What does the score measure?

It reflects how far the system around early postnatal care supports positive breastfeeding outcomes in the first hours and days. It is not a test of your knowledge or clinical skill.

How long does it take?

Around two minutes. The twelve questions are shown one at a time.

No. Your result is shown as soon as you finish.

What happens to my details?

We use them to send your result and compare your experience with other practitioners who have taken part. They are never shared.

Midwife and IBCLC Assessment

A professional assessment

Where does the system leave gaps in the first hours and days?

For midwives and IBCLCs. Answer a short set of questions about what you see in the early postnatal period and what it asks of you, and see how your experience compares with what other practitioners have shared.

12 questions. One at a time. About two minutes.

A midwife supporting a mother and newborn soon after birth

Example result

System support

Stretched

Protected time for early feeds

Continuity through routine processes

Support to practise as you would wish

Where the system supports you least: continuity of care

12questions

7conditions examined

3score bands

What it looks at

The conditions that shape the first feed.

The questions ask about what you see and what current systems ask of you, not about your knowledge or clinical skill. Your score reflects how far the conditions around early postnatal care help or hinder a woman's breastfeeding outcomes.

Protected time for the first & early feeds

How often uninterrupted time can be held for a mother and baby to find their first breastfeed in the first few hours after birth.

Routine procedures and handovers

How far tasks, handovers and ward processes pull you away from the early feeds you most want to be present for.

Birth interventions and after caesarean

How interventions in a woman's labor, and recovery after caesarean, affect early skin-to-skin contact and the first breastfeed.

Time and support to act

How often you know what would help a mother but lack the time or support to do it, including when nipple pain or damage is already present.

How it works

A measured read on where the system supports your practice.

1
Answer twelve questions
Each one appears on its own, drawn from what you see in the early postnatal period.
2
See where you stand
Your result places you in one of three bands describing how far the system supports breastfeeding outcomes.
3
Compare with your peers
See how your experience sits alongside what other practitioners have shared.

Before you begin

See where the system leaves gaps in your practice.

Twelve questions on what you see in the early postnatal period, and a measured read on the conditions around it.