Self-Structured Checklist on
Breastfeeding Practices
Instructions: Please put a tick mark (✓) in the appropriate box. Your responses are
confidential and will be used only for research purposes.
S. No. Item Yes No
1 Did you initiate
breastfeeding
within 1 hour after
delivery?
2 Did you feed
colostrum (first
yellowish milk) to
your baby?
3 Are you exclusively
breastfeeding your
baby (no
water/formula/othe
r food)?
4 Do you breastfeed
on demand
(whenever the baby
cries)?
5 Do you feed your
baby at least 8–10
times in 24 hours?
6 Do you practice
night-time
breastfeeding?
7 Do you ensure that
your baby empties
one breast before
switching to the
other?
8 Do you wash your
hands before
breastfeeding?
9 Do you clean your
breast/nipple
before feeding?
10 Do you burp the
baby after every
feeding session?
11 Are you aware that
exclusive
breastfeeding
should continue for
6 months?
12 Have you received
any breastfeeding
education/counselin
g from a health
worker?
13 Do you avoid giving
honey, ghutti, or
other pre-lacteal
feeds?
14 Do you breastfeed
the baby in a sitting
or comfortable
position?
15 Are you planning to
continue
breastfeeding for at
least one year?
16 Do you check for
proper latch while
feeding the baby?
17 Do you alternate
breasts between
feeding sessions?
18 Do you recognize
signs that your baby
is hungry (e.g.,
sucking fingers, lip
movements)?
19 Do you continue
breastfeeding when
your baby is sick?
20 Do you avoid giving
pacifiers or bottles
during exclusive
breastfeeding?
Scoring System
Each 'Yes' = 1 mark
Maximum Score = 20
Interpretation of Scores
Score Range Practice Level
16–20 Good breastfeeding practice
11–15 Average breastfeeding practice
0–10 Poor breastfeeding practice