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Breastfeeding difficulty – poor latch — RACP Paediatrics MCQ

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ModerateNeonatalBreastfeeding difficulty – poor latchRACP Paediatrics

A breastfed neonate has lost 8% at day 3. Mother reports nipple pain and the infant has a poor latch with audible clicking during feeds. Supplementary formula feeds are improving weight gain. What is the underlying issue?

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Correct answer: B — Breastfeeding failure

Poor latch with nipple pain, audible clicking (breaking suction), excessive weight loss, and improvement with supplementary feeds indicates breastfeeding difficulty/failure. Lactation consultant assessment is essential to address the latch, assess for tongue-tie (ankyloglossia), and support the mother. Supplementary feeding (expressed breast milk or formula via cup/syringe) may be needed temporarily.

Reference: RCH Melbourne – 2023 – Breastfeeding CPG; RACP Paediatric Curriculum – Neonatology