breastfeeding performance | [35, 41] |
11. A mother is more likely to accept and feel warm toward her baby if skin-to-skin contact happens immediately after birth | [64] |
12. Hours of continuous skin-to-skin contact can help a newborn baby learn to feed | [34] |
13. Midwives and mothers know the baby is getting colostrum at the first breastfeed when they hear the baby swallow | [65] |
14 Midwives and mothers know the baby is getting colostrum at the first breastfeed when they see the baby swallow | [65] |
15. Separation of a newborn from the mother at birth can cause harmful stress to the baby | [40, 66] |
16. Birth trauma may interfere with the proper coordination of an infant's natural suckling reflexes | [67] |
17. Interrupting skin-to-skin contact within 15–20 minutes of birth seriously disturbs the suckling reflexes for correct attachment | [35, 68] |
18*. Immediately after birth, uninterrupted skin-to-skin contact should be facilitated until after the first breastfeed | [42, 43] |
19*. Skin-to-skin contact to initiate feeding is of higher priority than wrapping the baby | [62] |
20*. Skin-to-skin contact to breastfeed should take precedence over completion of required documentation | [44] |
21*. Most mothers prefer to hold their baby immediately after birth rather than be cleaned | [44] |