Table 1.
Assessment | Signs |
Neuromuscular signs | Posture |
Arm recoil | |
Scarf sign | |
Popliteal angle | |
Heel-to-ear test | |
Ankle dorsiflexion | |
Physical signs | Skin: Colour, texture, opacity and presence of lanugo |
Ear: Shape and recoil | |
Breast: Nipple–areola development | |
Male genitalia: Testes and scrotum | |
Female genitalia: Labia and clitoris | |
Foot: Plantar creases | |
Anthropometry | Head circumference (cm) |
Chest circumference (cm) | |
Breast bud diameter (mm) | |
Mid-upper arm circumference (cm) | |
Foot length (mm) | |
Infant length (cm) | |
Symphysis–fundal height (cm) | |
Weight (g) | |
Breast feeding Observation | Signs of attachment: more areola above infant’s top lip than below bottom lip; mouth wide open; lower lip everted; chin touching the breast |
Suckling behaviour: presence of deep, slow sucks with swallowing in between | |
Duration the infant was able to stay attached to the breast continuously during the feed | |
Longest continuous burst of suckling (number of sucks) | |
Suck-to-swallow ratio |