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Latch Assessment Tool

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L-A-T-C-H-E-S*
Breastfeeding Assessment Tool for the FIRST 4 weeks
Score Key Baby's Age | < 24 hours old | 24 to 48 hours old | Day 3 to 5 | Older than 6 days | Doing well | | 18 to 24 points | 21 to 24 points | 21 to 36 points
Milk in. Nursing 8-10 times per 24 hours. Baby self wakes for most feedings. Has 6-8 wet. Stools following most feedings ** | Needs assistance | | 12 to 16 points | 12 to 16 points at two or more feedings | 16 to 18 points at two or more feedings | or call the lactation consultant at:
_______________________ | | A score of 1 or 2 in four or more areas | A score of 1 or 2 in three or more areas
Infrequent stool or stool not turning yellow | Score of less than 18 at two or more feedings Score of 1 or 2 in any two areas Less than 6-8 wets per 24 hours Milk not in
Sore nipples. | Contact the baby's medical doctor
IMMEDIATELY | | Lack of urine for longer than 12 hours.
Lack of stool for 36 hours | Lack of urine for longer than 8 hours. Dark Urine (more brown than yellow)
Dry mouth. |
Still having meconium (black sticky) stools Lack of urine for longer than 6 hours
Less than 6-8 wets per 24
Dark Urine (more brown than yellow) |
** Stool frequency is very important in the first 4 to 6 weeks. In the first few weeks, the number of stools per 24 hours is a measure of how much milk the baby is getting. The number of stools per day/week begins changing at 4 to six weeks of age. As baby's intestine matures there are fewer poopy diapers. AFTER 6 weeks of age it is not uncommon for an entirely breast fed baby to go several days without a stool. Constipation means the passage of dry, hard stools. AFTER 6 weeks of age if baby goes 3 days without a poopy diaper, call baby's doctor for advice.
Once a baby reaches 5 days of age s/he should have a MINIMUM of 6 to 8 very wet diapers in 24 hours.…...

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