Breastfeeding Assessment Template For Health Visitors
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1How you and your health visitor can recognise that your baby
This assessment tool was developed for use in or
is feeding well
around day 10-14
What to look for/ask about
Wet nappies:
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√
Your baby:
Nappies should feel heavy. To get an idea of how this feels take
has at least 8 -12 feeds in 24 hours
a nappy and add 2-4 tablespoons of water as this will help you
is generally calm and relaxed when feeding and content
know what to expect.
after most feeds
will take deep rhythmic sucks and you will hear swallow-
Stools/dirty nappies:
ing
will generally feed for between 5 and 40 minutes and will
By day 10-14 babies should pass frequent soft runny yellow
come off the breast spontaneously
stools every day with 2 stools being the minimum you would
has a normal skin colour and is alert and waking for feeds
expect.
Has regained birth weight
After 4-6 weeks when breastfeeding is more established this
may change with some babies going a few days or more with-
Your baby’s nappies:
out stooling. Breastfed babies are never constipated and when
At least 6 heavy, wet nappies in 24 hours
they do pass a stool it will still be soft, yellow and abundant.
At least 2 dirty nappies in 24 hours, at least £2 coin size,
yellow and runny and usually more
Feed frequency:
Young babies will feed often and the pattern and number of
Your breasts:
feeds will vary from day to day. Being responsive to your ba-
Breasts and nipples are comfortable
by’s need to breastfeed for food, drink, comfort and security
Nipples are the same shape at the end of the feed as the
will ensure you have a good milk supply and a secure happy
start
baby.
How using a dummy/nipple shields/infant formula can
Care plan commenced: Yes/No
impact on breastfeeding?
Date
Health visitor initials
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