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 |