Maternal Concerns 

• Delayed lactogenesis 
• Low milk supply 
• Oversupply 
• Painful feeding 
• Exclusive pumping (either by choice or with a desire to resume nursing in the future) 
• Plugged ducts 
• Mastitis 
• Tandem nursing 
• Nursing multiples 
• Maternal medications and contraindications for breastfeeding 
• Maternal medical/surgical history affecting breastfeeding 
• Prenatal consultations in high-risk situations 
• Inducing lactation for adoption 
• Returning to work/pumping/storing/bottle feeding 
• Sleep "training" while breastfeeding 
• Difficulty weaning 
• Bottle refusal 


Infant Concerns 

• Neonatal weight loss 
• Hyperbilirubinemia in the setting of breastfeeding 
• Slow weight gain 
• Poor latch (shallow, painful, losing suction, inefficient, choking) 
• Concern for tongue-tie  
• Reliance on the nipple shield 
• Prematurity 
• Anatomic abnormalities 
• Breast refusal after a previous successful nursing 

More information about Breastfeeding 

Q: Why is “breastmilk best”? 

• Breast milk from each mother is specially made to match the nutritional needs of the baby.
• Breast milk helps protect babies from minor infections like colds and ear infections.
• Breastfeeding reduces the risk of Sudden Infant Death Syndrome.
• It also helps protect against future diseases like asthma, obesity, and diabetes.
• Breast milk is very easy to digest, helping newborns grow quickly. 

Q: What are the benefits to the mother for providing breastmilk? 

• Early on, breastfeeding helps mom recover from delivery.
• Breastfeeding is an opportunity for a unique bond.
• Lowers the mother’s risk for breast and ovarian cancer, high blood pressure, heart attacks, and strokes.

 Q: What do mothers need to know about pumping? 

• Pumping is a way to provide breast milk even when baby can't latch, or when mom and baby are separated from each other.
• Pumping can help increase milk supply.
• Pumping can be intimidating, time-consuming, and stressful! But there are lots of tricks to make it feel more manageable.
• You have rights as a working mother that are protected by the federal government to allow you to make milk for your baby during the workday.