Once in a while you get a mother (this one is young and single) who wants to BF more than anything and nothing is going right (got really bad advice early on) She has Lupus and I am wondering if this can contribute to slow healing of her severely cracked nipples (3 weeks now). I just got this case and it is a mess. Baby has lost weight and is jaundice and anemic (hemoglobin 9.5 now 6.2) Mom pumping and giving EBM and formula. In last 5 days weight is up but BF very painful . We hope to use an SNS once nipples feel better , despite bottles baby will latch on correctly. Moms supply down (was not pumping frequently due to stress). Baby being seen by specialist today due to anemia. Til we know what is up with the baby, I have just encouraged the mother to maintain her supply (told her the neonatalogist may really want baby to get breastmilk) Hopefully, BF will come if we can heal the nipples and get some positive answers about the baby's health. Has anyone else worked with Lupus moms? Robin B. Frees, BA IBCLC Malvern PA