mother reports breasts and nipples comfortable; no
visible damage. This combination of mother report with visible
inspection of the nipples was only scored as 2 if she reported
complete comfort with no obvious damage. 1 was scored if the
mother reported some discomfort and there was some
damage or soreness to the nipple visible; 0 was scored if the
mother reported severe discomfort and there was moderate or
severe nipple damage visible