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Table 1 Criteria and grading system for positioning, attachment, and suckling among lactating mothers visiting health facilities in Gondar town, Amhara Regional State, Northwest Ethiopia, 2020

From: Breastfeeding technique and associated factors among lactating mothers visiting Gondar town health facilities, Northwest Ethiopia: observational method

Criteria for correct body positioning
 Baby’s body close to the mother’s body   
 Baby body and neck straight   
 Baby facing toward the mother’s breast   
 The whole body supported by the mother   
Criteria for grading body positioning: Grade Score
None or only one out of four criteria has been fulfilled Poor 0–1
Any two of the four criteria has been fulfilled Average 2
Three/all the four criteria for body positioning were fulfilled Good 3–4
Criteria for the correctness of attachment
 More areola is seen above the baby’s top lip   
 The Baby’s mouth is wide open   
 Baby’s lower lip turned outwards   
 Baby’s chin touching the breast   
Criteria for grading of correct attachment: Grade Score
None of or only one out of four criteria has been fulfilled Poor 0–1
Any two of the four criteria has been fulfilled Average 2
Any three or all the four criteria has been fulfilled Good 3–4
Criteria for the correctness of effective suckling:
 Slow suckling   
 Deep suckling   
 Sometimes pausing   
Criteria for grading of effective suckling: Grade Score
None or only one of the three criteria has been achieved Ineffective 0–1
Any two or all three criteria has been achieved Effective 2–3