Hi Leilani

I think a global concern is one of "not enough" milk.  Mothers' expectations and reality are often poles apart.  Understanding normal newborn baby behaviour is important - so that mothers and those supporting her do not blame everything too little milk.  Together with this goes a good understanding of basic lactation physiology.  Depending on the group you are teaching, it is sometimes helpful to role model how to effectively support and reassure mothers - what positive signs to look for and acknowledge.  Wise words (I think from Dr Derrick Jellife) - "breastfeeding is a confidence trick".
A second issue may be nipple pain - any should be investigated/referred early.

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

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