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Table 1 Correct responses to Newborn Feeding Ability items and evidence source

From: Assessing midwives' breastfeeding knowledge: Properties of the Newborn Feeding Ability questionnaire and Breastfeeding Initiation Practices scale

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]
  1. * reversed scored items