What I hear moms saying to me when they have called me with a problem at 6 weeks rather than at 1 week when the problem started is I did not know if this was a problem. Moms have a hard time differentiating whether what they are feeling or experiencing is a problem or just the normal transition into a mom/baby breastfeeding relationship. I have listed below some reasons that you would need to have a Lactation Consultation.


  • History of surgery to nipple or breast
  • History of hormonal or anatomical challenges
  • No breast changes during pregnancy
  • Earlier difficult or unsuccessful breastfeeding experience
  • Family history of allergies
  • Problems with conceiving


  • Premature baby
  • Multiples
  • Special-needs baby
  • Mom or baby are required to be separated
  • Baby’s mouth or tongue is preventing easy breastfeeding (cleft palate, tongue-tie, or other challenges)
  • Flat or inverted nipples
  • Latching or positioning difficulty
  • Traumatic birth

Getting Started

  • Milk is not transitioning to mature milk and becoming engorged by Day 5
  • Breast or nipple pain or trauma at any time (Breastfeeding should never hurt)
  • Baby is not latching and sucking well by hospital dischargeFewer than three large stools each 24 hours by Day 5
  • Stools that are not soft and mustard yellow by Day 5
  • Baby is not nursing at least eight times each day
  • Baby falls asleep quickly at breast, or sleeps through feedings
  • Baby has jaundice
  • Baby is given supplements of any kind for any reason
  • Baby is crying, collicky, “never stops nursing,” or “never seems happy” at breast

Any Time

  • Nipple or breast discomfort at any time
  • Questions about medications
  • Questions about pumping
  • Returning to work or school
  • Where and how baby should sleep
  • Help for Baby Wearing / Baby Slings
  • Concerns or questions about continuing breastfeeding while pregnant