Neonates in the early-SSC group in our study had better EBF rates at both 48 h and 6 weeks of age. The Cochrane systematic review also yielded a significant ef- fect of SSC on EBF rates at 1–4 months after birth [10 tri- als, odds ratio (OR): 1.82, 95% CI 1.08–3.07] [1]. Improved EBF rates in our study are therefore not surprising. How- ever, the beneficial effect observed at 48 h in the absence of a significant difference in the BF scores is perplexing indeed. Given that EBF rate is a ‘true’ indicator of the abil- ity to breast feed, the possibility that the BF scores might not adequately measure this ability cannot be ruled out.