The major strength of our study is the masked evaluation of BF scores using video recording of the infants’ feeding sessions. Unlike the previous trials that used either the research assistants or even the mothers to score the infants’ feeding ability, we used the scores assigned by three independent outcome assessors to eliminate the measurement bias. The present study had some limitations too – firstly, the study evaluated BF behavior using only one-time assessment of a feeding session at 36–48 h. With so many variables that could affect the latching and other parameters of the score,multiple assessments might have found a difference in the feeding behavior of these neonates. Secondly, the study had limited power to look at a small difference in the scores between the two groups.