For Mom

Nipples

    • Sore nipples, before during or after breastfeeding

    • Cracked, blistered, bleeding nipples

Milk Supply

     •Doesn’t have enough milk or can’t make enough milk

     •Making too much milk

     •Has had breast augmentation or reduction surgery

Breast Pain

      •Engorged (swollen breasts) so much that breasts are too hard

        and full, and baby cannot breastfeed        

      •Plugged ducts

      •Being treated for mastitis (breast infection)    

Working

       •Questions about returning to work while breastfeeding

  Medication

        •Needs to take medication and wants information regarding its

          safety

  Emotional Concerns

        •Having a hard time enjoying breastfeeding, feeling sad or

         disconnected from baby

For Baby

Underweight or not gaining weight

       •Not back to or close to its birth weight by day seven

        •Not gaining a minimum of one ounce of weight per day after

         returning to its birth weight by day 7-10.

Not peeing or pooping enough

        •Is not stooling or urinating enough every day.

             Day 1 - one meconium/dark, tar-like stool & one wet diaper

             Day 2 - two poops & two wet diapers

             Day 3 - three poops & three wet diapers

             Once your colostrum (first milk) starts to change into more

             mature milk (usually day 3-5), your baby’s stools will start to

             change from dark to a yellow, mustardy color, and seedy

             in texture. Once this happens, then your baby should have

             a minimum of three “scoopable” poops every day

             for the first 4 to 6 weeks, and 6 wet diapers each day.

Latch or feeding issues

        •Rarely latches or not all

        •Falls asleep at the breast too quickly

        •Seems to be nursing constantly

        •Baby always seems hungry

        •Latches well at first, but the latch becomes progressively

         uncomfortable

        •Seems upset and frustrated while trying to breastfeed

        •Makes odd noises while breastfeeding (clicking, slurping,

         choking, sputtering, wheezing or squeaking)

Is Jaundiced

Has special needs or medical issues

Is born early (before 40 weeks and not breastfeeding well)

Is drinking formula

Twins or triplets