Anne, Excellent article. The only thing I would change is to eliminate "extremely" from the sore nipples red flag. I have seen moms with the tips of their nipples chewed away (actually, tongued away) who thought nipple soreness was normal. This is my pet peeve, I don't think breastfeeding should hurt. Period. I know some perinatal nurses swear that some nipple soreness is normal, but what is normal about American hospital births? (Should I duck now?) Catherine Watson Genna, IBCLC