Urine- less than 6-8 wet nappies in 24hrs Stools - fewer than 2 in 24 hrs - Jaundice - worsening or not improving Lethargic baby Not waking for feeds Poor tone Weight loss greater than 10% Fewer than 8 feeds in 24 hrs Baby comes on and off the breast frequently during the feed or refuses to breastfeed No change in sucking pattern or noisy feeding eg clicking Baby consistently feeds for less than 5 minutes or longer than 40 minutes Baby does not release breast spontaneously Baby unsettled after feeding Mishapen or pinched nipples at the end of feeds Nipples sore or damaged, engorgement or mastitis If you said yes to any of these things above it would be worth having a chat and making a time for a consultation