ABSTRACT
Many mothers will experience common complications of breastfeeding and will require skilled support and advice to ensure that lactation continues. This chapter addresses the knowledge and skills required to support mothers with some of the common problems they may experience. A common concern for breastfeeding mothers is whether their babies are getting enough milk. Birthing complications such as preterm birth, Caesarean section and retained placenta may also be contributing factors. Engorgement of the breasts is most often associated with delayed or infrequent feeding, or ineffective removal of the breastmilk. The pain of engorgement can be quite distressing for mothers. Mastitis is the inflammation of the mammary gland. If engorgement or blocked ducts are not corrected and milk stasis persists, it may lead to mastitis and ultimately cessation of breastfeeding. A full breastfeeding history, assessment and observation of a feed are essential to rule out problems other than thrush before prescribing medication.
