Table 4 Breastfeeding Initiation Practices with Principle Component Analysis Varimax rotation

Variance Explained

Factor 1 Attention to feeding

11. Ask Chloe what she would like to do and explain the natural feeding ability of a newborn

9. Teach Chloe how to position and attach baby for optimal breastfeeding

10. Encourage Chloe to take time to allow the baby to self attach with minimal assistance and explain a newborn's natural ability to breastfeed

7. Encourage Chloe and the family to watch for signs of baby's readiness to feed

Factor 2 Care of baby

4. Dry and wrap the baby before giving to the parents

6. Place the baby under a radiant heater for assessment, weighting and measuring before the first breastfeed attempt

3. Help Chloe hold her naked baby in skin-to-skin

12. Wait until Chloe is showered and able to sit up comfortably before offering assistance

5. Place baby in skin-to-skin on Chloe's chest, dry the baby and cover with a warm towel

2. Routinely suction the baby at birth before giving to Chloe

Factor 3 Assist attach

8. "Put the baby on" the breast for her

1. Chloe's baby is likely to attach correctly to the breast without assistance within the first hour of birth

Cronbach Alpha