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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Back to Latches Assessment Tool

Adapted from: Jensen, Deborah. Shiela Wallace and Patricia Kelly.  "LATCH: A Breastfeeding Charting System and Documentation Tool."  JOGNN (1994) 23:27-32.

Copyright Marie Davis, RN, IBCLC 1999 

Last reviewed: Saturday, September 11, 2010