If there is frequent and effective breastfeeding and there are any of the following concerns, refer to your LMC, GP, or other health professional.

- Baby has lots more than 10% of his birth weight by Day 5, or has not regained his birth weight in the first two week of birth.

- From birth to 3 months, baby has gained less than 450 grams in a month.

- Baby breastfeeds long and often but is not gaining weight.

- Sleepy baby: not waking for feeds on his own, and falling asleep shortly into a feed

- Is breastfeeding less than 7-8 times in 24 hours.

- Jaundice: should not be seen below the umblicus

- Inadequate output: baby has less than 6 wet nappies in 24 hours, decreased bowel motions and/or delayed transitional stools (meconium after 72 hours)

-Dehydration: Lethargic, distressed or weak cry, dry mouth, dry eyes, low grade fever, lack of skin turgor or concentrated urine/ urates after day 4.

- Sore nipples that don't improve with correct latch and breastfeeding continues to be painful.

- Sore breast (s) that do not improve.

- Mother appears unhappy/de[ressed - anxiety, panic, mood swings, insomnia, general lack of interest in life, fear of hurting the baby or inability to care for the baby, loss of appetite, unable to feel happy.

- Mother is excessively tired