LATCH Score
SC 0 1 2
OR
E
Latc Too Repeated Grasps breast in
h sleepy, attempts mouth
no latch
Aud none Few with spontaneous
ible stimulatn
swal
low
Typ inverted flat everted
e of
nipp
le
com Severe Mod Soft ,non tender
fort discomfo discomfort
rt
hold Full Minimal No assist
assist assist
Breastfeeding Latch Score
0 1 2
L 1. Too sleepy 1. Repeated 1. Grasps
or attempts breast
Latch reluctant 2. Hold nipple in 2. Tongue
2. No Latch mouth down
achieved 3. Stimulate to 3. Lips
suck flanged
4. Rhythmic
sucking
A 1. None 1. A few with 1. Spontaneo
stimulation us and
intermitten
Audible t <24
Swallowing hours old
2. Spontaneo
us and
intermitten
t >24
hours old
T 1. Engorged 1. Filling 1. Soft
2. Cracked, 2. Reddened/small 2. Tender
Type of bleeding, blisters or
Nipple large bruises
blisters or 3. Mild/moderate
bruises discomfort
3. Severe
discomfort
C 1. Inverted 1. Flat 1. Everted
(after
Comfort stimulation
H 1. Baby 1. Minimal support 1. No assist
requires required from staff
Hold wrapping 2. Mother gaining 2. Mother
(positioning) 2. Pillow confidence able to
required position/h
for old infant
support 3. Mother and
3. Mother baby
learning relaxed
skills 4. Mother
competent